Blood in sperm after biopsy

User

Posted 10 Nov 2018 at 16:33

My first post here. I'm still waiting for the results of my prostrate biopsy. I got a letter today asking me to come in for an appointment this coming Friday, I guess to discuss the results. This is stressful, the waiting.

Anyway, blood in my sperm, even though I was expecting it, it's a shock and hard to deal with. I'm confused as to how this takes so long to go away. Does it mean the prostrate takes so long to heal and is still bleeding? I would have thought the blood would stop more quickly after being expelled

Thanks everyone in advance

User

Posted 10 Nov 2018 at 22:44

I remember saying to my husbands diagnosing consultant ‘ you said expect blood in the semen, but it’s more like semen in the blood’!

it took a few weeks .. see my profile for dates but did get better. i advise condoms until it clears up as it was scary!

Good luck

Clare

User

Posted 10 Nov 2018 at 18:48

Maybe six weeks.

If life gives you lemons , then make lemonade

User

Posted 10 Nov 2018 at 18:53

Keep flushing it out mate, until it becomes creamy again, rather than pink!

cheers, John.

User

Posted 10 Nov 2018 at 19:04

It was about two years ago for me but I remember similar concerns.

Immidiately after the biopsy pee looked like pure blood gradually decreasing over the next week or so. Ejeculation also a lot of red at first, gradually turning to a horrible brown colour but within maybe two or three weeks back to normal. So sounds like normal to me. I think the more you ejeculate the quicker it will clear.

Results of biopsy for me meant treatment, I hope you'rs are better

Good Luck

Cheers

Bill

User

Posted 10 Nov 2018 at 21:19

I agree with the comments above, especially flushing out the sperm regularly, at least there’s an upside😉

it was two weeks before mine went pure white again and I had a Template Biopsy, so lots of needles

User

Posted 26 Nov 2018 at 21:28

Hi Andy

well the diagnosis could be worse so I think you have time to research all options thoroughly. It really is a strange one re having to choose rather than just been put on a plan.

The community here is great so do read profiles and ask any questions as everyone is so open. Some are quite clear they have no interest in sex so ED is not a consideration for them but for others ( like my Hubble) they are not keen to lose their sex life.

So do ask if they haven’t said anything on their profile as everybody is very happy to help.

what options have you been given?

Hope you are doing OK and recovering from the biopsy now

Clare

User

Posted 27 Nov 2018 at 16:25

Andy, are you serious? No sick pay scheme covering these things? I am staggered that any employer should adopt such an attitude in the 21st century.

User

Posted 27 Nov 2018 at 17:40

I think that your employer needs some training on his duties under the Equality Act 2010. Having cancer is a protected characteristic.

The word tawt comes to mind :-/

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User

Posted 27 Nov 2018 at 18:40

Wow, Andy, I'm staggered by your employer's attitude. Complete contrast to mine: I was off work on full pay for five and a half months and am now working on "light duties" until I have my RT in Feb when they know that (and have no problem with) I'll be off for another two months.

A sympathetic employer is a huge help in such trying times.

Chris

User

Posted 27 Nov 2018 at 19:54

My goodness.. that is shocking. It may be worth getting advice from citizens advice, no wonder you had nightmares!

i hope the brachi team meeting went well. A fair view guys on here have had it so they should be able to appraise you of their experience.

My husbands employer was great and fortunately he has been able to continue to work full time but does get time to go for his surveillance appointments.. your emplayer is being short sighted indeed.

We felt better when we had a plan so hopefully you will too.

uncertainty is a mare and sounds Like it is causing you a lot of stress but on the positive side you seem to have access to good medical advice and great you have seen two completely different teams.

keeping asking questions.. Its horrid when someone says ‘I wish I had known... ‘

Good luck

Clare

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User

Posted 10 Nov 2018 at 18:48

Maybe six weeks.

If life gives you lemons , then make lemonade

User

Posted 10 Nov 2018 at 18:53

Keep flushing it out mate, until it becomes creamy again, rather than pink!

cheers, John.

User

Posted 10 Nov 2018 at 19:04

It was about two years ago for me but I remember similar concerns.

