Abstract
Objectives:
We hypothesise that haematospermia, with no additional clinical features and regardless of age, does not warrant investigation as abnormal pathology is rarely found.
Patients and methods:
Twelve-year prospective data were collected on men referred with persistent haematospermia. Patients were divided into two age groups: less than 40 years and greater than 40 years. Patients were assessed through history and clinical examination including a DRE, serum PSA and a TRUS — with or without biopsy.
Results:
Fourteen men under 40 presented with haematospermia. TRUS showed calcification in 2 patients. No malignancy was detected in this sub-group.
Conclusion:
Mono-symptomatic haematospermia — regardless of age — requires only limited investigation as the condition is invariably benign. Prostate biopsies should only be considered if an elevated PSA and/or abnormal DRE are detected.
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