Haematospermia – A Systematic Review

Kumar, Priya; Kapoor, Sonia; Nargund, Vinod

doi:10.1308/003588406x114749

Cited by 62 publications

(69 citation statements)

References 15 publications

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“…In most cases, it is caused by nonspecific inflammation of the prostate and seminal vesicles. 18 Occasionally, it may be the sole manifestation Hemospermia following prostate biopsy M Manoharan et al of underlying genito-urinary disease. 19 Other causes of hemospermia include glandular ductal obstruction and cyst formation, genito-urinary malignancies and vascular and hematalogical abnormalities.…”

Section: Discussionmentioning

confidence: 99%

Hemospermia following transrectal ultrasound-guided prostate biopsy: a prospective study

Manoharan

Ayyathurai

Nieder

et al. 2007

Prostate Cancer Prostatic Dis

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Hemospermia is known to be associated with transrectal ultrasound-guided prostate biopsy (TRUS-PB). The true incidence of hemospermia, its duration and implications are not well established. We performed a prospective observational study involving patients undergoing TRUS-PB for suspected prostate cancer at our institution. Sixty-three eligible men were included in the study. Most men (84%) undergoing TRUS-PB, who were able to ejaculate, experienced hemospermia, which was associated with some degree of anxiety. The mean duration of hemospermia was 3.5 (71.7) weeks. The number of ejaculations before the complete resolution of hemospermia was 8 (76.7). None of the clinical and pathological factors was a significant predictor of the duration of hemospermia. Patients should be adequately counseled before TRUS-PB to avoid undue anxiety and alterations in sexual activity.

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Section: Discussionmentioning

confidence: 99%

Hemospermia following transrectal ultrasound-guided prostate biopsy: a prospective study

Manoharan

Ayyathurai

Nieder

et al. 2007

Prostate Cancer Prostatic Dis

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“…Inflammatory conditions, neoplasms, iatrogenic factors and systemic diseases are other etiologic factors for hematospermia (Table 1). 2,3 Prolonged sexual abstinence, excessive masturbation and rigorous sexual intercourse should also be considered as causes of hematospermia. 3 After confirming actual hematospermia, physicians should perform a comprehensive evaluation, including history and physical exam.…”

Section: Discussionmentioning

confidence: 99%

An unusual cause of hematospermia: Primary adenocarcinoma of the seminal vesicle

Eken

İzol

Aridogan

et al. 2012

CUAJ

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Adenocarcinoma of the seminal vesicles is one of the rare causes of hematospermia. Primary seminal vesicle adenocarcinoma is extremely rare and difficult to diagnose due to frequent invasion of adenocarcinomas of the surrounding organs, especially the prostate. In the present study, a case of a primary seminal vesicle adenocarcinoma will be discussed in the light of the current literature. IntroductionAdenocarcinoma of the seminal vesicles is one of the rare causes of hematospermia. Primary seminal vesicle adenocarcinoma is extremely rare and difficult to diagnose due to frequent invasion of adenocarcinomas of the surrounding organs, especially the prostate. Since it was first defined, 1 primary seminal vesicle adenocarcinoma has been reported in about 50 patients. In the present study, a case of a primary seminal vesicle adenocarcinoma will be discussed in the light of the current literature. Case reportA 57-year-old male was admitted with urinary retention and 3 episodes of hematospermia within the last 6 months. At another centre, transurethral resection of the bladder plus a prostatic urethral biopsy had been performed one month before due to retention; at that time, the pathologic examination revealed high-grade papillary urothelial carcinoma and mixed adenocarcinoma.During the visit at our centre, the rectal examination revealed a hard, palpable mass obstructing the lumen (grade 3/4). The prostate-specific antigen (PSA) level was 6.19 ng/ mL. The serum carcinoembryonic antigen (CEA) and CA19-9 levels were normal; CA125 was 71.5 U/mL (range: 0-20 U/ mL) and CA15-3 was 41.3 U/mL (range: 5-21 U/mL). During the cystoscopy, there were no tumoural lesions; an indentation was observed from the interior and a mass lesion filling the seminal vesicle region was noted on bimanual examination. Paraffin blocks of the earlier operation were re-examined. Tumour cells with a hobnail appearance and transparent cytoplasm showing papillary and glandular structures were observed. Immunohistochemical evaluation demonstrated that CEA and cytokeratin 7 were positive, and PSA and cytokeratin 20 were negative. A magnetic resonance image showed: a 10×15-cm malignant lesion of cystic-necrotic nature with irregular solid components at the base and a widespread hematoma invading the prostate and the seminal vesicle with a clear-cut interphase between the tumour and the bladder (Fig. 1). According to results, the patient was diagnosed with a seminal vesicle adenocarcinoma.A thin-walled cystic formation with an anterior surface of about 8 cm adhering to the bladder and sigmoid colon was noted on exploration. While the cystic formation was being excised from the surrounding tissues, due to perforation of the wall of the cystic formation, about 100 cc of serous fluid was drained. Solid components at the base of the cystic formation were excised as much as possible; however, some residual mass strongly adherent to the bladder base and rectum had to be left behind. Pathologic examination revealed a malignant tumour exhibiting papill...

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“…Hematospermia is defined by the appearance of the blood in the ejaculate (1). Although, the true incidence or prevalence of this condition is unknown, it is suggested to be 0.5% from population attending for prostate cancer screening (2).…”

Section: Introductionmentioning

confidence: 99%

Hematospermia: An Unusual Cause of Urology Emergency

Hashim¹

2017

JSA

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Hematospermia is a distressing disorder in sexually active men resulting in great concern to the patient. We report an unusual case of hematospermia with an atypical presentation, involving a 54-year-old man presented with acute urinary retention after sexual intercourse. Although the causes are widely known, arteriovenous malformation as the cause of this disorder has not much been reported in the literature. Transcatheter embolization of internal pudendal artery is a promising option for hematospermia caused by arterial fistula or bleeding.

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Haematospermia – A Systematic Review

Cited by 62 publications

References 15 publications

Hemospermia following transrectal ultrasound-guided prostate biopsy: a prospective study

Hemospermia following transrectal ultrasound-guided prostate biopsy: a prospective study

An unusual cause of hematospermia: Primary adenocarcinoma of the seminal vesicle

Hematospermia: An Unusual Cause of Urology Emergency

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