Aetiology, diagnosis and management of haemospermia: a review.

Authors: Magoha GA, Magoha OB.
Abstract
OBJECTIVE:
To provide an overview of the aetiology, investigations and the various treatment methods
currently available in the management of haemospermia.
DATA SOURCE:
Review of literature was effected through medline and index medicus search of major published
indexed journals and books.
DATA SELECTION:
Published data on haemospermia, hemospermia, haematospermia and semen over the last five
decades (1967-2007) were utilised.
DATA EXTRACTION:
Abstracts of selected articles were read and analysed to determine their possible contribution
and relevance to this article.
DATA SYNTHESIS:
All relevant articles were reviewed in full and contribution extracted for this review as necessary.
CONCLUSION:
Haemospermia (haematospermia) is a relatively frequent, distressing and frightening symptom
in sexually active men. It is usually a benign self-limiting condition resolving within several weeks
except for the few with underlying aetiology including prostate malignancy and idiopathic.
Patients presenting with haemospermia should have a detailed medical history, physical
examillation including blood pressure measurement, genital and digital rectal examination.
Persistent and recurrent haemospermia is best investigated by TRUS, CT, MRI,
urethrocystoscopy, and biopsy and histological confirmation of malignancies. Specific treatment
depends on the underlying pathological cause but often involves only minimal investigations and simple reassurance.
East Afr Med J. 2007 Dec; 84(12):589-94. Review. PubMed PMID: 18402311.

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