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Updated: Feb 11, 2026

Author Spotlight: Advanced Treatment of Seminal Duct Blockage Employing Endoscopy-Mediated Semen Channel Refluviation
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Persistent hematospermia: seminal vesicle bleed.

Yih Chyn Phan1, Wasim Mahmalji1

  • 1Hereford County Hospital, Hereford, UK.

The Aging Male : the Official Journal of the International Society for the Study of the Aging Male
|April 18, 2018
PubMed
Summary
This summary is machine-generated.

Persistent hematospermia in a 65-year-old man was diagnosed as seminal vesicle hemorrhage. Conservative management with abstinence from ejaculation led to resolution and patient reassurance.

Keywords:
HematospermiaMRI pelvisseminal vesicle bleed

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Area of Science:

  • Urology
  • Radiology
  • Men's Health

Background:

  • Persistent hematospermia can be a concerning symptom for patients.
  • Initial investigations often include prostate-specific antigen (PSA) testing, urine and semen cultures, and cystoscopy.

Observation:

  • A 65-year-old gentleman presented with several years of persistent hematospermia.
  • Digital rectal examination, PSA, urine/semen cultures, and cystoscopy were unremarkable.
  • Magnetic resonance imaging (MRI) of the pelvis was performed due to persistent symptoms.

Findings:

  • MRI revealed a right seminal vesicle hemorrhage as the cause of hematospermia.
  • This finding was unexpected given the negative results of initial urological workup.

Implications:

  • Seminal vesicle hemorrhage should be considered in the differential diagnosis of persistent hematospermia, even with normal initial investigations.
  • MRI is a valuable tool for identifying intrapelvic pathology causing hematospermia.
  • Conservative management, including temporary abstinence from ejaculation, can be effective.