eMedicine Specialties > Urology > Erectile Dysfunction, Premature Ejaculation, and Sexual Disorders

Hematospermia: Follow-up

Author: Jonathan D Schiff, MD, Assistant Clinical Professor of Urology, Mount Sinai School of Medicine; Consulting Staff, Department of Urology, Mount Sinai Medical Center
Coauthor(s): John P Mulhall, MD, Director, Sexual Medicine Programs, Memorial Sloan-Kettering Cancer Center
Contributor Information and Disclosures

Updated: Nov 24, 2009

Follow-up

Further Outpatient Care

  • In the absence of recurrence, no specific follow-up for hematospermia is warranted. Chronic (>2 mo) or recurrent hematospermia should be evaluated based on the associated clinical features.

Prognosis

  • Hematospermia is usually self-limited; however, when hematospermia is an indicator of underlying urologic disease, the prognosis depends on the underlying disease.

Patient Education

Miscellaneous

Medicolegal Pitfalls

  • Failing to identify a malignancy or systemic illness that manifests as hematospermia may expose the clinician to legal consequences. Understanding the pathophysiology and prevalence of hematospermia in populations of different ages helps minimize the likelihood of problems. When in doubt, performing a TRUS, cystoscopy, and basic laboratory analyses limits exposure.
 


More on Hematospermia

Overview: Hematospermia
Differential Diagnoses & Workup: Hematospermia
Treatment & Medication: Hematospermia
Follow-up: Hematospermia
References
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Further Reading

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Keywords

hematospermia, hemospermia, bloody sperm, bloody ejaculate, bloody seminal fluid, bloody semen, blood in the ejaculate, prostate lesions, prostatitis, acute bacterial prostatitis, prostate cancer, prostate telangiectasia, prostate varices, prostatic telangiectasia, prostatic varices, prostatic calculi, transrectal biopsy, urethritis, urethral lesions, urethral cysts, urethral polyps, urethral condylomata, urethral strictures, urethral stricture disease, seminal vesicle cysts, genitourinary TB, genitourinary tuberculosis, schistosomiasis, urethral trauma, hemorrhoidal sclerosing injection, urethral self-instrumentation, testicular blunt trauma, perineal blunt trauma

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Contributor Information and Disclosures

Author

Jonathan D Schiff, MD, Assistant Clinical Professor of Urology, Mount Sinai School of Medicine; Consulting Staff, Department of Urology, Mount Sinai Medical Center
Jonathan D Schiff, MD is a member of the following medical societies: American Urological Association
Disclosure: Nothing to disclose.

Coauthor(s)

John P Mulhall, MD, Director, Sexual Medicine Programs, Memorial Sloan-Kettering Cancer Center
John P Mulhall, MD is a member of the following medical societies: American Society for Reproductive Medicine, American Society of Andrology, American Urological Association, Society for Basic Urologic Research, and Society of University Urologists
Disclosure: Nothing to disclose.

Medical Editor

Edmund S Sabanegh Jr, MD, Director, Center for Male Fertility, Glickman Urological and Kidney Institute, Cleveland Clinic Foundation
Edmund S Sabanegh Jr, MD is a member of the following medical societies: American College of Surgeons, American Medical Association, American Society for Reproductive Medicine, American Society of Andrology, American Urological Association, Society for the Study of Male Reproduction, Society of Reproductive Surgeons, and Southwest Oncology Group
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

CME Editor

J Stuart Wolf Jr, MD, FACS, David A Bloom Professor of Urology, Director of Division of Minimally Invasive Urology, Department of Urology, University of Michigan
J Stuart Wolf Jr, MD, FACS is a member of the following medical societies: American College of Surgeons, American Urological Association, Catholic Medical Association, Endourological Society, Society for Urology and Engineering, Society of Laparoendoscopic Surgeons, Society of University Urologists, and Society of Urologic Oncology
Disclosure: Terumo Corporation Consulting fee Consulting; Gyrus-ACMI Honoraria Speaking and teaching

Chief Editor

Edward David Kim, MD, FACS, Professor of Surgery, Division of Urology, University of Tennessee Graduate School of Medicine; Consulting Staff, University of Tennessee Medical Center
Edward David Kim, MD, FACS is a member of the following medical societies: American College of Surgeons, American Society for Reproductive Medicine, American Society of Andrology, American Urological Association, and Tennessee Medical Association
Disclosure: Lilly Consulting fee Consulting; Astellas Consulting fee Speaking and teaching; Indevus Consulting fee Speaking and teaching

 
 
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