Sudden Penile Bleeding: Causes and Treatment Options

Q: Sudden Penile Bleeding: Causes and Treatment Options

Hello： <br>2. <br>When urinating, if the flow is strong or if I exert a little force, I experience a brief pain and a sensation of blockage. <br>Is it okay to exert some force while urinating? — Generally, for men over middle age, a strong urge to urinate often requires some effo

Sudden profuse bleeding from the penis?

1.
In the past six months, there have been two instances where, while sitting on a chair watching television or using the computer, there was a sudden discharge of a large amount of blood from the penis.
I went to a major hospital for a consultation, where I underwent urinalysis, blood tests, and X-ray examinations.
The doctor who examined me initially diagnosed me with benign prostatic hyperplasia (BPH).

2.
When urinating, if the flow is strong or if I exert a little force, I experience a brief pain and a sensation of blockage.
Is it advisable to exert some force while urinating? If there is a feeling of a foreign body in the penile urethra, should I forcefully try to expel it?
3.
I would like to ask the doctor about the correct way to drink water.
What is the appropriate amount of water to consume? Is it acceptable to drink water before bedtime? I would appreciate your guidance on these matters.
Thank you!

Jack, 70~79 year old female. Ask Date: 2024/01/25

Dr. Du Shixi reply Urology

Hello:
2.
When urinating, if the flow is strong or if I exert a little force, I experience a brief pain and a sensation of blockage.
Is it okay to exert some force while urinating? — Generally, for men over middle age, a strong urge to urinate often requires some effort due to obstruction symptoms caused by the prostate.
Medication can help improve this.
Additionally, men with heart disease who are on anticoagulants may be more prone to hematuria.
If there is a sensation of a foreign body in the penile urethra, is it advisable to exert force to expel it? — It is permissible, but if the sensation of a foreign body is frequent, a medical evaluation may be necessary.
3.
I would like to ask the doctor about the correct way to drink water? What is the appropriate amount? Is it okay to drink water before bed? — I personally recommend starting fluid intake after urinating in the morning.
Generally, the urine color should be a light yellow (typically over 1500 mL).
However, if there are signs of edema, fluid intake should be limited, and a clinic visit is advised.
After dinner, it is advisable to drink less and only drink when thirsty to avoid frequent nighttime urination, which can affect quality of life.
Wishing you good health.

Reply Date: 2024/01/25

More Info

Sudden penile bleeding can be a concerning and alarming symptom, and it is essential to understand its potential causes and treatment options. Based on the information provided, it seems that you have experienced this issue twice in the past six months while sitting and watching television or using a computer. You have already sought medical attention, which is a crucial first step. The initial diagnosis of benign prostatic hyperplasia (BPH) may be relevant, as this condition can lead to urinary symptoms and complications.

Causes of Sudden Penile Bleeding
1. Benign Prostatic Hyperplasia (BPH): As you mentioned, BPH can cause urinary symptoms such as difficulty urinating, increased frequency, and urgency. In some cases, it can lead to complications like urinary tract infections (UTIs) or bladder stones, which may result in bleeding.

2. Urinary Tract Infections (UTIs): UTIs can cause inflammation and irritation of the urinary tract, leading to bleeding. Symptoms may include pain during urination, frequent urination, and a feeling of urgency.

3. Urethral Injury or Trauma: Any trauma to the genital area, including vigorous sexual activity or injury, can cause bleeding from the urethra or surrounding tissues.

4. Urethral Stricture: A narrowing of the urethra can lead to difficulty urinating and may cause bleeding, especially if there is increased pressure during urination.

5. Prostate Issues: Conditions such as prostatitis (inflammation of the prostate) can also lead to bleeding and discomfort during urination.

6. Other Causes: Less common causes may include tumors, blood clotting disorders, or vascular issues affecting the genital area.

Treatment Options
1. Medical Evaluation: Since you have already undergone tests such as urinalysis, blood tests, and X-rays, it is essential to follow up with your healthcare provider to discuss the results and any further necessary evaluations. A urologist may perform additional tests, such as a cystoscopy, to visualize the urethra and bladder.

2. Management of BPH: If BPH is confirmed, treatment options may include lifestyle changes, medications (such as alpha-blockers or 5-alpha-reductase inhibitors), or surgical interventions if symptoms are severe.

3. Hydration: Staying well-hydrated is crucial for urinary health. Drinking enough water helps dilute urine and may reduce irritation in the urinary tract. The general recommendation is to drink at least 8-10 cups (64-80 ounces) of water daily, but individual needs may vary based on activity level and climate.

4. Avoid Straining: It is advisable to avoid straining during urination, as this can exacerbate symptoms and lead to further complications. If you feel the urge to urinate, try to relax and allow the flow to occur naturally.

5. Monitoring Symptoms: Keep track of any changes in your symptoms, including the frequency and severity of bleeding, pain, or changes in urination. This information can be valuable for your healthcare provider in determining the appropriate course of action.

6. Follow-Up Care: Regular follow-up appointments with your healthcare provider are essential to monitor your condition and adjust treatment as necessary.

Drinking Water Guidelines
Regarding your questions about drinking water, it is generally safe to drink water before bed, but it may lead to increased nighttime urination. It is best to adjust your fluid intake based on your daily activities and any urinary symptoms you may experience. If you find that drinking water before bed disrupts your sleep due to frequent urination, consider limiting your intake in the evening.

In conclusion, sudden penile bleeding can have various causes, and it is crucial to work closely with your healthcare provider to identify the underlying issue and develop an appropriate treatment plan. Maintaining good hydration, avoiding straining during urination, and following up on your symptoms will contribute to better urinary health.

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