Massive hemospermia: a new etiology and simplified treatment.
Hemospermia is a common urologic symptom that is usually benign and self-limited, and required no clinical investigation. Massive hemospermia causing hematuria, with clot formation and occasional urinary retention, occurs in a subset of patients. Three patients are reported in whom cystourethroscopy demonstrated nonvaricose abnormal posterior urethral vessels. Treatment consisted of fulguration of the vessels. One patient was cured, 1 had no symptoms for 3 years and 1 improved slightly. Endoscopically, this is a safe simple outpatient surgical procedure that is recommended for massive hemospermia due to abnormal posterior urethral vessels.
D000328:Adult; D001769:Blood; D003075:Coitus; D004564:Electrocoagulation; D006417:Hematuria / Q000209:etiology; D006801:Humans; D008297:Male; D012661:Semen; D014521:Urethra / Q000098:blood supply* / Q000601:surgery; D014555:Urination Disorders / Q000209:etiology