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Blood in semen
I have just noticed what appears to be evidence of blood in my semen. No previous problems. Is this indicative of prostate or testicular problems?
Hi,
There has been an excellent reply for your quer posted by Blessedsoulforever.
It seems to be some local pathology. Depending upon your age, If elderly malignant foci in prostrat has to be ruled out.
There has been an excellent reply for your quer posted by Blessedsoulforever.
It seems to be some local pathology. Depending upon your age, If elderly malignant foci in prostrat has to be ruled out.
Hi,
Consult an urologist.Did you have a cystoscopy in the recent past.If so please wait for the uneasines to settle down.
Hematospermia is usually associated with inflammatory conditions of the seminal vesicles or prostate. Often, the condition is self-limited within 1-2 months. If hematospermia persists beyond 2 months, further workup is recommended to determine the cause. In approximately half the cases, the etiology is declared idiopathic. However, this may reflect incomplete evaluation.
Few conditions of the prostate like,
Lesions of the prostate account for many cases of hematospermia. The most common etiology is prostate biopsy, which produces self-limited hematospermia resolving in approximately 1 month. prostatitis was cited as the etiology also , prostate cancer is another etiologic factor. Malignancies account for 2% of cases. In a long-term follow-up study of 150 patients with hematospermia, only 6 patients eventually developed prostate carcinoma and none had prostate carcinoma diagnosed at the time of the initial evaluation.
However,in a recent study a significantly increased risk of prostate cancer among men with hematospermia. were diagnosed with prostate cancer.
Hematospermia can also be caused by prostatic telangiectasia and varices. Rarely, a patient with hematospermia may be diagnosed with prostatic varices only after cystoscopic examination while experiencing an erection. In order to diagnose this condition, flexible (preferably) or rigid cystoscopy is conducted after pharmacological induction of an erection.
Prostatitis is often thought to cause hematospermia, although no specific association has been reported. If the signs and symptoms of acute bacterial prostatitis are present, specific treatment is indicated. If chronic pelvic pain prostatitis syndrome symptoms are present, urine culture and then culture of expressed prostatic secretions should be performed. Hematospermia is not a recognized symptom of chronic prostatitis syndrome
With the advent of TRUS-guided prostate biopsy for the diagnosis of prostate cancer, a new etiology of hematospermia has emerged. Many centers have reviewed their experience with this complication.
The rate of hematospermia following transrectal biopsy of the prostate has varied f. In one study, 25% of patients who underwent TRUS biopsy had concomitant hematospermia and hematuria after the procedure. Transurethral resection of the prostate is also associated with subsequent hematospermia. A recent study by Shen et al described 80 consecutive men who underwent transurethral prostate resection and found that hematospermia developed in 2.5% of the men.
Urethritis has long been recognized as a cause of hematospermia, especially in younger men.
Other urethral lesions leading to hematospermia include cysts, polyps, condylomata, and strictures. Benign urethral polyps can occur following failure of the invagination process of the prostatic glandular epithelium. .
seminal vesicle cysts are also a cause of hematospermia.
Congenital cysts result from an error in embryological development and are associated with ipsilateral renal agenesis and/or ipsilateral congenital absence of the vas deferens.
Acquired seminal vesicle cysts generally result from infectious processes, and malignancies of the seminal vesicles are a rare cause of hematospermia.
More recently, amyloidosis of the seminal vesicles has been described to be related to hematospermia .
Infections and inflammatory disorders account for 40% of cases. Infectious causes of hematospermia include tuberculosis (TB), HIV infection, and cytomegalovirus infection. Yu and colleagues found that 11% of a cohort of 65 patients with genitourinary TB had hematospermia during their disease.
A recent review men with hematospermia who presented to a sexually transmitted infection clinic found pathogens. These included urine, genitourinary, or serum cultures or titers positive for herpes simplex virus , Chlamydia trachomatis Enterococcus faecalis , and Ureaplasma urealyticum . Culture-specific antibiotics were administered, and hematospermia resolved in all the patients.
schistosomiasis is another cause of hematospermia. Although these patients often have extensive bladder involvement, Schistosoma hematobium ova are only occasionally found in the ejaculate.
Hydatid disease, a parasitic infection caused by the Echinococcus worm, has also been associated with hematospermia.
Trauma has been cited as a cause of hematospermia in several case reports. Such case reports include hematospermia occurring following hemorrhoidal sclerosing injection, urethral self-instrumentation, and testicular and perineal blunt trauma. Hematospermia following transrectal prostate needle biopsy should also be included in this category.
Systemic disorders that are associated with hematospermia include hypertension, chronic liver disease, amyloidosis, lymphoma, and bleeding diatheses (von Willebrand disease). In one case-controlled study of patients undergoing hypertension therapy, the prevalence of hematospermia was no higher than in the general population; however, hematospermia resolved in several patients when their hypertension was controlled.
Risk factors for hematospermia in patients who are hypertensive include severe uncontrolled hypertension, elevated serum creatinine levels, severe proteinuria, and renovascular disease.
Meet the GP/MD and an surgeon also,rule the aforesaid causes,now that you have clear insight of your condition ,I am sure you will follow it up closely and resolve your problem.Keep me informed.
