Definition: Blood seen within the ejaculate


Management prior to referral: (NHS Evidence) 

  • 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. 
  • 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)