Post Prostate Biopsy Symptoms (Blood in semen)

Posted by tinker @tinker, Mar 16 4:41pm

I couldn't find an existing thread on this topic, but I wanted to share what I'm seeing so far, and compare with other's results.

I'm 58 years old. After discovering a 5+ PSA result in a routine adult physical, I was scheduled for and received both a MRI, and a Transperineal biopsy. In my case, they took 16 samples. I do not yet have the pathology results.

I was told there could possibly be some blood in my urine, but to watch for clotting, etc and large amounts. I was also told there would likely be some blood in my ejaculate, tapering off over time. I understand the amount of blood can be influenced by number and location of samples.

I was not prepared for what happened though. Four days after the biopsy, and to my horror, I found my expectations were way underestimated. It was not "streaks or spots" of blood, nor was it red-tinted. It looked to be pure blood. The volume was probably double what I would have expected. Hoping that the next day would be more normal, I again tested the waters.. It was nearly as bad, however, the color seemed to be a cross between pure blood and fresh motor oil.

I've got a message into my care team, and I'm awaiting a response while I also await pathology. I'm a bit nervous.

Has this been other's experience? If it is common, why understate it in the publications I was provided?

I have not noticed blood in my urine, however, it tends to be dark-ish as I tend to under-hydrate.

@ Post- biopsy it's quite. common.. I'm quite suprised that the literature did not mention it! After my biopsy ( my PSA wuz' @ 7) the Urologist made it a point to mention that I might see "tainted" urine for awhile & that it's normal . Don't worry !

REPLY

I do not understand the reason for the biopsy as a 5+ PSA for a 58 year old is not a trigger by itself?

REPLY
@glgraham

@ Post- biopsy it's quite. common.. I'm quite suprised that the literature did not mention it! After my biopsy ( my PSA wuz' @ 7) the Urologist made it a point to mention that I might see "tainted" urine for awhile & that it's normal . Don't worry !

Jump to this post

Thanks for the quick reply. While I mentioned urine, the focus of my concern was ejaculate (semen). I hope that clears things up.

REPLY

I experienced the same. It’s very common. I called the urologist several times. They were very helpful. They explained a very small niche could result in what appears to be a lot of blood. Since I don’t like seeing blood especially my own, I closed my eyes or sat down when urinating. Call your urologist if you’re worried. They are there to help. Wishing you all the best!

REPLY
@klaken

I do not understand the reason for the biopsy as a 5+ PSA for a 58 year old is not a trigger by itself?

Jump to this post

To clarify, it was two consecutive 5+ PSA results a few weeks apart. The MRI also showed a PI Rads-3 lesion and prostatitis.

REPLY

My experience was exactly the same. Semen and urine. Looked like pure blood. It evidently isn’t something to worry about. It took a little time, but completely resolved on its own.

REPLY
Please sign in or register to post a reply.