3) Blood in the urine and semen

Blood in the urine is called hematuria. It is only noticeable in an advanced and aggressive stage of prostate cancer. Two types of hematuria are likely to appear in prostate cancer. Microscopic hematuria is the one in which red blood cells are present in the urine but can only be observed through the microscope. In macroscopic hematuria, red blood cells can be seen with the naked eye in the urine of the patient.
3-5 percent of the prostate cancer can present with blood in the urine. In this case, the urine changes to red or pinkish color. It is due to the invasion of other parts of the urinary tract by the prostate cancer. The most common areas of invasion are the kidneys, ureters and urinary bladder. Regular checkup of urine is required to reach the proper diagnosis. Doctors normally ask for urinalysis, urine cytology, genital exam, rectal exam, urine culture, and ultrasound to find the right cause of hematuria.