Painful, bloody orgasm 1 year post treatment

[LiveLongAndPropser]

Next week I go in for my 1 year post-SBRT treatment follow-up. Until recently, I've had only minor side effects, with the annoyance of erection issues on and off. Starting 2 weeks ago, I started getting a burning sensation like many of us experience after biopsy, usually during an erection, but other times just while sitting. When I had an orgasm after this feeling started, it felt like a hot coal was put in place of where my prostate would be. The volume of my semen was much lower and what was there was bloody. I probably should have reached out to my doc then, but since I've got my upcoming appointment, I figured I'd share this info at that point. Since then, I've had two more orgasms, the pain is not as bad (though still uncomfortable) and the volume of my semen has somewhat returned to normal, but there is still blood. I know radiation affects everyone differently at different times. I wanted to hear from you so out there if anyone else had this or similar experience this far along after treatment?

[Tall_Allen]

It is probably just scar tissue sloughing off. If it goes away on its own, no worries.

[BerkshireBear]

I had similar a couple of times, many years later (><10), mine even included a bit of clotted blood. After that long I was in a bit of panic. The urologist took a look with a mini TV and said basically what Tall_Allen has told you. I had about 3 incidents. That long after radiation there was no longer any semen to observe. The first event was the worst – like you.

To help keep an eye on the amount of blood, try to pee in the sink rather than the toilet. Turn on the bright lights and you can better see pink colour or a red line/dots in the stream on the white porcelain. (Don't worry, pee is essentially sterile, and you can wash it down with a couple of cups of water. Nobody who might get freaked out needs to know.) Saves lots of water, too. 😉