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Volume 9, Issue 6 (November 2007) 9, 856–858; 10.1111/j.1745-7262.2007.00326.x
Post-coital gross hematuria: an unusual presentation of benign prostatic hyperplasia
Yi-Hong Chen, Pei-Yu Lin, Yu-Sheng Cheng, Johnny Shinn-Nan Lin and Yung-Ming Lin
Department of Urology, College of Medicine, National Cheng Kung University, Tainan, Taiwan 704, China
Correspondence: Dr Yung-Ming Lin, Department of Urology, National Cheng Kung University Hospital, 138 Sheng-Li Road, Tainan, Taiwan 704, China. Fax: +886-6-238-3678. E-mail: linym@mail.ncku.edu.tw
Received 19 September 2006; Accepted 12 July 2007.
| Abstract |
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Aim: To describe an unusual symptom of benign prostatic hyperplasia (BPH).
Methods: A 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.
Results: The 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 5-reductase, solved the problem.
Conclusion: This 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 5-reductase inhibitor.
Keywords: prostate, coitus, hematuria
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