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. 

 

Patient information

https://www.baus.org.uk/patients/conditions/1/blood_in_the_semen_haematospermia/

 

References

NICE, CKS Haematospermia, January 2017

 

Contributors

Mr Christopher Blake, Consultant Urologist, RCHT

Dr B Wesson, GP & Kernow RMS Urology Guideline lead

 

Review date: November 2021

Next review due: November 2022