Blood in the urine with prostatitis: causes and principles of treatment

Urine for prostatitis is one of the objects of clinical research in diagnosing the disease.

Inflammation of the prostate gland affects urine parameters, since the prostate is an integral part of the male genitourinary system.

Pathological changes in one link affect the entire complex as a whole.

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Reasons for changes in urine during prostatitis

The inflammatory process causes prostate swelling, which compresses the bladder neck and urethra. This affects the functioning of the urinary system as a whole. Pathological processes in the surrounding tissues and in the gland itself are a source of urine contamination, since the urethra passes through the prostate. Changes occur:

• due to dysfunction of the urinary system;
• due to the spread of the inflammatory process to nearby tissues;
• pathology of the prostate itself;
• tissue degeneration into a malignant tumor.

Symptoms of prostate disease are explained by these types of pathologies that are associated with urination.

Long-term pathogenic effects on the mucous membrane of the urethra leads to its narrowing, resulting in difficult urine passage.

A decrease in the amount of urine passing leads to stagnation and inflammation of the bladder. Bladder overactivity develops: even slight fullness requires emptying, which explains the symptom of frequent urge.

A burning sensation in the urethra is caused by microorganisms that have entered it from the prostate. Pus and blood enter the urine from both the prostate and bladder.

Each case of deviation from the norm has its own characteristic indicators. The same manifestations can have different causes, so urine analysis is important, but not decisive in diagnosing the prostate.

Clinical indicators

Characteristic signs studied in laboratory conditions:

• color and transparency;
• smell;
• acidity;
• density;
• protein content;
• red blood cell concentration;
• leukocyte count;
• content of epithelial cells;
• number of eosophils (bacteria).

What kind of urine does it have for prostatitis?

• cloudiness;
• alkaline reaction;
• low density;
• increased protein content;
• hematuria;
• leukocyturia;
• the appearance of transitional epithelial cells;
• bacterial infection.

These factors may be related. Thus, the color of urine with prostatitis may change due to a high concentration of protein, red blood cells, white blood cells, or all of them combined. For renal disorders, blood and protein are a mandatory option for joint presence. Leukocytes, epithelium, bacterial insemination - an indicator of bacterial prostatitis.

White urine due to prostatitis

The color of urine with prostatitis normally has a transparent yellow tint. Its cloudiness or lightening is a symptom of pathological development in the prostate gland. The acute and chronic form of the disease occurs with the release of a large number of white blood cells that enter the urethra.

The source of leukocyturia is glandular tissue, ducts, and organs of the urinary system. Ascending infection leads to the spread of the painful focus and clinical manifestations.

Protein cloudiness is a sign of prostatitis complicated by kidney disease. Glomerulonephritis and pyelonephritis are accompanied by proteinuria. Urine color: cloudy white. A simultaneous increase in the concentration of protein fractions and leukocyte impurities makes urine look like milk.

Acidity and density indicators

A characteristic symptom of the pathology is an alkaline reaction, which normally should be acidic (pH from 5 to 7). The shift in the acid-base balance is explained by stagnation due to obstructed outflow. When there is congestion in the bladder, as a result of the breakdown of proteins, ammonia is released, due to which the pH increases above 7.

The alkaline nature of urine is a signal of an inflammatory process in the urinary system and the presence of a chronic infection.

Density depends on the functional state of the kidneys. It is an indirect indicator that allows us to exclude pyelonephritis and glomerulonephritis as the main disease that causes changes in density.

Proteinuria

Proteinuria (increased protein content) is an indicator not only of prostatitis, but also a general sign of a pathological process in the genitourinary system. However, its appearance can be provoked by:

Proteinuria - increased protein content

• neuro-emotional stress;
• physical fatigue;
• suffered high fever;
• overeating protein foods;
• stroke;
• heart attack.

For this reason, repeated research is necessary to confirm the inflammatory nature of the symptom.

Postrenal (that is, associated with the genitourinary system) proteinuria is the appearance in urine of protein secretions (exudate) from small blood vessels during inflammation or bleeding. A quantitative indicator of the pathological process is the protein content from 300 mg to 1 g in the TAM.

Proteinuria is diagnosed when there are significant pathological disorders in the kidneys. The protein molecules are too large to pass through the kidney filter. Therefore, increased protein content is a signal of inflammation. The release of protein from the prostate along with pus is called false proteinuria. Due to the high concentration of protein, the color of urine changes to white.

Erythrocyturia

Normally, the number of blood cells should not exceed 3 in a single dose. Blood may indicate the following factors:

• severe inflammatory process in glandular tissues;
• the release of stones from the gland ducts;
• involvement of the urethra, kidneys and bladder in the pathological process.

Microhematuria and macrohematuria

There are concepts of microhematuria and macrohematuria. Microhematuria is detected during laboratory testing. Gross hematuria is visible to the naked eye, as the blood changes the color of the urine to brown, dark brown and scarlet.

The cause of microhematuria is renal pathologies caused by infectious acute prostatitis. Macrohematuria is non-healing wounds and internal bleeding due to the formation and passage of stones in the prostate ducts. Acute and chronic forms of the pathological condition can lead to acute pyelonephritis and glomerulonephritis, accompanied by blood clots.

