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Haematospermia

Definition: Blood seen within the ejaculate

 

Referral

  • Consider referral in those >40y, or abnormal PSA or >3 episodes. 
  • No evidence of the value of additional urological tests that may include USS Renal, Trans-rectal USS; cystoscopy is rarely undertaken.  

 

Reg Flags: 

  • Exclude haematuria 
  • Exclude other inguino-scrotal abnormality (eg scrotal mass)

 

Management prior to referral:

 

  • Reassure when appropriate: invariably benign disease, albeit distressing and concerning. 
  • Exclude STI and bleeding diathesis 
  • PSA test
  • If PSA normal, in those < 40y with <3 episodes reassure and do not refer. 

 

 

References

NICE, CKS Haematospermia, January 2017

 

Contributors

Mr Christopher Blake, Consultant Urologist, RCHT

Dr Stephanie Jackson, GP Lead Urology

 

Reviewed: July 2018