Results of biopsy for me meant treatment, I hope you'rs are better

Good Luck

Cheers

Bill

User

Posted 10 Nov 2018 at 21:19

I agree with the comments above, especially flushing out the sperm regularly, at least there’s an upside😉

it was two weeks before mine went pure white again and I had a Template Biopsy, so lots of needles

User

Posted 10 Nov 2018 at 22:44

I remember saying to my husbands diagnosing consultant ‘ you said expect blood in the semen, but it’s more like semen in the blood’!

it took a few weeks .. see my profile for dates but did get better. i advise condoms until it clears up as it was scary!

Good luck

Clare

User

Posted 11 Nov 2018 at 09:26

Originally Posted by: Online Community Member

Maybe six weeks.

Many thanks Chris

User

Posted 11 Nov 2018 at 09:27

Originally Posted by: Online Community Member

Keep flushing it out mate, until it becomes creamy again, rather than pink!

cheers, John.

Hi John, sounds like a plan, cheers!

User

Posted 11 Nov 2018 at 09:30

Originally Posted by: Online Community Member

It was about two years ago for me but I remember similar concerns.

Immidiately after the biopsy pee looked like pure blood gradually decreasing over the next week or so. Ejeculation also a lot of red at first, gradually turning to a horrible brown colour but within maybe two or three weeks back to normal. So sounds like normal to me. I think the more you ejeculate the quicker it will clear.

Results of biopsy for me meant treatment, I hope you'rs are better

Good Luck

Cheers
Bill

Hi Bill

Thanks for your reply.

Interestingly, my pee has been pretty much clear since the biopsy.

Yeah the shades of my sperm seem to vary between dark red / brown, pretty yucky.

I hope you're doing well

Andy

User

Posted 11 Nov 2018 at 09:32

Originally Posted by: Online Community Member

I agree with the comments above, especially flushing out the sperm regularly, at least there’s an upside😉

it was two weeks before mine went pure white again and I had a Template Biopsy, so lots of needles

Thanks Pallance.

Yep, always an upside, just doing it with my eyes closed, then clearing up after the moment ;-)

Same biopsy for me, what seemed like endless needs, was so glad when that was over

Andy

User

Posted 11 Nov 2018 at 09:34

Originally Posted by: Online Community Member

I remember saying to my husbands diagnosing consultant ‘ you said expect blood in the semen, but it’s more like semen in the blood’!

it took a few weeks .. see my profile for dates but did get better. i advise condoms until it clears up as it was scary!

Good luck

Clare

Thanks Clare,

That's how I view it, might be some semen somewhere in all the mess ;-)

I hope you're both doing well. Thanks for the advice

Andy

User

Posted 24 Nov 2018 at 05:02

Hi All,

Been a while since I replied

I got my biopsy results on Friday 16th November, I do have prostrate cancer which has / is a shock

But it's not spread beyond my prostrate, and I have a choice of options: removal through the robot assisted procedure, directed beam radiotheraphy or brachytherapy.

They've said each option for me, has the same outcome in terms of getting rid of the cancer, it's more a question of monitoring me afterwards to pick up on any future issues as my PSA is already low

I had a meeting with the robotic surgery guy yesterday, to discuss that procedure and have a meeting with the radiology people next week to discuss that option.

My girlfriend was with me, to support me, ask any of her own questions and take notes, which was nice

I just need to decide on the treatment I want in the next week or two. For me, apart from obviously wanting to get rid of the cancer, functionality afterwards is really important for me:

I have great orgasms and want them to be as good as possible afterwards

Minimising incontinence as much as possible

I'm not that great with pain, emotionally and physically, especially when they're messing about with my penis, bladder, etc, so want that minimised and much as possible

I'm starting to waffle now, I woke up early!

Thanks

Andu

User

Posted 24 Nov 2018 at 05:45

Hi Andu,

Click my profile to read my one-year story since a raised PSA reading was discovered. Might I suggest you fill in your full clinical details likewise (G score, PSA, staging, etc.), so as to assist the very wise minds here to help you further?

Lucky old you with your orgasms, and I urge you to have as many as possible before any treatment commences.

I had robotic surgery, and I can honestly say I have had more pain from a sore throat and a broken rib.

Get second opinions from another surgeon and oncologist, and take note of advice you will undoubtedly receive here from those of us here who ‘have been there, had that done’.

Best of luck.

Cheers, John.

User

Posted 24 Nov 2018 at 09:29

Originally Posted by: Online Community Member

Hi Andu,

Click my profile to read my one-year story since a raised PSA reading was discovered. Might I suggest you fill in your full clinical details likewise (G score, PSA, staging, etc.), so as to assist the very wise minds here to help you further?

