Urethrorrhagia - Loss of blood through the urethra Loss of blood through the urethra

Urethral bleeding refers to the loss of “living blood” through the urethra in the absence of urine, and it usually comes, in the male sex, from the urethra or prostate or, regardless of sex, from the bladder neck (region of the bladder that connects to the urethra).

In prepubertal boys, urethral bleeding generally represents benign and self-limiting phenomena, which often do not require further investigation unless they are persistent or recurrent.

In adults, they can have multiple causes; although most are benign, some of them are malignant, so it is very important to determine them. Some examples are inflammatory and infectious causes such as urethritis, urethral papillomas (caused by HPV), benign urethral polyps (common causes in patients under 45 years of age), benign prostatic hyperplasia (frequent cause in men over 45 years of age) ), urethral caruncle (in elderly women with vaginal atrophy) and malignant causes such as carcinomas of the urethra, prostate and bladder neck (more frequent at older ages).

The most important exam in diagnosis is the urethrocystoscopy.