I am getting a few drops of blood at the end of urination without pain. Is it a concerning issue?

Hello,

Welcome to icliniq.com.

You have not mentioned your age which is key. It looks like you are doing urethral milking which is usually adviced for post-void dribble. I suspect it is because of your age, which would mean you are above 50 at least. Anyway, blood per urethra is not normal and needs further evaluation. Milking is nontraumatic and hence cannot be put down as a reason. I reckon you would need a few basic investigations including prostatic examination, PSA (Prostate-specific antigen) check, checks for STI (sexually transmitted infection), and a flexible cystoscopy under local anesthesia. As part of these, your symptoms need to be analyzed as well. I would hence recommend to see a urologist in person to sort these out. Idea is to check for sinister causes but generally, they are not common. We need to go through your history in detail, medications, etc.

Hello,

Welcome back to icliniq.com.

Thanks for all the details. One good thing is your age. However, the American Urology Association recommends evaluation even in patients above 35 years. While European panels recommend after 45. In your case, with other potential health problems possible as you say, I would still recommend getting it checked. The chances of finding sinister causes like cancers are very low, but still, quite a few benign (non-cancerous) conditions are likely and some of them might need to be treated before it causes significant issues in the future. I am not sure of the exact pathways in American healthcare. A primary care physician evaluation for basic checks is the least you should do but ideally my previous recommendation. The camera examination is not a painful procedure. The vast majority tolerate it well. It only takes one to two minutes or so, with results straight away. I probably am not saying what you want to hear, but medically the advice is in your best interest.

Thank you.