The chronic stage, which occurs in a latent form, causes changes in the structure of surrounding tissues. This is reflected in the TAM, where the presence of red blood cells of more than 3 units is observed.

When analyzing sediment, two types of red blood cells are determined:

• untransformed (have the shape of a green disk);
• transformed (with blurred boundaries).

In non-transformed ones, hemoglobin is present, which indicates kidney damage or internal bleeding in the gland. In transformed cells, hemoglobin is absent or destroyed, which is typical for diseases of the genitourinary organs. Destruction (leaching) is explained by stagnation of urine and a change in the balance towards the alkaline side.

The cause of erythrocyturia is determined using a special test: the test material is collected sequentially into 3 vessels. If the urethra is bleeding, there will be blood in the first sample.

Oncology of internal organs and hemorrhagic cystitis change color in all 3 samples.

Increased content of leukocytes, epithelium, bacteriuria

Normally, there should be 0-3 units of leukocytes per field of view. Leukocyturia (increased white blood cell count) can be a symptom of either renal pathology or an inflammatory process in the prostate, bladder or urethra. To clarify the diagnosis, a “three-vessel” test is performed. The presence of leukocytes in the first sample is signs of urethritis or prostatitis. White blood cells in all samples indicate kidney inflammation. Leukocyturia in the last sample indicates cystitis.

Abundant purulent discharge is characteristic of severe inflammation of the urethra or prostate gland.
The color of the urine changes from yellow to cloudy white with white strands of white blood cells. The epithelium is present in the TAM no more than 10 pieces visually.

Transitional epithelial cells line the walls of the bladder, ureters and prostate vessels.

The appearance of a large amount of epithelium in a single dose during the study indicates inflammation of the mucous membrane or neoplasm of these organs.

Bacteria may be found in OAM.
The cause of bacteriuria is infection of tissues or their organic damage. In men under 60 years of age, this is a sign of a chronic disease. To identify the causative agent of bacterial infection, a tank is cultured in three urine samples.

Carriers of infection:

• chlamydia;
• Trichomonas;
• coli;
• tuberculosis bacillus;
• staphylococci;
• streptococci.

Depending on the type of pathogen and the nature of the inflammation, infectious and non-infectious forms are distinguished, each of which has its own symptoms.

Urine indicators in acute bacterial form

The “first signs” stage is characterized by minor, painless urine retention. An enlarged prostate is painless. A general analysis at this stage shows an increase in the number of leukocytes to 5-10 units and a decrease in urine density by 2-3 points. This condition can last 3-4 years, then passes into the acute phase.

This phase occurs when the prostate becomes infected with bacteria. Pain, pain, difficulty in emptying the bladder are characteristic symptoms. In the acute nature of the disease, urine becomes cloudy due to pus.

Acidity changes to alkaline. An increased protein content indicates the spread of the inflammatory process to the ureters, bladder and kidneys. TAM shows the presence of a large number of bacteria.

The acute bacterial form goes through three stages of development with its own clinical signs, including urinary characteristics.

In the catarrhal (early) stage of the acute phase, transitional epithelial cells appear in the urine in addition to leukocytes. This indicates the initial phase of damage to the prostate mucosa.

Pus appears at the follicular stage, when separate foci form in the gland itself. The level of leukocytes increases several times.

At the third stage, parenchymal, inflammation covers the entire gland, and spotting appears. Bloody white discharge is extremely painful. Purulent foci cover the entire abdominal cavity. Complications such as necrosis and fistula formation are possible.

Clinical manifestations of the chronic bacterial form

The chronic stage manifests itself as exacerbations with periods of remission. Laboratory tests of urine show the presence of the entire spectrum of acute phase indicators, but in a more smoothed form. A sluggish pathological process is characterized by:

• increased content of leukocytes;
• microhematuria;
• content of transitional epithelium;
• bacteriuria;
• presence of protein.

Urine is opaque and cloudy.

Asymptomatic prostate diseases

The name “asymptomatic” means that prostate disease is detected when examined for other pathologies. Types of asymptomatic manifestations:

• granulomatous;
• calculous;
• eosinophilic;
• prostate sclerosis;
• Reiter's syndrome.

All types of asymptomatic prostatitis have acute and chronic forms.

• With granulomatous, the urine contains a large amount of purulent discharge and epithelial cells. The causes of granulomatosis (replacement of glandular tissue with connective tissue with foci of necrosis and inflammation) can be bacteria, allergies, and traumatic disorders.
• Calculous prostatitis - blood in the urine in this form means the formation of stones in the ducts of the gland. Bloody discharge turns the urine scarlet when a stone passes. Leukocytes, protein, epithelium complement the picture of the pathological process.
• The eosinophilic form, caused by infection with protozoa, is detected in OAM. It can manifest itself either asymptomatically (Trichomonas insemination) or in an acute granulomatous form (Escherichia coli). With an asymptomatic course of the disease, no clinical changes in the prostate and urine are observed. A characteristic sign of an acute course is the appearance of an increased admixture of leukocytes after exacerbation attacks.

