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What does blood in urine indicate?

Q: I am a 40 years old man suffering from pain while urinating after masturbation. I have been masturbating since the age of 13 years. I never have had sex. I have had blood in my urine since I was 13 years old but never underwent any tests. Twenty years back, I underwent a sonogram of my kidneys and found nothing. After three years, cystoscopy was done. The doctor also took the sample of my bladder. I underwent another cystoscopy two years back. After that I passed pink urine for three days without taking painkillers. The doctor told me not to take any painkiller. Then, the doctor told me that I have a stone in my left kidney. I consulted another urologist, who asked me to undergo another cystoscopy to diagnose the problem.

A:You wish to have too many questions answered from an unclear story. You have a long history of more than 20 years of lower tract urinary symptoms with intermittent bleeding with urine, while the doctors have not been able to find anything except, probably, a small kidney stone. Such picture fits with chronic prostatitis of chronic pelvic pain syndrome (CPPS). You are advised to go on Internet for further information on this condition. You have been unnecessarily disturbed by problems in passing urine and blood in urine for a couple of days following the cystoscopic examinations. Some urinary symptoms and blood with urine is expected after any such endoscopic intervention. Either you were not counselled about it before the procedure, or you did not give attention to it. Small asymptomatic non-obstructive stones in a corner of the kidney (calyceal stones) may be left alone without intervention, as morbidity of intervention could be higher than the risk from the stone.

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