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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Penile Bleeding While Treating High BP?

What could be the problem? My partner is 61, white, overweight, has sleep achnia, but overall is in good condition. He has had a problem where he is bleeding out of his penis. He has seen a specialist and they have suggested operations, which would likely affect his ability to orgasm. He uses catheters for every urination. He will wake up and his shorts that he sleeps in are bloody. If he gets high blood pressure for some reason, he bleeds. When he does have sex and orgasms, it often has blood in the semen. It has been going on for a year. What is wrong with him?
Fri, 29 Jun 2018
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

If your partner needs to manually evacuate his urinary bladder then this means he has massive prostate which is obstruction his urethra. Did he ever had his prostatic ultrasound done? did he ever had his PSA levels checked? If doctors are offering surgery for prostate then he should go for surgery as this much huge prostate would lead to back pressure on kidneys which might be a serious complication as it leads to renal failure. Penile bleeding with massive prostate is fairly common and this is the main reason for his penile bleeding.

Hope I have answered your query.
Let me know if I can assist you further.
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What Causes Penile Bleeding While Treating High BP?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If your partner needs to manually evacuate his urinary bladder then this means he has massive prostate which is obstruction his urethra. Did he ever had his prostatic ultrasound done? did he ever had his PSA levels checked? If doctors are offering surgery for prostate then he should go for surgery as this much huge prostate would lead to back pressure on kidneys which might be a serious complication as it leads to renal failure. Penile bleeding with massive prostate is fairly common and this is the main reason for his penile bleeding. Hope I have answered your query. Let me know if I can assist you further.