• Prostate sclerosis is the final stage of a chronic form, which is characterized by a decrease in the size of the gland and the development of renal failure. Protein, leukocytes, microhematuria are the main symptoms.
• Reiter's syndrome is a rheumatic lesion of the prostate gland in combination with the joints and eyes. The initial sign is a change in the urine - an increased number of white blood cells.

Incomplete emptying value

The effectiveness of treatment and the state of urinary function in general are determined by the amount of residual urine in the bladder. Ultrasound measures the volume in ml before and after urination. Normally, it should not exceed 10% of the physiological state of a given person.

Residual urine with prostatitis above normal means that the muscular efforts of the excretory system organ are not enough to overcome the pressure of the prostate gland on its neck and on the urethra. This finding requires a reconsideration of drug therapy or surgical intervention.

The difficulty in diagnosis is determining the initial size of the urinary organ, its ability to stretch, and therefore to empty. Stagnation leads to the creation of favorable conditions for the proliferation of bacteria and the development of inflammatory processes.

The cause of inflammation of the prostate gland may be infection of the genitourinary organs by bacteria, protozoa, fungi, or disturbances in metabolic processes.

Infection can occur both from the outside and from the inside, with the flow of blood or lymph from other organs (for example, with tonsillitis from the tonsils).

Congestion in the bladder is the main consequence of an inflammatory disease. In this case, changes occur in the sterile biofluid produced by the kidneys, which are recorded in OAM.

Manifestations of the pathological process have common symptoms and are divided into acute and chronic forms. Clinical urine tests can determine the presence of inflammation and identify the pathogen. To establish a final diagnosis, additional examination methods are necessary, which is explained by the similarity of signs of diseases of the genitourinary system.

Source: https://kisstyle.ru/prostatit/mocha-pri-prostatite/

Blood in the urine and urinary problems with prostate adenoma

Prostate adenoma is a serious male disease. It manifests itself in the pathological proliferation of prostate tissue located next to the urethra. The gradual development of the tumor leads to compression of the urethra and disruption of the urination process, as well as a number of other changes in the body, for example, blood appears in the urine.

According to statistics, benign prostatic hyperplasia (adenoma) is diagnosed in 50% of men over 50 years of age and in almost everyone after 80, which indicates the widespread prevalence of the disease among older people. The first signs of the disease can be noticed already at 40. In addition to the age factor, there are other reasons that provoke the occurrence of prostate adenoma. Among them are:

• incorrect hormonal levels;
• diseases of the kidneys and the entire urinary system of an inflammatory nature;
• injuries;
• urinary tract infections;
• passive lifestyle;
• poor nutrition;
• bad habits;
• lack of regular sex.

Some evidence also suggests that there is a hereditary predisposition to the disease.

Although prostate adenoma is considered a benign tumor, that is, it does not pose an immediate danger to the patient’s life, it is necessary to see a doctor. Prostate adenoma is dangerous, first of all, because as it develops it can provoke a lot of complications in the form of other diseases, the treatment of which will take a long time.

Signs of illness

Symptoms of prostate adenoma can be varied and depend on the advanced stage of the disease and the stage of involvement of nearby organs and systems in the pathological process. Most often, patients complain of problems with urination and blood in the urine with prostate adenoma. There are 3 phases of disease development:

First phase of the disease

At the first, compensated stage, symptoms such as:

• frequent urination during the day;
• delays in the initial stage of the process;
• sluggish stream of urine.

It is characteristic that the bladder is emptied completely during this period, without the formation of residual urine, which is carried out due to the work of the muscular walls of the organ. The duration of this stage in men varies individually and can range from 1 to 12 years. After the bladder is unable to perform its assigned function, the disease enters the second phase.

Second phase of the disease

It is called subcompensated. Characters for her:

• obstructed urine flow;
• urination in several stages;
• intermittent stream;
• feeling of incomplete emptying of the bladder.

Such symptoms are observed due to the fact that the walls of the organ gradually become thinner, which leads to the formation of residual urine in it. The changes also lead to the fact that urine enters the bladder late and often stagnates in the kidneys and ureters. This leads to inflammation of the mucous membranes.

Third phase of the disease

The last, decompensated, stage is characterized by patient complaints of both incomplete emptying of the bladder and arbitrary release of urine from the urethra.

The main symptoms during this period are:

• urinary incontinence;
• complete inability to urinate;
• blood in urine;
• swelling of the limbs and face.
• arterial hypertension.

The bladder is distended, there is no tone of the internal sphincter and walls.

Prostatic hyperplasia does not go away on its own. If you delay treatment of the disease, the symptoms will only increase, and your health will worsen. In order to prevent a severe course of the disease and not lead to surgery, treatment should begin when the first signs of prostate adenoma appear.

Possible complications of adenoma

Hematuria (blood in the urine) is one of the complications of adenoma

With a prostate tumor, there is a high risk of developing many complications. If you ignore the symptoms of adenoma for a long time, this can lead to unpleasant consequences.

