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A 76-year-old female asked:

Enlarged prostate after a stroke, taking medication to reduce, has a catheter, bleeding of the prostate, cancer has been ruled out by the urologist, cleaning with saline bags. how long could this last?

3 doctor answers4 doctors weighed in
Dr. Robert Grieco
Family Medicine 38 years experience
Hopefully a few days: Lots going on here. Is he bleeding because of a biopsy of the prostate. Or is it since it since the catheter. Medicine to shrink the prostate can take six months. Having a stroke and being in bed certainly makes urinary retention worse. If the bleeding is from the catheter or biopsy, saline flushes can stop I t within a few days. Good health.
Dr. Myron Arlen
Surgical Oncology 65 years experience
May require surgery: enlarge prostate did not result from stroke. Symptoms of urinary retention followed stroke. Bleeding from prostatitis not uncommon and use of catheter even after meds frequently required. Relief of symptoms may require prostatectomy.
Dr. Zafar Khan
Dr. Zafar Khan commented
Urology 59 years experience
Please also remember that stroke can also cause hyporeflexia of the bladder( week bladder muscles), and later it can change into hyper-reflexic bladder during recovery. This needs urodynamics testing to determine the precise cause of retention, prior to any surgical intervention
Jun 1, 2014
Dr. James Krick
Urology 37 years experience
Common senario: It's not uncommon for an older man to experience a worsening of prostate enlargement symptoms while ill and hospitalized. Enlarged prostates often have varicose veins associated with them. Many times after a stroke, patients are placed on anticoagulant medications which cause or worsen bleeding from the prostatic varices. Often, saline irrigation is used to clear the bladder of clots. The situation should be temporary and should improve as his medical condition improves

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