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Effect of microorganisms on etiology of hematospermia
Musa Saracoglu1, Hakan Ozturk, Arzu Duran
1Department of Urology, School of Medicine, Sifa University, Izmir. musasaracoglu@yahoo.com.
Background:
Hematospermia is the presence of blood in the ejaculate. Its etiology is congenital, inflammatory, infectious, obstructive, tumoral, vascular, traumatic, iatrogenic or related to systemic disease. It is a quite irritating and life-quality-disturbing condition for men. It is significant to demonstrate infectious-based hematospermia due to the fact that its treatment is easier than for other reasons.
Methods:
30 patients, having spontaneous hematospermia, were taken to our study. The serum total PSA levels of the patients were examined and microbiological examinations such as direct inspection for ejaculate, routine bacteriological and mycetes culture, Gram staining, trichrome staining and Mycoplasma hominis/Ureaplasma urealyticum culture (Mycofast Evolution 3, ELITech, France) were performed.
Results:
Bacteria was isolated in 11 (36%) of 30 patients with hematospermia. S.aureus occurred in five patients (45.5%), U.urealyticum in three patients (27.2%) and E.coli and K.pneumoniae in one each (9.1%). U.urealyticum and S.aureus occurred together in one patient. No statistical difference of scores of National Institute of Health-Chronic Prostatitis Symptoms Index (CPSI) and serum total PSA levels between the patients with and without infection was observed.
Conclusions:
Hematospermia mostly affects micturition functions of young men and it can be due to infection in one-third of the cases.
Insights
Infections cause hematospermia in about one-third of men, with bacteria like S. aureus and Ureaplasma urealyticum being common culprits. Identifying infectious causes is key, as these cases are more easily treated.
Area of Science:
- Urology
- Infectious Diseases
- Men's Health
Background:
- Hematospermia, or blood in ejaculate, has diverse causes including infection.
- It significantly impacts men's quality of life.
- Prompt diagnosis of infectious hematospermia is crucial for effective treatment.
Purpose of the Study:
- To investigate the prevalence of infectious causes in patients with spontaneous hematospermia.
- To identify common microorganisms responsible for hematospermia.
- To assess the correlation between infection and prostatitis symptoms or PSA levels.
Main Methods:
- Microbiological analysis of ejaculate from 30 hematospermia patients.
- Includes bacterial and fungal cultures, Gram staining, and specific Mycoplasma/Ureaplasma testing.
- Serum total PSA levels and National Institute of Health-Chronic Prostatitis Symptoms Index (CPSI) scores were evaluated.
Main Results:
- Infection was detected in 11 (36%) of the 30 patients.
- Staphylococcus aureus and Ureaplasma urealyticum were the most frequently isolated pathogens.
- No significant differences in CPSI scores or PSA levels were found between infected and non-infected groups.
Conclusions:
- Infection is a significant cause of hematospermia, particularly in young men.
- Approximately one-third of hematospermia cases may be attributed to microbial infections.
- Further research may clarify the relationship between infection, PSA, and prostatitis symptoms.
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