Why does benign prostatic hyperplasia cause blood in urine?

Benign prostatic hyperplasia, also called an enlarged prostate, can press on the urethra and alter urine flow. The prostate can also have enlarged or delicate blood vessels near the urinary channel. If one bleeds, urine may look pink, red, or tea-coloured, and small clots can sometimes appear.

Blood in Urine is a common presentation of Benign Prostatic Hyperplasia. However, bleeding can also come from the bladder, kidneys, infection, stones, medicines, or other conditions, so visible blood should be evaluated rather than attributed to prostate enlargement alone.

Arrange a medical appointment promptly for any blood you can see in urine, even if it stops. A clinician may ask about urinary flow, pain, fever, recent exercise, medicines that affect bleeding, and prior urinary problems. Testing may include a urine sample and examination of the urinary tract, depending on your symptoms.

Drink normally unless a clinician has given you a fluid restriction. Note the colour of the urine, whether clots are present, pain location, and whether you can empty your bladder. Do not stop prescribed medicines without medical advice.

Seek urgent medical care if you cannot pass urine, pass large clots, have heavy or ongoing bleeding, develop fever or chills, or have severe lower abdominal, side, or back pain. Call emergency services if you feel faint, confused, severely unwell, or have symptoms that rapidly worsen.

Ask what may be causing the bleeding, which tests are appropriate, whether prostate treatment is needed, and how your medicines affect the plan. Tell the clinician if you have pain, fever, clots, weak flow, urgency, or difficulty emptying your bladder.