@jcgr: im basically having the exact same issue, no real symptoms, but blood and clots after sex. urologist has no clear answers. cyscto and CT were negative.
I have all the same stuff going on and was happy to hear your diagnosis..I am older 62 and have had a slightly enlarged prostate for a long time .. My urologist can not find the problem.. I have had all the test you had plus a prostate biopsy..all good..Im taking doxycycline now.. Not working..I have had this for 3 years..Are you sure of the spelling"vascularitious" I can't find info on that it pulls up vasculitis..may be the same?
I have this problem for 3 YEARS on and off. Below is my Explanation and Treatment. But you could have something different so it may not work for everyone. My issue is RUPTURED BLOOD VESSELS IN THE PROSTATE, URETHRA, EJACULATORY DUCT INTERSECTION AREA.
When you go to the Doctor / Urologist and explain your symptoms the Doctor / Urologist immediately think its a Bacterial Infection / Prostatitis and Doctor / Urologist will most of the time continue to diagnose it as Bacterial and if it does not clear up the Doctor / Urologist tend to STOP there with Treatment or just PRESCRIBED you different ANTIBIOTICS.
I have learned over time and A LOT of research it is a RUPTURED BLOOD VESSEL(S) in the area where your Urethra, Ejaculatory Ducts, and Prostate all intersect. Many of you will URINATE 2 CLOTS and BLOOD after EJACULATION. I have also come to the conclusion it is most likely a RUPTURED BLOOD VESSELS in each Ejaculatory Ducts. IE. Why we may all URINATE 2 CLOTS AND BLOOD after EJACULATION.
Many things can cause this to happen. High consumption of over the counter Erectile Sex Pills (What happen to me.....), Excessive Masturbation, Very Aggressive / Rough Sex, Very Heavy Excessive Drinking then Sex (Alcohol thins the blood and linkage to GOUT / HIGH URIC ACID, my issue also.....).
After it occurs depending on how severe the RUPTURE is and depends on how fast it heals or if very severe my never heal properly and may get a RUPTURE on many sexual occasions. You might need Urologist Advice how to treat this as it will be difficult and may need a more EVASIVE procedure.
So basically I have come to the FOLLOWING TREATMENT that has worked for me and also what I have read on this site and other internet forums about this topic.
DioxyCycline / Ciproflaxin - This is NOT for the Antibiotics reason, these drugs have a high dosage of Anti-Inflammatory which reach your Prostate Area which helps in the healing process. However, what I have found in my research and what happened to me is it works for the 1st or 2nd RUPTURE but then they stop working or only work a little bit. Therefore, you need to take the Antibiotics with the FOLLOWING BELOW OR TAKE JUST THE BELOW REGIMENT as Antibiotics are not healthy for anyone long term.
Cranberry Supplements - Not sure why this works lol but from what I read it has healing properties and reach the RUPTURE BLOOD VESSEL area in your Prostate / Urethra Area.
Turmeric Supplements - Not sure why this works lol but from what I read it has healing properties and reach the RUPTURE BLOOD VESSEL area in your Prostate / Urethra Area.
Vitamin K with D - Helps to Heal the Rupture Blood Vessel - Buy High Quality if Possible
Vitamin E - Helps with Healing Blood Vessels - Buy High Quality if Possible
Vitamin C - Helps with your Body Healing Everything - Take a High Dose! - Buy High Quality if Possible
Prostate Shrinking Supplements - IE Saw Palmetto, Prosta Q, Etc. many on the Internet. This will SHRINK your Prostate and I think help with the Ejaculatory Ducts as it is interconnected. The RUPTURE could be on the Prostate so a smaller Prostate means less blood in your Prostate which helps with the HEALED RUPTURE not happening again.
Drink Less - Alcohol before Sex - Alcohol thins your Blood and could cause the HEALED RUPTURE to break again. Especially if you DRINK and have aggressive sex soon after.
The only thing I am still Experimenting with is the Safe Dosage on any of the Above Supplements. I basically double the recommended amount as I have research Supplements need to be taken at a higher dosage if you really want them to work well and fast.
Finally, my Doctor / Urologist have prescribed me Finistride (Proscar). If you read the internet this drug will basically SUPER Shrink your Prostate and you basically will have very little blood in the Area of your PROSTATE, URETHRA, and EJACULATORY DUCTS Intersection. However, this drug DOES have a huge side effect where you could have severe Erectile Dysfunction Issues ED. Then you have to take Viagra / Cialis. Then you may get the RUPTURE again because of increase of Blood Flow from the Viagra / Cialis. Also, Finistride (Proscar) take 3-6 months to kick in. I have decided NOT to take it yet but it could help some people suffering from this issue.
Hope this helps anyone going through this. Also, if anyone does do this Regiment and have any Advice on what to add would be great! I would really like to know what Dosage People area taking on this Regiment to make it better and work to where it fully heals if possible. I am looking for a Good Anti-Inflammatory Supplement that can reach the Prostate Area, any adive on that would be great too!