Men diagnosed with prostate adenoma may experience:

• acute urinary retention;
• hematuria;
• formation of stones in the bladder;
• infectious lesions of the urinary system;
• chronic renal failure.

Acute urinary retention is a condition in which the patient experiences a strong desire to go to the toilet, but is unable to do so due to severe compression of the urethra. It can be observed at any stage of the disease and requires immediate assistance to the patient. In such cases, catheterization, bladder puncture, or surgery may be necessary to allow urine to pass freely.

Blood in the urine with prostate adenoma is a phenomenon characteristic not only of the pathological process associated with the tumor. Hematuria, as a complication of benign hyperplasia, can develop due to trauma to prostate tissue during medical procedures, as well as varicose veins at the neck of the bladder.

Bladder stones with prostate adenoma can form independently due to stagnation of urine, but they can be carried into the organ from the kidneys. In addition to the additional symptom of acute pain when urinating, bladder stones may be the reason why men may notice blood in the urine with prostate adenoma.

In severe cases of the disease, the chance of kidney failure increases.

Treatment methods for prostate adenoma

Treatment of the disease and elimination of symptoms depend on how severe the latter are. After the examination, the doctor may prescribe:

• medicines;
• insertion of a catheter into the urinary tract;
• surgical intervention.

Home therapy with folk remedies is also acceptable, but only after the permission of the treating specialist. All medications and medical procedures are selected individually.

In the early stages of the disease, preference is given to conservative treatment methods. When prostate adenoma is complicated by acute urinary retention, assistance is provided to the patient immediately, artificially ensuring the evacuation of fluid from the bladder. The outflow of urine is organized in two ways.

The patient either has a catheter inserted through the urethra or undergoes surgery to insert a catheter through the abdominal wall. To increase the effectiveness of treatment, alpha blockers are prescribed along with these procedures.

After the patient’s condition returns to normal and the danger of acute urinary retention has passed, the catheter is removed and treatment of prostate adenoma is carried out in the usual way.

Men can try to treat adenoma with folk remedies. The following will help improve the urination process and improve urine flow:

1. Compresses on the lower abdomen made from onion pulp, which should be done daily, leaving the medicine to act for 1-2 hours.
2. Take rosehip tincture with vodka, 5-10 drops twice a day.
3. Drink an infusion of elderberry and horsetail roots in the amount of 1 glass per day.
4. Chewing juniper berries, but only if there is no kidney inflammation.
5. Drink a decoction of rowan or black currant berries as tea.
6. Take 1 glass of oat straw decoction orally three times a day.
7. A collection of birch buds and dill seeds, which should be drunk in the amount of 1 glass throughout the day in small sips.

For any complications of prostate adenoma, home treatment should be stopped and consult a doctor. Blood in the urine with prostate adenoma should also be a signal to visit the hospital.

Treatment of hematuria with adenoma

Why does blood appear in urine?

• Hematuria, or blood in the urine with prostate adenoma, very often represents only an independent symptom of adenoma, but is often a consequence of complications of the disease, and also develops as a side effect after instrumental examination or operations.
• Blood in this disease can be present in the urine either in very small quantities, and then it can be detected only after tests, or the liquid may turn red.
• There are several types of hematuria with prostate adenoma:

1. Microhematuria (invisible blood) occurs in 25% of patients with prostate tumors.
2. Macrohematuria - blood is constantly present in the urine and changes its natural color.
3. Initial hematuria - with a prostate tumor, blood appears only at the beginning of urination.
4. Terminal hematuria - blood is mixed into the urine at the end of the act of emptying the bladder.
5. Total hematuria - blood flows along with the urine during urination.

Such a serious complication of prostate adenoma as bleeding requires immediate treatment. But sometimes blood from a prostate tumor may appear after a catheter is inserted into the urinary tract or into the wall of the bladder. This can happen both during manipulation and a few hours later. In this case, blood in the urine with prostate adenoma is not a symptom of adenoma and quickly disappears when the damage heals.

Bleeding from the urethra with benign hyperplasia can also occur with very rapid urine drainage during catheterization.

A sharp decrease in pressure in the bladder leads to rupture of blood vessels in the tissues of the urinary tract, the organ itself and the kidneys.

Hematuria, which manifests itself as a consequence of the development of prostate adenoma and is not related to operations, should attract much more attention from patients and doctors. Blood in the urine with prostate adenoma can cause:

• increased venous pressure in the pelvis;
• pathological (sclerotic) changes in the blood vessels of the urethra and bladder;
• malignant degeneration of prostate tumor;
• formation and movement of stones;
• development of secondary infections;
• kidney tumors;
• use of alcohol and other stimulants.

Treatment of such bleeding is carried out only after its root cause has been established. By the way, it may not always be associated with a prostate tumor. Since the source of troubles is individual for each patient, the doctor prescribes his own therapy in each specific case, aimed at eliminating it. If you go to the hospital in time, the treatment will be successful.

Source: https://prourologia.ru/opuholi-mochepolovoj-sistemy/opuholi-pochek/adenoma-prostaty/krov-v-moche.html

What does blood in urine indicate?

