Asian Journal of Andrology 2007;9(6):856-858

Post-coital gross hematuria: an unusual presentation of benign prostatic hyperplasia.

Yi-Hong CHEN 1 ; Pei-Yu LIN ; Yu-Sheng CHENG ; Johnny Shinn-Nan LIN ; Yung-Ming LIN

Affiliations

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Country

China

Language

English

Abstract

AIMTo describe an unusual symptom of benign prostatic hyperplasia (BPH).

METHODSA patient presented to our urology clinic having experienced post-coital gross hematuria for 2 years. He had not experienced lower urinary tract symptoms (LUTS). A series of examinations were performed to determine the source of bleeding.

RESULTSThe prostate was defined as the active bleeding source responsible for the patient's post-coital hematuria. Endoscopic fulguration did not alleviate the symptom. The use of dutasteride, a dual inhibitor of 5alpha-reductase, solved the problem.

CONCLUSIONThis study reports for the first time that post-coital gross hematuria is one of the clinical presentations of BPH, which can be successfully treated with 5alpha-reductase inhibitor.