Blood in Semen and Urine After Fistula and Colonoscopy Surgery

Fistula and rectal bleeding symptoms during colonoscopy?

After undergoing anal fistula and colonoscopy surgeries and returning home, I had sexual intercourse with my girlfriend, resulting in bright red blood in my semen.
The next day, I noticed blood in my urine.
Is this a natural occurrence following the surgeries? Should I seek treatment at a major hospital?

Xiao Wen, 20~29 year old female. Ask Date: 2020/03/12

Dr. Li Xinyi reply Urology

It cannot be considered a normal phenomenon; you should see a urologist for an examination and discuss it with the physician.

Reply Date: 2020/03/12

More Info

Experiencing blood in semen and urine after undergoing anal fistula and colonoscopy surgeries can be concerning and warrants careful consideration. While it is not uncommon to have some bleeding following surgical procedures in the pelvic region, the presence of bright red blood in both semen and urine raises several important points that need to be addressed.

Firstly, it is essential to understand that surgical interventions in the anal and rectal area can lead to temporary trauma to surrounding tissues, which may result in bleeding. After surgeries like anal fistula repair and colonoscopy, patients may experience some degree of postoperative bleeding due to the manipulation of tissues and the healing process. However, the bleeding should generally be minimal and should not persist or worsen over time.

The fact that you noticed bright red blood in your semen after sexual intercourse and subsequently in your urine the following day suggests that there may be more than just typical postoperative bleeding occurring. Blood in semen, known as hematospermia, can occur due to various reasons, including trauma to the reproductive organs, inflammation, or infection. Similarly, blood in urine, or hematuria, can arise from several causes, including urinary tract infections, kidney stones, or trauma to the urinary tract.

Given that you recently underwent surgeries in the pelvic region, it is possible that the bleeding could be related to the surgical procedures. However, it is crucial to differentiate between normal postoperative bleeding and signs of a more serious complication. If the bleeding is significant, persistent, or accompanied by other symptoms such as pain, fever, or changes in bowel habits, it is imperative to seek medical attention promptly.

In your case, since you are experiencing blood in both semen and urine, it is advisable to consult with a healthcare professional, preferably the surgeon who performed your procedures or a urologist. They can conduct a thorough evaluation, which may include a physical examination, imaging studies, or laboratory tests, to determine the underlying cause of the bleeding. This is particularly important to rule out any potential complications such as infection, hematoma formation, or other issues that may require intervention.

In summary, while some bleeding can be expected after anal fistula and colonoscopy surgeries, the presence of bright red blood in both semen and urine is not typical and should be evaluated by a medical professional. It is better to err on the side of caution and seek medical advice to ensure that any potential complications are addressed promptly. Remember, your health and well-being are paramount, and timely intervention can prevent more serious issues from developing.

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