Blood during urination is a relatively rare occurrence in medical practice. Red blood cells can be released in small quantities, however, if not single cells, but entire blood clots are found in the urine, we are talking about a pathology called gross hematuria (or simply hematuria). What diseases are we talking about and what to do?

Causes of hematuria

Hematuria occurs in a variety of diseases, both renal and non-renal. Possible reasons include:

1. Pyelonephritis. Inflammatory lesion of the renal pelvis. During the pathogenic process, small capillaries are destroyed due to compression by overgrown tissue. Blood enters the kidney structures and ends up in the urine. Since the process is highly localized, it often comes out in clumps. In this case, blood is detected at the end of urination.
2. Nephritis. Inflammation of the renal parenchyma itself. In this case, bleeding is more intense, since more blood structures are affected.
3. Prostatitis. Less common cause. Prostatitis causes mild bleeding. Much more often, this happens with the inflammatory form of the disease, that is, in no more than 30% of cases of all prostatic lesions. Blood in the urine with prostatitis is far from the only symptom. Hematuria is often accompanied by the release of blood with semen.
4. Prostatic hyperplasia. Blood in the urine with prostate adenoma . Another common symptom. Since both processes, both prostatitis and prostate adenoma, have similar manifestations, blood in the urine is also detected.
5. Cancers of the kidneys, bladder and other parts of the urinary tract. In this case, we are talking about an inflammatory lesion in conjunction with the disintegration of mature, large tumors as a result of uncontrolled cell division and the inability to provide them with nutrition. Intense bleeding is observed, which can cause death. In addition, urinary tract obstruction is often a concomitant manifestation.
6. Urethritis. Inflammation of the urethra. Causes the release of fresh blood along with urine. At the same time, urine acquires pinkish or reddish shades. The more intense the bleeding, the higher the color intensity.
7. Cystitis. It especially often causes blood to pass out in the urine. It is an inflammation of the bladder.
8. Kidney injuries.

There are other probable causes of the painful condition. Among them: kidney dysfunction of various origins (including metabolic), taking certain medications, liver disease, etc. You can understand the source of the problem only after undergoing a thorough examination.

Can there be blood in the urine with prostatitis?

Much more often, this manifestation is observed in the calculous form of the disease (when stones form in the ducts).

Diagnostic methods

Diagnosis involves visiting a urologist or andrologist (or better yet, a urologist-andrologist). It is this specialist who deals with problems with the kidneys and urinary tract. At the initial consultation, the doctor resorts to an oral interview, clarifies the nature of the complaints, and establishes important facts and points for diagnosis by collecting an anamnesis.

Then comes the turn of objective research. As a matter of priority, blood is drawn for general and biochemical tests. Capillary blood often shows all the signs of inflammation with a high level of leukocytes and an increased erythrocyte sedimentation rate. Biochemistry gives a picture of high urea and bilirubin.

In order to assess the condition of the prostate, a digital rectal examination is indicated. This is an unpleasant, but necessary and informative method that provides information about the condition of the organ, its size, structure and shape. To verify the primary diagnosis, a number of further studies are required:

• Ultrasound examination of the kidneys. Gives you the opportunity to see with your own eyes the size and structure of the kidneys;
• Ultrasound examination of the prostate gland;
• X-ray of the abdominal organs;
• Cystoscopy and urethroscopy. Inspection of the lower parts of the urinary tract. These are endoscopic studies. They are minimally invasive and painful;
• In extreme cases, it is necessary to undergo MRI/CT diagnostics with contrast enhancement (to determine the presence of a tumor);

In addition, uroflowmetry and ultrasound of the bladder to detect residual urine are prescribed. All these methods make it possible to make an accurate diagnosis.

Treatment

Symptomatic, as well as aimed at eliminating the root cause of the disease. Mainly medicinal with the use of non-steroidal anti-inflammatory drugs to relieve inflammation, analgesics to relieve pain, antispasmodics and alpha-blockers to relieve urinary disorders.

Broad-spectrum antibiotics may also be needed to stop the manifestations of the infectious activity of the pathogen. There are enough of these drugs in the complex.

Surgical treatment is required only in advanced cases of prostate hyperplasia, as well as in the presence of cancer at any stage (unfortunately, it is impossible to accurately determine which cells and which part of the prostate are affected; in all cases, total removal of the organ is indicated).

Prevention

There are no specific measures. It is necessary to regularly visit the toilet, give up smoking and alcohol, practice constant protected sexual intercourse and not allow yourself to become hypothermic. It is recommended to pay special attention to increasing general immunity.

Hematuria is an alarming manifestation. We can talk about serious conditions that threaten life and health. In all cases, it is recommended to consult a doctor.

Can blood appear in urine with prostatitis? Link to main publication

Source: https://proprostatit.com/krov-v-moche-pri-prostatite.html

Blood in urine with prostatitis

Article on the topic: “blood in urine with prostatitis.” Find out more about treating the disease.

As clinical practice shows, in the last decade the number of men turning to urologists with complaints about the appearance of bloody spots in the urine has significantly increased. The medical term for this presence of blood in the secreted biological fluid is hematuria.

