title: Haemospermia: how to proceed?
abstract: Haemospermia is an alarming symptom but does it signify serious disease and how should it be investigated? A retrospective review of 44 men showed no evidence of malignancy and infection as the commonest cause. Standard investigation with midstream specimen of urine, intravenous pyelogram and cystoscopy is unhelpful. Microscopy and culture of a first stream specimen of urine or expressed prostatic secretions is the investigation of choice. Cystoscopy should be reserved for patients with recurrent haemospermia.
authors.affiliation: Department of Urology, Meath Hospital, Dublin.
authors.forename: T
authors.initials: T
authors.lastname: Creagh
authors.forename: A
authors.initials: A
authors.lastname: McNamara
authors.forename: T E
authors.initials: TE
authors.lastname: McDermott
authors.forename: R
authors.initials: R
authors.lastname: Grainger
authors.forename: M
authors.initials: M
authors.lastname: Butler
mesh_terms: D000328:Adult; D001769:Blood; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012661:Semen; D014552:Urinary Tract Infections / Q000150:complications; D014571:Urologic Neoplasms / Q000150:complications