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Urology  (Expert Forum)
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Blood in urine and sperm
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Blood in urine and sperm

by mattlucas, May 12, 2003 12:00AM
I am an adult male, age 54. For the past month I have detected slight amounts of blood in my unrine and sperm. It does not occur on a daily basis. Thank you in advance for your help.

by Kevin Pho, MD, May 12, 2003 12:00AM
Hello - thanks for asking your question.

There are several considerations.  Blood in the semen can be caused by benign and malignant disorders of the prostate gland, seminal vesicles, spermatic cord, and ejaculatory duct system; urogenital infections; metastatic cancers; and vascular disorders.  It normally resolves on its own, but should be evaluated.

Blood in the urine is more concerning.  Infection, prostate, bladder, kidney cancers, kidney disorders (i.e. stones), prostatic hypertrophy should all be considered.

Because of your age (>50), I would recommend a cystoscopy and urine cytology to make sure there is no cancer.  A kidney ultrasound would evaluate for kidney etiologies.  

A referral to a urologist is highly recommended.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.
Member Comments

by rthomas7777, Jun 29, 2003 12:00AM
To: Urology - General
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