This condition is evidenced by a change in the color of natural liquid discharge: this type of excrement loses its natural light transparent color, acquiring a dark yellow, reddish, brown, coffee tint, and often bloody cells are visually visible in the waste product.

Hematuria is the presence of blood in the urine

Blood in the urine during prostatitis can be observed as a result of the negative impact of various factors - both internal “provocateurs” and external circumstances.

Regardless of whether a man has a history of chronic prostatitis or has not yet had any problems in the genitourinary area, the appearance of bloody spots in the urine is a serious reason to consult a doctor and a reason to carry out thorough diagnostic measures.

Classification of hematuria

In urology, it is customary to divide this abnormal phenomenon into two separate groups:

• Macrohematuria is a pathology characterized by a significant content of bloody cells in the secreted fluid. The presence of foreign inclusions is visually noticeable without the use of special equipment.
• Microhematuria is a condition in which changes in the qualitative composition of biological material can be detected solely as a result of laboratory tests.

Even if in standard primary diagnostic methods, for example, a general urine test, a laboratory technician detects minimal bloody inclusions, it is advisable for a man to perform a more thorough and varied examination to determine and differentially diagnose the alleged illness.

Urine testing is carried out using test strips

To confirm the presence of hematuria, they most often resort to the dipstix method, which involves the use of special test strips.

These are narrow pieces of paper or plastic, pre-impregnated with special chemical reagents, endowed with the property of changing color in the presence of certain components.

The result obtained by this method does not always guarantee 100% reliability, since a false reaction is possible due to the reaction of the constituent elements of the test strips with the hemoglobin of red blood cells. Therefore, to make an accurate verdict, doctors prescribe microscopy - examination of the structure of a liquid using a microscope.

Causes of hematuria

Before choosing an individual treatment program, it is necessary to determine how blood particles entered the urine. There are many options for penetration: in fact, blood can enter liquid excrement from all parts of the urinary system - urethra, bladder, ureters, kidneys.

There are over a hundred causes of hematuria; let’s look at the most common factors. The circumstances of the development of anomalies in prostatitis are:

• purulent formation in the prostate gland, affecting the circulatory network;
• growth in the size of glandular nodules pressing on the urethra;
• perforation of a prostate blood vessel;

Hyperplasia can cause blood in the urine

• accidental damage to blood vessels during an instrumental examination or surgical intervention in the genitourinary organs;
• hyperplasia - proliferation of prostate tissue;
• malignant degeneration of the prostate structure;
• acute infectious form of prostatitis caused by aggressive microbial agents;
• formation of conglomerates in the ducts.

An unpleasant phenomenon can be caused by the presence of serious chronic pathologies, both congenital defects and acquired defects, including:

• underdevelopment of the renal pelvis;
• other congenital anatomical defects of the genitourinary system;
• diseases of the hematopoietic system, in particular: disorders of the rate of blood clotting, for example, hemophilia;
• vascular pathologies, for example: varicose veins;
• necrotizing papillitis.

If the renal pelvis is underdeveloped, then blood clots may be observed in the urine

Related factors

Some factors that trigger the appearance of blood in the urine are more obvious.

Thus, excessively intense physical activity, especially associated with lifting or carrying heavy objects or abdominal exercises, causes an increase in pressure in the renal pelvis.

As a result, the kidneys work in emergency mode and cannot get rid of metabolites in a timely manner. In such a situation, it is enough for a man to change the mode and intensity of exercise, and the unpleasant symptom will disappear on its own.

Some pharmacological drugs have a side effect: they change the natural color of the liquid, giving it a reddish tint, similar to blood. Such probable provocateurs are medications containing:

• phenolphthalein (Phenolphtaleinum), used as a laxative for constipation, leading to irritation of the renal pelvis;
• Rifampicin, used to suppress the tuberculosis bacillus, turns a bright orange-red color not only into urine, but also into sputum and tears.

The use of these drugs may cause hematuria

Acute inflammatory processes in the body, especially those caused by the ingress of mycobacteria - the culprits of tuberculosis, often occur with high body temperature and are accompanied by the appearance of blood in the secreted fluid.

Urolithiasis is a common cause of reddish urine. When rocky formations move along the ducts of the genitourinary system, they irritate and scratch the walls of natural passages, thereby leading to hematuria.

Bloody spots in the urine may indicate the development of oncological pathology - bladder cancer. The danger of this disease lies in the fact that in most men, the formation of malignant cells in the bladder occurs without the development of pain, and hematuria is often the first sign of a dangerous condition.

Coping methods

Carrying out treatment on your own when hematuria occurs is an extremely dangerous action, and only an experienced and qualified doctor should choose a treatment program. The goal of the chosen regimen is not only to eliminate the unpleasant phenomenon, but also to overcome the underlying disease that was the cause of hematuria.

In case of abundant and intense release of blood from the urinary ducts, it is advisable to use drugs that stop hemorrhagic phenomena and eliminate bleeding.

