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Hematospermia in clinical practice

Abstract

Hematospermia (hemospermia) is an admixture of blood in semen (HMS). The article analyzes the frequency of the disease, manifestations, diagnostic capabilities for determining the cause, and treatment tactics. It is emphasized that GMS is not always a symptom of a malignant prostate tumor. In patients under 40 years of age, HMS is more often a consequence of inflammatory diseases; in patients over 40 years of age, these are iatrogenic causes (puncture biopsy of the prostate gland, radiation therapy, taking various medications, etc.). To exclude a prostate tumor, cystoscopy, ultrasound, and MRI can be used. Prostate cancer occurs in this category of patients in 3,S% of cases.

About the Author

A. V. Strotski
Белорусский государственный медицинский университет.
Belarus


References

1. Mulhall J. Р, Albertsen Р C. Hemospermia: diagnosis and management. Urology. 199S; 46 (4): 463—7.

2. Akhter W, Khan p., Chinegwundoh p. Should every patient with hematospermia be investigated? A critical review. Cent. European J. Urol. 2013; 66 (1): 79—82.

3. Madhushankha M., Jayarajah U, Abeygunasekera A. M. Clinical characteristics, etiology, management and outcome of hematospermia: a systematic review. Am. J. Clin. Exp. Urol. 2021; 9 (1): 1—17.

4. Han M., Brannigan R. E., Antenor J. A. et al. Association of hemospermia with prostate cancer. J. Urol. 2004; 172 (6,Pt1): 2189—92.

5. Ahmad I., Krishna N. S. Hemospermia. J. Urol. 2007; 177: 1613—8.

6. Ng Y H., Seeley J. P, Smith G. Haematospermia as a presenting symptom: outcomes of investigation in 300 men. Surgeon 2013; 11: 3S—8.

7. Leary p. J., Aguilo J. J. Clinical significance of hematospermia. Mayo Clin. Proc. 1974; 49 (11): 81S—7.

8. Papp G. K., Kopa Z., Szabo p. et al. Aetiology of haemospermia. Andrologia. 2003; 3S (S): 317—20.

9. Kumar P, Kapoor S., Nargund V. Haematospermia — a systematic review. Ann. R. Coll. Surg. Engl. 2006; 88:339—42.

10. Bamberger E., Madeb R., Steinberg J. et al. Detection of sexually transmitted pathogens in patients with hematospermia. Isr. Med. Assoc. J. 200S; 7 (4): 224—7.

11. Crich J. P, Jequier A.M. Infertility in men with retrograde ejaculation: the action of urine on sperm motility, and a simple method for achieving antegrade ejaculation. Pertil Steril. 1978; 30: S72—6.

12. Schaeffer A. J. Epidemiology and demographics of prostatitis. Andrologia. 2003; 3S (S): 2S2—7.

13. Chipkevitch E. Hematospermia in an adolescent. J. Adolesc Health Care 1989; 10: SS4.

14. Avargues A., Rogel R., Sanchez-Nevarez I. et al. Long-standing hemospermia in a patient with megacava associated to a circumaortic renal vein. Urol. Ann. 201S; 7: 40S—7.

15. Cattolica E. V. Massive hemospermia: a new etiology and simplified treatment. J. Urol.1982; 128: 1S1—2. doi: 10.1016/S0022-S347(17)S2793-7.

16. Saito S. Posterior Urethral Hemangioma: One of the Unknown Causes of Hematuria and/or Hematospermia. Urology. 2008; 71: 168.e11-e4.

17. Ameur A., Touiti D., Jira H. et al. Les hemospermies: orientation diagnostique et therapeutique. A propos de sept cas [Hemospermia: diagnosis and therapeutic aspects. Seven case reports]. Ann. Urol. (Paris). 2002; 36 (1): 74—80.

18. Minardi D., Scortechini A. R., Milanese G. et al. Spontaneous recurrent hematuria and hematospermia: Unique manifestations of von Willebrand disease type I. Case report. Arch. Ital. Urol. Androl. 2016; 88: 62—3.

19. Kakehi Y, Naito S. Complication rates of ultrasoundguided prostate biopsy: A nation-wide survey in Japan. Int. J. Urol. 2008; 16: 319—21.

20. Merrick G. S., Wallner K., Butler W. M. et al. Short-term sexual function after prostate brachytherapy. Int. J. Cancer. 2001; 96: 313—9.

21. Najafi L., Noohi A. H. Recurrent hematospermia due to aspirin. Indian. J. Med. Sci. 2009; 63: 269—60.

22. Amano T., Kunimi K., Ohkawa M. Transrectal ultrasonography of the prostate and seminal vesicles with hemospermia. Urol. Int. 1994; S3: 139.

23. Jinza S., Noguchi K., Hosaka M. Retrospective study of 107 patients with hematospermia. Hinyokika Kiyo. 1997; 43: 103.

24. Pletcher M. S., Herzberg Z., Pryor J. P. The Aetiology and investigation of haemospermia. British J. Urol. 1981; S3 (6): 669—71.

25. Zhao H., Luo J., Wang D. et al. The value of transrectal ultrasound in the diagnosis of hematospermia in a large cohort of patients. J. Androl. 2012; 33(6): 897—903.

26. Yagci C., Kupeli S., Tok C et al. Efficacy of transrectal ultrasonography in the evaluation of hematospermia. Clin. Imaging. 2004; 28 (4): 286—90.

27. Mittal P. K., Camacho J. C., Sahani D. V. et al. Hematospermia Evaluation at MR Imaging. Radiographics. 2016; 36 (S): 1373—89.

28. Gupta E., Torigian D. A. MR Imaging of the Prostate Gland. PET Clin. 2009; 4 (2): 139—S4.

29. Maeda H., Toyooka N., Kinukawa T et al. Magnetic resonance images of hematospermia. Urology. 1993; 41 (S): 499—S04.


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For citations:


Strotski A.V. Hematospermia in clinical practice. Healthcare. 2024;(3):22-27. (In Russ.)

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ISSN 1027-7218 (Print)