Chronic Prostatitis: A Possible Cause of Hematospermia.

Area of Science:

• Urology
• Andrology
• Inflammatory Disorders

Background:

• Hematospermia is often linked to genitourinary inflammation.
• Limited research exists on prostatitis-associated hematospermia (PAH) using standardized diagnostic methods.

Purpose of the Study:

• To determine the incidence of PAH using systematic prostatitis evaluation techniques.
• To assess the clinical characteristics and quality of life in patients with hematospermia.

Main Methods:

• A cohort of 37 hematospermia patients was evaluated over five years.
• Patients were classified as PAH or hematospermia without prostatitis (HWP) using the NIH-Chronic Prostatitis Symptom Index and expressed prostatic secretion studies.

Main Results:

• 25 out of 37 patients (approximately 67.5%) were diagnosed with PAH.
• PAH subtypes included chronic bacterial prostatitis, chronic nonbacterial prostatitis, prostadynia, and asymptomatic prostatitis.
• No significant differences in age, PSA, or prostate volume were found between PAH and HWP groups.
• PAH patients reported a significantly poorer quality of life (QoL) compared to HWP patients.

Conclusions:

• Prostatitis is a frequent underlying cause of hematospermia.
• Hematospermia patients with prostatitis experience diminished QoL.
• Systematic evaluation for prostatitis is crucial in managing hematospermia patients to improve their QoL.