Lucky old you with your orgasms, and I urge you to have as many as possible before any treatment commences.

I had robotic surgery, and I can honestly say I have had more pain from a sore throat and a broken rib.

Get second opinions from another surgeon and oncologist, and take note of advice you will undoubtedly receive here from those of us here who ‘have been there, had that done’.

Best of luck.

Cheers, John.

Thanks John

Will update my details later and take a look at your story this evening.

Will look at getting a 2nd opinion, should I see my gp about this? Will also take note of any advice I get here

We're just off out for the day with the dogs, get some R&R

Have a good weekend

Andy

User

Posted 24 Nov 2018 at 11:08

Hi Andy.

i have just been though what you are going though at the moment I had my results on 13th Nov, similar to you it had not spread beyond the prostate And was offered Surgery or HT/EBRT

unfortunately I did not have the advantage of being able to talk it over with the surgeon and radiographer but I do have a very good McMillan nurse that is always available to answer mine and my wife’s question.

finally made my dec on Thursday this week And going th HT/EBRT route. Based my decision on which of the possible after effects I would be able to cope with.

you do not say how old you are this sometimes come into the equation on which of the side effects will concern you the most.

we are all different and have different priorities which ever you make I’m sure it will be the right one for you.

Good Luck

Bob

User

Posted 24 Nov 2018 at 11:25

When I was diagnosed PSA 38 Gleason 4:5 T2c I was told I had an aggressive hi grade cancer so prostatectomy was not an option. As mine was also confined in the prostate I went on HT then radiotherapy. at end of active treatment my PSA is 0.5 I’m glad Prostatectomy wasn’t on the tabl for me. I am happy with my decisions I made that also included not having HDR Brachytherapy, as you get RT as well anyway. I had the 20 higher dose fractions of RT instead of 37 as the school of thought is now that is more beneficial. Now I need the next 3 quarterly PSA tests to show no rise. As for orgasms, im sure you will have some form of Hormone Therapy and the side effects are well documented. Dry ejaculations are what I have and the feeling is different and love making needs a lot more work and a patient loving partner

User

Posted 24 Nov 2018 at 11:37

Thats exactly the situation and decision I made in March this year. I am now throught it with a PSA of 0.5, I am Glad of my decision. but am aware the NHS hospital where I was treated is rated second only to the Royal Marsden

User

Posted 24 Nov 2018 at 12:35

Hi photoguy

After talking to the consultant I decided to go for the radical prostatectomy just thought it was better to have the cancer remove from my body in one go, operation was straight forward not to much pain, 5 months on completely continent again but I do have ED as my nerves were removed as well. I think what ever way you go the side affects are the same.

good luck in the future and I hope all goes well when you do make your mind up about the treatment.

User

Posted 24 Nov 2018 at 14:53

Sorry if I have missed it but what was your Gleason score and size of tumour?

My husband was relatively lucky with a G6 (3+3) outcome but bilateral and large volume.

At 54 he wanted to avoid ED and incontinence so we went overseas for a Focal laser ablation ( out of pocket expense of USD 30,000).

Of the UK offerings we had Brachi at the top of our list and surgery at the bottom.

However a different Gleason rating could have changed that decision completely of course.

Good luck with your decision

Clare

User

Posted 24 Nov 2018 at 16:40

Hi photoguy,

Sorry to learn that your tests came back positive.

Deciding on the choice of treatment is not an easy one. Much depends on staging and what will give the best outcomes.

Although surgery was a daunting proposition, surgeon recommended option, i went with it. So far, it has proved to be the correct decision for me.

The surgery itself was surprisingly uneventful and i was home the following day. I did have bladder spasms, not very common i believe, so just unlucky i guess.

Once you have discussed all your options, and have more information, the decision on treatment will become clearer. It was certainly the case for me as i looked more closely at my biopsy results and outcomes for similar cases - although we are all individual and unique.

Due to age and aspects of my biopsy report, close to bladder neck, core % and peri-neural invasion, i discounted radiation treatments. Radiation with peri-neural invasion has been shown to have less favourable outcomes. The surgeon, wonderful man, expressed his concern for radiation due to my age. I now see radiation as a future follow up treatment, if it does come to that.

So far i have no regrets with my treatment option.

I wish you all the very best for the future. Good luck with your choice of treatment.

Neil.

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