Differential Diagnosis for 39yo Male with Leukocytes and Blood in Urine after Ejaculation
- Single Most Likely Diagnosis
- Prostatitis: This is the most likely diagnosis given the symptoms of leukocytes and blood in the urine after ejaculation, which is a common presentation of prostatitis, especially chronic prostatitis/chronic pelvic pain syndrome.
- Other Likely Diagnoses
- Urethritis: Inflammation of the urethra, which could be caused by infection, can lead to the presence of leukocytes and blood in the urine, especially after ejaculation.
- Epididymitis: Inflammation of the epididymis, often due to infection, can cause similar symptoms, including leukocytes and blood in the urine.
- Seminal Vesiculitis: Inflammation of the seminal vesicles can cause hematospermia (blood in the semen) and leukocytes in the urine after ejaculation.
- Do Not Miss Diagnoses
- Testicular Cancer: Although rare, testicular cancer can cause hematospermia and should not be missed due to its potential severity and need for early treatment.
- Prostate Cancer: Prostate cancer can also cause hematospermia and should be considered, especially in older men, but given the age of 39, it's less likely.
- Urinary Tract Infection (UTI): While more common in women, men can also develop UTIs, which can present with leukocytes and blood in the urine.
- Rare Diagnoses
- Schistosomiasis: A parasitic infection that can cause hematuria (blood in the urine) and is more common in certain parts of the world.
- Tuberculosis of the Genitourinary Tract: Can cause a variety of symptoms including hematuria and leukocytes in the urine, but is relatively rare in many parts of the world.
- Amyloidosis: A condition characterized by the deposition of amyloid proteins in various tissues, which can rarely cause hematuria.