Goodluck
Consult an urologist.Did you have a cystoscopy in the recent past.If so please wait for the uneasines to settle down.
Hematospermia is usually associated with inflammatory conditions of the seminal vesicles or prostate. Often, the condition is self-limited within 1-2 months. If hematospermia persists beyond 2 months, further workup is recommended to determine the cause. In approximately half the cases, the etiology is declared idiopathic. However, this may reflect incomplete evaluation.
Few conditions of the prostate like,
Lesions of the prostate account for many cases of hematospermia. The most common etiology is prostate biopsy, which produces self-limited hematospermia resolving in approximately 1 month. prostatitis was cited as the etiology also , prostate cancer is another etiologic factor. Malignancies account for 2% of cases. In a long-term follow-up study of 150 patients with hematospermia, only 6 patients eventually developed prostate carcinoma and none had prostate carcinoma diagnosed at the time of the initial evaluation.
However,in a recent study a significantly increased risk of prostate cancer among men with hematospermia. were diagnosed with prostate cancer.
Hematospermia can also be caused by prostatic telangiectasia and varices. Rarely, a patient with hematospermia may be diagnosed with prostatic varices only after cystoscopic examination while experiencing an erection. In order to diagnose this condition, flexible (preferably) or rigid cystoscopy is conducted after pharmacological induction of an erection.
Prostatitis is often thought to cause hematospermia, although no specific association has been reported. If the signs and symptoms of acute bacterial prostatitis are present, specific treatment is indicated. If chronic pelvic pain prostatitis syndrome symptoms are present, urine culture and then culture of expressed prostatic secretions should be performed. Hematospermia is not a recognized symptom of chronic prostatitis syndrome
With the advent of TRUS-guided prostate biopsy for the diagnosis of prostate cancer, a new etiology of hematospermia has emerged. Many centers have reviewed their experience with this complication.
The rate of hematospermia following transrectal biopsy of the prostate has varied f. In one study, 25% of patients who underwent TRUS biopsy had concomitant hematospermia and hematuria after the procedure. Transurethral resection of the prostate is also associated with subsequent hematospermia. A recent study by Shen et al described 80 consecutive men who underwent transurethral prostate resection and found that hematospermia developed in 2.5% of the men.
Urethritis has long been recognized as a cause of hematospermia, especially in younger men.
Other urethral lesions leading to hematospermia include cysts, polyps, condylomata, and strictures. Benign urethral polyps can occur following failure of the invagination process of the prostatic glandular epithelium. .
seminal vesicle cysts are also a cause of hematospermia.
Congenital cysts result from an error in embryological development and are associated with ipsilateral renal agenesis and/or ipsilateral congenital absence of the vas deferens.
Acquired seminal vesicle cysts generally result from infectious processes, and malignancies of the seminal vesicles are a rare cause of hematospermia.
More recently, amyloidosis of the seminal vesicles has been described to be related to hematospermia .
Infections and inflammatory disorders account for 40% of cases. Infectious causes of hematospermia include tuberculosis (TB), HIV infection, and cytomegalovirus infection. Yu and colleagues found that 11% of a cohort of 65 patients with genitourinary TB had hematospermia during their disease.
A recent review men with hematospermia who presented to a sexually transmitted infection clinic found pathogens. These included urine, genitourinary, or serum cultures or titers positive for herpes simplex virus , Chlamydia trachomatis Enterococcus faecalis , and Ureaplasma urealyticum . Culture-specific antibiotics were administered, and hematospermia resolved in all the patients.
schistosomiasis is another cause of hematospermia. Although these patients often have extensive bladder involvement, Schistosoma hematobium ova are only occasionally found in the ejaculate.
Hydatid disease, a parasitic infection caused by the Echinococcus worm, has also been associated with hematospermia.
Trauma has been cited as a cause of hematospermia in several case reports. Such case reports include hematospermia occurring following hemorrhoidal sclerosing injection, urethral self-instrumentation, and testicular and perineal blunt trauma. Hematospermia following transrectal prostate needle biopsy should also be included in this category.
Systemic disorders that are associated with hematospermia include hypertension, chronic liver disease, amyloidosis, lymphoma, and bleeding diatheses (von Willebrand disease). In one case-controlled study of patients undergoing hypertension therapy, the prevalence of hematospermia was no higher than in the general population; however, hematospermia resolved in several patients when their hypertension was controlled.
Risk factors for hematospermia in patients who are hypertensive include severe uncontrolled hypertension, elevated serum creatinine levels, severe proteinuria, and renovascular disease.
Meet the GP/MD and an surgeon also,rule the aforesaid causes,now that you have clear insight of your condition ,I am sure you will follow it up closely and resolve your problem.Keep me informed.
Goodluck
Blood in the semen (hematospermia) is in young men is usually not serious. It may result from stress tears along the urethra (common duct for semen and urine) associated with straining during constipation or ejaculation, from inflammation/infection of the prostate or the seminal vesicles. Testicular involvement is unlikely. If you at least 40 years old or if the condition is persistent– you should see a urologist to make sure.
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