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Related Experiment Videos

Haemospermia: a prospective study.

D J Jones1

  • 1Surgical Division, Princess of Wales Royal Air Force Hospital, Ely.

British Journal of Urology
|January 1, 1991
PubMed
Summary
This summary is machine-generated.

Haemospermia, or blood in semen, often resolves spontaneously. Routine investigations, including cystoscopy for older men, can diagnose treatable causes, while younger men typically require non-invasive methods.

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Area of Science:

  • Urology
  • Men's Health

Background:

  • Haemospermia (blood in semen) is a concerning symptom for many men.
  • While often benign, it can indicate underlying pathology requiring investigation.

Purpose of the Study:

  • To evaluate the diagnostic yield of investigations for haemospermia in men of different age groups.
  • To establish appropriate investigation pathways based on patient demographics and symptom characteristics.

Main Methods:

  • A prospective study involving 74 men presenting with haemospermia.
  • Categorization of patients by age (over 40 and under 40).
  • Application of simple, non-invasive, and invasive investigations as clinically indicated.

Main Results:

  • A diagnosis was achieved in all 9 men over 40 using simple investigations.

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  • In men under 40, 48% had no detectable pathology with initial assessment.
  • A diagnosis was made in 32 of the remaining 34 younger men via simple investigations.

    • Conclusions:

    • Routine investigations, including cystoscopy, are effective in identifying treatable causes of haemospermia in men over 40.
    • Non-invasive investigations suffice for most younger men; invasive procedures are reserved for persistent or severe cases.
    • Age and symptom severity are key factors in guiding the diagnostic approach for haemospermia.