Blood clots in urine 5 weeks after RP

Posted by byron12 @byron12, Apr 30, 2023

My husband (51 years old) had a Robotic Prostatectomy about 5 weeks ago. Pathology showed Pt3a, bladder neck invasion, perineural invasion, non-focal EPE, negative margins, no positive lymph nodes. Last week at 4 weeks post op he began having on and off blood and blood clots in his urine. Previously, he had not had any blood in urine since about 3 days after surgery. Dr advised to stop pelvic floor exercises for a week. Blood/blood clots continued sporadically. Largest clots have been dime sized. Anyone else experience anything similar after RP?

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Colleen Young, Connect Director | @colleenyoung | May 10, 2023

@byron12, as I mentioned to @jogger01 in another discussion, blood in urine is always worthy of investigation. @seabiscuit discovered that blood in his urine was due to a urinary tract infection:
- Peeing blood after going for walk https://connect.mayoclinic.org/discussion/peeing-blood-after-going-for-walk/

Byron, does your husband still have a catheter in? Might he have an infection? Has the blood in urine gone away after stopping pelvic floor exercises?

jogger01 | @jogger01 | May 11, 2023

In reply to @colleenyoung "@byron12, as I mentioned to @jogger01 in another discussion, blood in urine is always worthy of..." + (show)

I had encountered some random instances of blood in urine after surgery and ramping up excercise. reached out to my care team and they performed a cystoscopy. No issues found and subsequently I had no further blood. The procedure brought peace of mind. As Colleen recommends, investigating with care team is important. Blood in urine is not normal.

whudup1 | @whudup1 | May 12, 2023

I feel blood in urine was normal, depending on the color
I had a chart, ketchup looking thick was not good, I did have some small clots come thru catheter
Usually more water would clear up
Color pretty quick