30 HEMATOSPERMIA General Discussion Hematospermia, or blood in the ejaculate, may result from many different causes. Most men with hematospermia are young, with infections or inflammatory disorders accounting for 39% of cases. Malignancies and trauma each account for 2% of cases. Up to 46% of cases are labeled idiopathic, while a variety of other conditions account for the remaining cases. For the majority of patients, no significant work-up is needed, but for a minority of patients, hematospermia may be a sign of serious urologic disease. The history should focus on trauma and infection. The past medical history may play a role if there is a history of a bleeding disorder, hypertension, or previous malignancy. A sexual history should be included. Important elements of the physical exam are outlined below. Causes of Hematospermia Prostatic Sources • Polyps • Vascular lesions • Calculi • Inflammation • Malignancy • Bleeding following prostate biopsy Bladder Sources • Bladder tumor Urethral Sources • Urethritis • Urethral cyst • Urethral polyp • Condylomata • Urethral stricture Seminal Vesicle Sources • Seminal vesicle cyst • Seminal vesicle malignancy Only gold members can continue reading. Log In or Register to continue Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Related Related posts: ARTHRITIS AND ARTHRALGIA GYNECOMASTIA INFERTILITY, MALE SYNCOPE Stay updated, free articles. Join our Telegram channel Join Tags: Instant Work-ups A Clinical Guide to Medicine Aug 17, 2016 | Posted by admin in PEDIATRICS | Comments Off on HEMATOSPERMIA Full access? Get Clinical Tree
30 HEMATOSPERMIA General Discussion Hematospermia, or blood in the ejaculate, may result from many different causes. Most men with hematospermia are young, with infections or inflammatory disorders accounting for 39% of cases. Malignancies and trauma each account for 2% of cases. Up to 46% of cases are labeled idiopathic, while a variety of other conditions account for the remaining cases. For the majority of patients, no significant work-up is needed, but for a minority of patients, hematospermia may be a sign of serious urologic disease. The history should focus on trauma and infection. The past medical history may play a role if there is a history of a bleeding disorder, hypertension, or previous malignancy. A sexual history should be included. Important elements of the physical exam are outlined below. Causes of Hematospermia Prostatic Sources • Polyps • Vascular lesions • Calculi • Inflammation • Malignancy • Bleeding following prostate biopsy Bladder Sources • Bladder tumor Urethral Sources • Urethritis • Urethral cyst • Urethral polyp • Condylomata • Urethral stricture Seminal Vesicle Sources • Seminal vesicle cyst • Seminal vesicle malignancy Only gold members can continue reading. Log In or Register to continue Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Related Related posts: ARTHRITIS AND ARTHRALGIA GYNECOMASTIA INFERTILITY, MALE SYNCOPE Stay updated, free articles. Join our Telegram channel Join Tags: Instant Work-ups A Clinical Guide to Medicine Aug 17, 2016 | Posted by admin in PEDIATRICS | Comments Off on HEMATOSPERMIA Full access? Get Clinical Tree