• A synthetic analogue of vitamin K, available under the name Vikasolum, may be involved.
• You can also carry out activities using an activator of thromboplastin formation, a rather powerful agent - Dicynon.
  These drugs are used in the treatment of pathology
• Etamsylatiim has hemostatic (hemostatic) properties.
• In some cases, treatment is carried out by intravenous administration of Calcii chloridum.
• Aminocaproic acid (Acldum aminocapronicum) shows a specific hemostatic effect.
• In cases of massive blood loss, infusion therapy is often required to compensate for the deficiency of the normal amount of circulating blood.

• In parallel with hemostatic agents, the underlying disease that caused the hematuria is treated.
• You can learn more about the possible causes of hematuria in the video:

Source: https://prostatitguru.ru/krov-v-moche-pri-prostatite/

Blood in the urine with prostatitis: what the symptom indicates and what the consequences of bleeding may be

Blood is detected in the urine during prostatitis both in the early stages and in advanced stages. The sign requires a thorough examination, as it may indicate cancer, papillary necrosis, or developmental abnormalities. Hematuria also occurs in healthy men. In what cases you need to contact a specialist, we will discuss below.

How does prostatitis occur?

Hematuria is a common symptom of pelvic organ diseases. It occurs in men with inflammation of the prostate, kidneys, and bladder . To understand what it is, it is necessary to consider the pathogenesis of certain diseases.

The prostate becomes inflamed in young men and older patients. In each age category, different mechanisms of disease development predominate.

Important! In patients under 30 years of age, the cause is sexually transmitted infections and nonspecific flora (Escherichia coli, Proteus).

After 55-60 years, congestion due to calculous prostatitis, adenoma, and neoplasms comes to the fore.

With prostatitis, men experience pain in the pelvic area, fever, and dysuria.

The causative agents of the disease are presented in the table.

Main pathogens	Bacteria that rarely cause disease
Staphylococcus aureus	Chlamydia
Enterobacter	Gonococcus
Enterococcus	Ureaplasma
Pseudomonas aeruginosa	Trichomonas

Calculous prostatitis is classified as a type of chronic prostatitis. Stones in the ducts appear primarily (with the decline of sexual function, adenoma) due to a violation of the outflow of secretions. A secondary route is possible when stones migrate from the kidneys or ureter. Against this background, bacterial flora joins, which increases stagnation.

Age-related diseases include adenoma. After 40 years, the level of male sex hormones decreases, which leads to transformation of the organ. Initially, one nodule forms and the paraurethral glands become inflamed. When many large nodes press on the urethra, frequent urination, discomfort in the pelvic area, and nocturia appear.

Causes of hematuria

Does a symptom always indicate damage to the prostate gland? Blood in urine can be detected in the following diseases:

• chronic prostatitis;
• diagnostic studies - catheterization;
• surgical intervention;
• malignant neoplasm;
• BPH;
• hemorrhagic cystitis.

Blood in the prostate appears when small vessels are damaged, cysts rupture, or abscesses.

Prostate pathology

In chronic prostatitis, the inflammatory process takes a long time. It is accompanied by periods of improvement and resumption of symptoms. Inflammation is most often caused by sexually transmitted bacteria. Bleeding in prostatitis is associated with damage to small vessels and rupture of ulcers.

The symptom may be indirectly caused by prostate adenoma. The enlarged gland compresses the urethra, making it difficult for urine to flow out. Constant accumulation of urine at the bottom of the bladder leads to urolithiasis. The sharp edges of the stones damage the walls of the bladder and urethra, which is manifested by hematuria.

Blood in the prostate occurs when a malignant tumor grows into the vessels. Over time, it can ulcerate, destroying the wall of blood vessels. Therefore, it is so important to contact a urologist in a timely manner.

Cystitis

Inflammation in the pelvis caused by chronic prostatitis affects nearby organs. Since the bladder is in contact with the prostate gland, it becomes easily infected. In the hemorrhagic form, which occurs with damage to blood vessels, the color of the urine becomes red.

The second mechanism is associated with prolonged stagnation of urine. Under high pressure of the fluid inside the bladder, the walls of the vessels become sclerotic. They are easily injured and when urinating or installing a catheter, the urine becomes red in color.

Medical interventions

Hematuria due to inflammation of the prostate can be caused by catheterization. It occurs if the urethra is narrowed, there are obstacles (tortuosity, stone, foreign body).

The symptom may be caused by forced insertion of a catheter. It is known that releasing urine through a catheter cannot be done quickly.

A sharp decrease in intravesical pressure leads to rupture of blood vessels and the appearance of bloody discharge.

After surgery, bloody urine is normally excreted for 7-10 days.

During major operations, the symptom may persist for about 2 weeks. In the postoperative period, it is important to properly care for the suture, perform daily hygiene, and avoid physical strain. This allows for faster recovery.

Adverse effects of hematuria

In cases where treatment is started on the first day, complete recovery is possible. If the symptom is not eliminated for a long time, the following complications develop:

• acute renal failure;
• renal colic;
• prostate, kidney, bladder cancer;
• impotence;
• infertility.

