Experiencing Blood After Urination: Which Specialist to Consult? - Urology

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I'm not sure what to do?


Recently, every time I go to the bathroom and wipe my genital area, there is fresh blood.
Sometimes there is, sometimes there isn't, and then it stops.
Yesterday, I visited a gynecologist, and they said there was no bleeding in my genital area.
However, every time I finish urinating and wipe, there is blood.
Which specialist should I see?

ke neng, 20~29 year old female. Ask Date: 2005/06/13

Dr. Zhang Chengye reply Urology


Hello: You may have urethritis, and a urinalysis is needed to confirm.
This is a response from Dr.
Chang Cheng-yeh, attending physician of the Urology Department at Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2005/06/13

More Info


Experiencing blood after urination can be concerning and warrants a thorough evaluation to determine the underlying cause. Given your symptoms, it is essential to consult a specialist who can address potential issues related to the urinary tract or reproductive system.

Since you have already seen a gynecologist and they did not find any bleeding from the vaginal area, it may be beneficial to consult a urologist. Urologists specialize in the urinary tract and male reproductive system, and they can help identify any issues related to the bladder, urethra, or kidneys that could be causing the bleeding.
Here are some potential causes of blood after urination that a urologist might consider:
1. Urinary Tract Infection (UTI): UTIs can cause irritation and inflammation in the urinary tract, leading to blood in the urine (hematuria). Symptoms may include a burning sensation during urination, frequent urination, and lower abdominal pain.

2. Kidney Stones: These can cause bleeding as they pass through the urinary tract. Symptoms often include severe pain in the back or side, blood in the urine, and sometimes nausea or vomiting.

3. Bladder or Kidney Issues: Conditions such as bladder infections, kidney infections, or even tumors in the bladder or kidneys can lead to hematuria.
4. Trauma or Injury: Any recent injury to the pelvic area or lower abdomen could also result in bleeding.

5. Menstrual Cycle: If you are menstruating, it may be possible that the blood you are seeing is related to your menstrual cycle, even if it seems to occur after urination.

6. Other Medical Conditions: Conditions such as glomerulonephritis (inflammation of the kidney's filtering units) or blood clotting disorders can also lead to blood in the urine.

When you visit a urologist, they will likely perform a physical examination and may recommend tests such as a urinalysis, urine culture, or imaging studies like an ultrasound or CT scan to identify the cause of the bleeding.
In the meantime, it is essential to monitor your symptoms closely. If you experience additional symptoms such as severe pain, fever, chills, or if the bleeding worsens, seek medical attention promptly.
In summary, given your symptoms of blood after urination, consulting a urologist would be the most appropriate next step. They can provide a comprehensive evaluation and guide you toward the right treatment based on the underlying cause of your symptoms. Remember, early diagnosis and treatment are crucial for any urinary tract issues to prevent complications.

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