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A management algorithm for hematospermia

Nature Reviews Urology volume 6, pages 398–402 (2009)Cite this article

Abstract

The presence of blood in the semen—hematospermia—is an anxiety-provoking but usually self-limiting condition. Its exact incidence remains unclear. The risk of underlying malignancy, despite being very low, drives evaluation. There is confusion amongst clinicians as to how best to refer, evaluate and treat men with hematospermia. We have reviewed the literature in an attempt to present a cohesive view of the etiologies and diagnostic and management strategies in patients with this condition.

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Figure 1: Management algorithm for men presenting with hematospermia.
Figure 2: Transrectal ultrasound image of a 32-year-old man with hematospermia.
Figure 3: Axial T2-weighted endorectal MRI from a 54-year-old man with a history of persistent hematospermia.

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Authors and Affiliations

  1. University Hospitals of Leicester, Leicester General Hospital, Leicester, UK

    Muhammad I. Aslam

  2. Department of Urology, Northampton General Hospital, Cliftonville, Northampton, UK

    Philippa Cheetham & Marek A. W. Miller

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  1. Muhammad I. Aslam
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Correspondence to Muhammad I. Aslam.

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The authors declare no competing financial interests.

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Aslam, M., Cheetham, P. & Miller, M. A management algorithm for hematospermia. Nat Rev Urol 6, 398–402 (2009). https://doi.org/10.1038/nrurol.2009.98

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