Bleeding From the Penis: Should I Be Worried?

Bleeding from the penis is not a normal occurrence and should be a cause for concern. There are many potential causes for bleeding from the penis. While many of these causes are benign and easily treatable, bleeding from the penis can sometimes be a medical emergency or a sign of a serious medical condition. Here is what you need to know about bleeding from the penis and when you should seek medical help.

Key takeaways:
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    Bleeding from the penis is not normal, but is not always serious.
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    Severe bleeding from the penis, pain, fever, or other signs of infection require immediate medical attention.
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    Blood in urine or semen can indicate disease of the prostate or urinary tract.
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    Bleeding from the penis can be a sign of serious underlying disease, including cancer.

Sources of penis bleeding

To better understand what may be causing bleeding, it is important to know where the blood is coming from. Bleeding from the penis can come from the skin (including under the foreskin) or from the urethra. Bleeding from the urethra includes blood in the urine (hematuria) and blood in the semen (hematospermia) as well as fresh blood coming out of the urethra. Bleeding from the surface of the penis and foreskin can come from a skin lesion, cut, or other injuries. Blood in the urine or semen can come from anywhere in the urinary tract or the prostate gland. Injury or infection of the testicles very rarely causes bleeding, but it is possible.

Blood coming out of the penis can be dark to bright red and may include small (sometimes stringy) blood clots. Blood can turn urine pink to dark red, but small amounts may not be noticeable. Bleeding can occur with or without pain, but is most often painless.

Causes of bleeding

Trauma

Trauma to the penis or urinary tract can cause bleeding. This includes accidents and injuries involving blunt or penetrating trauma to the groin, abdomen, or back, all of which can injure the urinary tract. Some medical procedures can also cause bleeding, including surgery, catheter placement or removal, kidney biopsy, or cystoscopy. Rough sex or urethral sounding (inserting objects into the urethra) can also cause injury to the penis. Testicular injury rarely causes bleeding, but it is possible.

Prostate disease

The prostate is a gland that surrounds the urethra between the bladder and the penis. Diseases affecting the prostate can cause bleeding and hematuria, including infection, cancer, or an enlarged prostate. Benign prostatic hyperplasia (BPH) causes the prostate to enlarge. An enlarged prostate can be highly vascularized, having more blood vessels than normal that make it prone to bleeding.

Urinary tract disease

Infections and kidney diseases can cause bleeding from the penis. Urinary tract infections (UTIs) can sometimes cause bleeding. Kidney stones or bladder stones can cause blood in the urine and they may cause bleeding as they pass through the ureters and urethra. Tuberculosis affecting the urinary tract can also cause bleeding or bloody urine. Sexually transmitted diseases do not usually cause bleeding in men, but it is possible.

Cancer

Cancer of the urethra, bladder, ureters, kidneys, or prostate can all cause bleeding from the penis. This includes primary cancers (such as bladder cancer) as well as metastatic cancer originating in other parts of the body. Cancer of the penis or foreskin, including several types of skin cancer, can cause bleeding from ulcers or other skin lesions.

Medications

Certain medications can cause bleeding from the penis, including chemotherapy drugs and penicillin. Anticoagulants (blood thinners) can increase the risk of bleeding throughout the body, including the penis and urinary tract. Overuse of ibuprofen or other nonsteroidal anti-inflammatory drugs can cause kidney damage, resulting in blood in the urine.

Diagnosing bleeding from the penis

Diagnosing the cause of bleeding from the penis requires a physical exam and careful medical history. Additionally, one or more tests may be needed, including blood tests and imaging, such as an ultrasound, CT scan, or magnetic resonance imaging (MRI). An intravenous pyelogram (IVP) may be needed to diagnose problems with the kidney, ureters, and bladder. IVP involves a series of x-rays taken after injecting a dye into your veins. A cystoscopy uses a long, thin tube attached to a camera that is inserted into the urethra and into the bladder to identify possible causes of bleeding.

Treatment

Treatment for bleeding from the penis varies based on the cause. If a traumatic injury is causing bleeding, it may only require wound care. If the damage is severe, however, surgery may be needed to repair the penis and prevent complications such as erectile dysfunction. Bleeding from an enlarged prostate may require treatment with a minimally invasive procedure or more complicated surgery.

For bleeding due to a UTI or other infection, oral antibiotics are typically prescribed. Additionally, if kidney or bladder stones are causing bleeding, then medications may be necessary to help dissolve the stones as well as treat nausea and pain. In severe cases, surgery may be necessary to remove stones.

If a medication is causing bleeding, the medication may need to be adjusted or discontinued. If an underlying condition is causing bleeding, then that condition needs to be treated.

When to see a doctor

Bleeding from the penis can be a medical emergency. If you have bleeding that is heavy or severe, painful or interferes with normal function (such as urination, erections, or ejaculation), then you should seek immediate medical care. If you have a fever with bleeding you should seek immediate medical care. If you have constant or repeated bleeding or blood in the urine you should seek medical care; it could be a sign of a serious medical condition.

However, if there is an obvious explanation for your bleeding (such as a nick from shaving), it does not interfere with normal function, and it only occurs once, then you may not need immediate care. Symptoms that are persistent, recurring, or worsening, however, should be assessed by a healthcare provider.

Bleeding from the penis or blood in the urine can be potentially alarming and is definitely a cause for concern. There are many possible causes for penile bleeding, most of which are easily treatable. Regardless of the cause, you should seek proper medical advice and treatment for bleeding from the penis. In some cases, it may be a medical emergency or a sign of a serious underlying condition.

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Comments

Mingma sherpa Mingma sherpa
prefix 14 days ago
Today i am having blood in my urine.minute ago i went toilet for short toilet and after a minute i weent for long toilet and suddenlt i saw a bloon in my urine.do i need to concern with doctor?
Healthnews Team Healthnews Team
prefix 10 days ago
Blood in the urine can be alarming, but may not require immediate treatment. A single episode of bloody urine without pain or other symptoms is not an emergency, but you should follow up with a healthcare provider as soon as you are able to ensure that it is not a sign of another condition that requires treatment. If you have heavy, continuous, or frequent blood in the urine you should seek medical care immediately.
Maimi jossy Maimi jossy
prefix 15 days ago
What if the blood was released inside the Virgina what can be the treatment
Healthnews Team Healthnews Team
prefix 10 days ago
Bleeding from the penis can occur during sex. Rough sex or sex without adequate lubrication can cause skin tears or abrasions, often involving the foreskin or frenulum. If penis bleeding due to any cause leads to blood entering the mouth, anus, or vagina it can significantly increase the chances of spreading blood-borne diseases. HIV, hepatitis B, and hepatitis C can be spread through contact with blood, especially if it comes into contact with mucus membranes. If bleeding into a sexual partner occurs, you should both be tested for blood borne sexually transmitted diseases. The body will naturally expel any blood present in the anus or vagina; no steps are needed to flush the blood from the body. If you have bleeding from your penis due to a minor injury and wish to have sex, be sure to use barrier contraception, such as condoms, to prevent bleeding into your partner.