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Bleeding from urethra 1.5 years after double-orchiectomy.

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jnesuispas:
I'm writing to ask if anyone else has had a similar experience with this situation.

I'm mid-thirties, male-to-female, and generally healthy and fit. I transitioned with HRT and facial electrolysis starting seven years ago.

A year and a half ago, I had a double-orchiectomy. No complications were noted during the procedure, nor were any problems apparent in my post-surgery follow-up examination a month later. My HRT intake was immediately cut following the surgery as usual.

In the months that followed, I was only very occasionally sexually active. In the last year, I have become increasingly more sexually active.

Six months ago, I began to notice spots of blood in the front of my underwear following sexual activity. I've observed dribbling of bloodied translucent fluid from the urethra following sex, and I've even observed ejaculation of blood. I've had no other symptoms (no pain, no other unusual discharge, no fatigue), and blood is not visible in my urine.

I was tested for STIs and UTI six months ago and this month, and I was found to be clean both times. A simple internal-finger examination by my doctor indicates my prostate is in good health.

I was advised to avoid bicycling (I've commonly cycled a few blocks to a mile at a time around town on about a weekly basis my whole life) and any possible trauma to the genital and perineal area (I'm actually not into kink), and the problem should resolve in two weeks. It has not.

My primary care provider and clinic is now stumped, saying this is out of their range of knowledge. My network's urology department is apparently stumped, saying we've done all the testing they can do, and this kind of thing should have healed itself by now. I'm waiting to hear the opinion of my surgeon.

I'm worried this could be a complication of the surgery, that something didn't get sutured properly…but my PCP and the urology department are highly skeptical of that scenario.

Would anyone out there have had a similar situation and could offer their experience? Thank you very much.

Jamie D:
I'm not a doctor, and I don't want to be Olivia Obvious, but you seem to have a lesion somewhere.  As it is related to sexual activity, to me that points to the urethra, Cowper's glands, prostate, seminal vesicles, or ductus deferens.

During sex, is your penis roughly handled?  I know on HRT, the MtF can develop thin skin, and some of the girls talk about bruising more easily.  I'm not sure if that would be related.

jnesuispas:
No rough handling of any specific area, and no bruising. Could I have pulled something simply doing sit-ups? And of course, I don't expect medical advice here, just hoping to find someone else who may have had a long-term case of hematospermia following an orchi, to hear their experience.

Rebecca Perez:
Have the same exact thing. I don't think doctor's even know what to do. No trauma, and being asexual, not worried about bruising due to rough sex.

Would love to know if they find anything out.

My doctor is sending me for a urinalysis and a sonogram of my abdominal area to include kidneys, and bladder. It seems like a shot-in-the-dark from what he was saying.

jnesuispas:

--- Quote from: tara-treehouse on September 14, 2013, 09:21:01 pm ---Have the same exact thing. I don't think doctor's even know what to do. No trauma, and being asexual, not worried about bruising due to rough sex. Would love to know if they find anything out. My doctor is sending me for a urinalysis and a sonogram of my abdominal area to include kidneys, and bladder. It seems like a shot-in-the-dark from what he was saying.

--- End quote ---

Well, I finally got my records transferred from my primary care clinic to my surgeon, and I was able to speak with my surgeon over the phone.
• He confirmed that it is his procedure to seal the vasa deferentia shut and to secure them in place, and he denied that they could ever possibly tear open or loose.
• He was very surprised that I would have this problem for so long, that it would happen every time, and that it would happen even after abstaining from sexual activity, bicycling, and exercise for two months.
• He also said a sonogram would reveal nothing, the detail would be too blurry.

So basically he's stumped too, he has no suggestions, and he's denying it could be a complication of his procedure.

How did your tests go? Thanks and best.

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