Greetings my friends, I'm writing to you to ask for another opinion.
I'm male, 45 years old, non smoker.
3 weeks ago, after a DRE (digital rectal examination) I started to see tiny blood clots in the urine. Not visible blood: only small clots. Only 1 or 2, from time to time, really tiny (less than 1 mm). Days later, instead clots, I watched black specks, lice scabs or old clots. Urine was clear, no blood or red color, never. Days later, after sex,I watched blood clots again. It stopped, and there were the black specks again. Now, I only have the black specks (and dark brown, sometimes), and from time to time, what it looks like small brown tissue. Sex stress looks that can make things worse.
A really important issue is that I had TURP (prostate surgery) 14 months ago, but it healed ok.
I have some pelvic pain, more near the groin. I'm going to do an sonogram to see it.
Of course, because all or this, I visited and uro, and I was tested for UT infection. No infection, everything ok, I only had 1-5 red cells per field (really light microhematuria, obvious because I had blood clots).
I had an pelvic-uro-CT, with contrast, and the results were normal. No stones, no tumours detected.
I can't have a cystoscopy yet, because the conavid-19 situation. My last cystoscopy was last year and it was ok. In january I had and pelvic echography and everything was ok.
My uro doens't know what is producing the bleeding, until the cystoscopy is done, but we have to wait. I think the 2 possibilities are the prostate (maybe is weak from the last year surgery) or the bladder. I know that CT scan can't detect tiny or flat growings, so I'm a bit ansious/scared.
I know you can't diagnose me, but, what fo you think? Thank yo very much for reading me.
I'll keep you updated. 