[Retrospective study of 107 patients with hematospermia]

A retrospective study on 107 men with hematospermia between 1986 and 1993 is reported. The age of the patients ranged from 16 to 73 years (mean 45.6 years). Sixty five patients (60.7%) were asymptomatic except for hematospermia. Hematospermia disappeared within one month in 43% of all the patients, and in 61% of those under 40 years of age. Thirty four patients had urological diseases; 15 patients had chronic prostatitis, 10 benign prostatic hyperplasia, 3 prostatic calculi, 1 genital tuberculosis, 1 prostate cancer, and 4 other diseases. Hematospermia was ascribed to hypertension in another 5 patients. However, the cause of hematospermia was not apparent in 79% of the patients under 40. We recommend a routine physical examination to detect infectious or inflammatory lesions, in younger patients with transient hematospermia whereas a through urological screening for more serious urogenital diseases, and measurement of blood pressure in older patients especially those with persistent hematospermia.