Hematospermia Questions & Answers

Updated: May 19, 2022
  • Author: Alexander D Tapper, MD; Chief Editor: Edward David Kim, MD, FACS  more...
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Questions & Answers

Overview

What is hematospermia?

What is the historical background of hematospermia?

What is the anatomy of the seminal vesicles relevant to hematospermia?

What is the prevalence of hematospermia in the US?

Which age group has the highest prevalence of hematospermia?

Presentation

What is the focus of clinical history in the evaluation of hematospermia?

What should be included in the physical exam for hematospermia?

What causes hematospermia?

Which conditions of the urethra have an etiologic role in hematospermia?

What is the role of seminal vesicle lesions to the pathogenesis of hematospermia?

What is the role of infections in the etiology of hematospermia?

What is the role of trauma in the development of hematospermia?

Which systemic disorders are associated with hematospermia?

What are risk factors for hematospermia in patients who are hypertensive?

What is the role of hyperuricemia in the etiology of hematospermia?

DDX

What are etiologies to consider in the differential diagnosis of hematospermia?

What are the differential diagnoses for Hematospermia?

Workup

How is hematospermia diagnosed?

What is the role of urinalysis and culture in the workup of hematospermia?

How should blood in the urine be assessed in the workup of hematospermia?

What is the role of semen analysis and culture in the workup of hematospermia?

What blood work should be performed in the workup of hematospermia?

What is the role of transrectal ultrasonography (TRUS) in the workup of hematospermia?

What is the role of MRI in the workup of hematospermia?

What is the role of seminal vesicle endoscopy in the workup of hematospermia?

What is the role of CT scanning in the workup of hematospermia?

What is the role of cystourethroscopy in the workup of hematospermia?

Treatment

Which factors affect the extent of the evaluation and treatment for hematospermia?

What are the medical treatment options for hematospermia?

What is the role of surgery in the treatment of hematospermia?