Hemospermia: long-term outcome in 165 patients

Hemospermia: long-term outcome in 165 patients

Long-term course of hemospermia has not been addressed in the sexual medicine literature. We report our 15 years’ experience. From 1997 to 2012, 165 patients presented with hemospermia. Mean age was 38 years. Mean follow-up was 83 months. Laboratory evaluation and testis and transabdominal ultrasono...

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Bibliographic Details
Published in:International journal of impotence research Vol. 26; no. 3; pp. 83 - 86
Main Authors: Zargooshi, J, Nourizad, S, Vaziri, S, Nikbakht, M R, Almasi, A, Ghadiri, K, Bidhendi, S, Khazaie, H, Motaee, H, Malek-Khosravi, S, Farshchian, N, Rezaei, M, Rahimi, Z, Khalili, R, Yazdaani, L, Najafinia, K, Hatam, M
Format: Journal Article
Language:English
Published: London Nature Publishing Group UK 01-05-2014
Nature Publishing Group
Subjects:
692/699/2768
692/700/139/1420/2137
Adolescent
Adult
Aged
Anti-Bacterial Agents - therapeutic use
Anti-Inflammatory Agents - therapeutic use
Bladder cancer
Care and treatment
Celecoxib
Ciprofloxacin - therapeutic use
Diagnosis
Follow-Up Studies
Hemospermia - diagnosis
Hemospermia - drug therapy
Hemospermia - etiology
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
original-article
Patient outcomes
Patients
Physiological aspects
Pyrazoles - therapeutic use
Recurrence
Reproductive Medicine
rology
Sexual disorders
Spermatozoa
Sulfonamides - therapeutic use
Treatment Outcome
Ultrasonography
Urology
Young Adult
Iran
semen
genital diseases
hemospermia
male
hemorrhage
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Summary:Long-term course of hemospermia has not been addressed in the sexual medicine literature. We report our 15 years’ experience. From 1997 to 2012, 165 patients presented with hemospermia. Mean age was 38 years. Mean follow-up was 83 months. Laboratory evaluation and testis and transabdominal ultrasonography was done in all. Since 2008, all sonographies were done by the first author. One patient had urinary tuberculosis, one had bladder tumor and three had benign lesions at verumontanum. One patient had bilateral partial ejaculatory duct obstruction by stones. All six patients had persistent, frequently recurring or high-volume hemospermia. All pathologies were found in young patients. In the remaining 159 patients (96%), empiric treatment was given with a fluoroquinolone (Ciprofloxacin) plus an nonsteroidal anti-inflammatory drug (Celecoxib). In our 15 years of follow-up, no patient later developed life-threatening disease. Diagnostic evaluation of hemospermia is not worthwhile in the absolute majority of cases. Advanced age makes no difference. Only high-risk patients need to be evaluated. The vast majority of cases may be safely and effectively treated with empiric therapy. Almost all patients do well in long term.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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content type line 23
ISSN:0955-9930
1476-5489
DOI:10.1038/ijir.2013.40