Impotence and infertility are associated with inflammation of the prostate gland. Other complications arise due to pathology of the kidneys and bladder.

What pathology causes blood to be released?

Hematuria occurs with the following diseases:

• necrosis of the renal papillae;
• urolithiasis;
• varicose veins of the bladder neck;
• congenital anomalies of the urinary tract;
• hemophilia;
• excessive physical activity.

Necrosis of the renal papillae occurs with pyelonephritis, diabetes mellitus, kidney injury, and shock. It occurs without pain and is accompanied by total hematuria.

It can be suspected when necrotic masses appear - gray mucous lumps that are discharged in the urine.

If there is a stone in the kidney or bladder, it damages the mucous membrane.

As a result, a small amount of blood appears in the urine. If the conglomerate moves down the ureter, clots may be released or heavy bleeding may occur.

Red-colored urine may occur during heavy physical activity. It is associated with microtrauma of the renal vessels during a concussion. It is called “marching”, as it appears when walking over a distance of more than 10 km or long running.

Note! After a few hours, the condition returns to normal, and red blood cells are not detected in the urine.

Diagnostics

To diagnose the condition, instrumental and laboratory tests are carried out. Laboratory methods include:

• general clinical studies;
• biochemical blood test - liver and kidney tests, glucose, cholesterol levels, coagulogram;
• examination of prostate secretions;
• blood test for prostate-specific antigen;
• smear for sexually transmitted infections.

Be sure to examine the urine. The necessary analyzes are presented in the table.

Study	Target
Zimnitsky test	The method shows at what time of day the blood appears and whether it is associated with physical activity.
Nechiporenko test	Allows you to identify diseases that are asymptomatic or with a blurred clinical picture.
Three-glass sample	Allows you to identify the suspected source of bleeding.

To detect prostatitis, you may need an ultrasound with Doppler ultrasound, angiography, CT, or MRI. If necessary, a biopsy is prescribed.

Source: https://prostatu.guru/diagnostika/ot-chego-byvaet-krov-v-moche-pri-prostatite.html

Causes and methods of treating blood in urine with prostatitis

The presence of blood in a person's biological fluid is called hematuria. In a person suffering from prostatitis, this condition is detected by the nature of the change in the color of urine.

The presence of blood in a person's biological fluid is called hematuria.

Content

• Classification
• Symptoms and causes
• Treatment

Classification

In urology, this phenomenon is divided into 2 groups:

1. Macrohematuria is a pathology that is characterized by an increased content of bloody streaks, clots or threads in the urine, visible to the naked eye. This is a dangerous condition indicating internal bleeding, trauma, or damage to internal organs. To identify the cause of gross hematuria, patients are hospitalized and immediately diagnosed.
2. Microhematuria is a pathology in which changes in the urine are visible only under special equipment. The phenomenon may indicate kidney or prostate disease.

Only a specialist can determine the type of pathology after a complete examination of the patient’s body.

Symptoms and causes

There are several symptoms of prostatitis:

1. Pain during urination. The discomfort becomes more intense at the beginning of urine output and weakens when it stops.
2. Urinary dysfunction.
3. Feeling of bladder fullness even with frequent trips to the toilet.
4. Red urine is released at the beginning of urination and becomes lighter at the end of the process.
5. Painful sensations are localized in the anus, radiating to the lower back and perineum.
6. The appearance of hyperthermia.

If bloody impurities appear in your urine, you should consult a doctor, because the symptom may indicate a chronic form of prostatitis.

The following factors may influence the appearance of urine with a red tint:

• eating beets, carrots or spices;
• strong stress on the abdominal muscles;
• taking the antibiotic Rifampicin or Phenolphthalein.

If banal reasons for changes in the color of urine in men are excluded, then you should look for another provoking factor:

• chronic form of prostatitis in the acute stage;
• extensive inflammation of the urethral tissue;
• change in the condition of the prostate gland;
• development of calculous prostatitis, accompanied by the appearance of stones in the ducts;
• fungal prostatitis, in which parasites negatively affect the mucous membrane of the genitourinary system;
• carrying out catheterization.

[btpr_shortcode_videogallery links=”https://www.youtube.com/watch?v=KuR3FRJGbBs&t=263s,https://www.youtube.com/watch?v=j9dpuys1JYg&t=86s,https://www.youtube.com /watch?v=H1qy-weZWC4″]

In order to prevent blood from appearing in the urine during prostatitis, drug therapy should be started in a timely manner.

Treatment

If hematuria due to prostatitis is too intense, then doctors prescribe drugs that fight the hemorrhagic symptom:

• Vikasol is a replacement for vitamin K;
• Dicynone is an activator of thromboplastin synthesis;
• Etamsylate is a hemostatic drug;
• aminocaproic acid;
• Furosemide is a diuretic.

In addition, the patient may be prescribed infusion therapy, a treatment option in which a medicine or solution is injected into a vein or under the skin to normalize water-electrolyte and acid-base balance. This technique allows you to correct and prevent body losses.

Source: https://upraznenia.ru/prichiny-poyavleniya-i-metody-lecheniya-krovi-v-moche-pri-prostatite.html