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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Blood And Ribbons Coming Out In Urine?

I have had blood in urine with ribbons coming out. I'll test show good, no infections, I have been getting prostate massage every week to keep my prostate size down. Every 7 or 8 weeks the blood will show up. All scans are good. What should be my next step?
Joe
Tue, 18 Apr 2017
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Urologist,  's  Response
Ribbons- does it mean serpentine clots in urine.
If so, then u have bleeding from upper urinary tract, i.e. either kidney or ureter.
Diferential diagnosis can be TCC renal pelvis or ureter or RCC or Glomerulonephritis or infection or stone.
I would like to know urine routine and Ultrasound/ CT KUB.
How cm prostatic massage help u in reducing prostate size. Do u suffer from prostatitis or any other disease of prostate. I would like to DRE finding of prostate, Sr PSA report.

Treatment will depend on the diagnosis of the disease.
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What Causes Blood And Ribbons Coming Out In Urine?

Ribbons- does it mean serpentine clots in urine. If so, then u have bleeding from upper urinary tract, i.e. either kidney or ureter. Diferential diagnosis can be TCC renal pelvis or ureter or RCC or Glomerulonephritis or infection or stone. I would like to know urine routine and Ultrasound/ CT KUB. How cm prostatic massage help u in reducing prostate size. Do u suffer from prostatitis or any other disease of prostate. I would like to DRE finding of prostate, Sr PSA report. Treatment will depend on the diagnosis of the disease.