Efficacy of transrectal ultrasonography in the evaluation of hematospermia.
OBJECTIVE
To assess the efficacy of transrectal ultrasonography (TRUS) in the evaluation of hematospermia.


METHODS
This study included 54 patients with hematospermia. Patients age range was between 25 and 75 years (mean=49.7 years). All patients were evaluated by TRUS using a biplane transducer and a Toshiba SSA-270A device.


RESULTS
TRUS revealed one or more abnormalities in 51 patients (94.5%). Prostatic calcifications were found in 23 patients, ejaculatory duct calculi in 21, dilated ejaculatory ducts in 18, benign prostatic hyperplasia in 18, dilated seminal vesicles in 12, calcifications in seminal vesicles in 11, ejaculatory duct cyst in 6, prostatitis in 6, and periurethral Cowper gland mass in 1.


CONCLUSIONS
TRUS is a noninvasive, safe method for the investigation of causes of hematospermia. We believe that it should be the first radiological investigation to be performed in patients presenting with hematospermia.
Yagci
Cemil
C
Department of Radiology, Medical School, Ankara University, Sihhiye, Ankara, Turkey. cemil.yagci@medicine.ankara.edu.tr
Kupeli
Sadettin
S
Tok
Cisel
C
Fitoz
Suat
S
Baltaci
Sumer
S
Gogus
Orhan
O
D000328:Adult; D000368:Aged; D001769:Blood; D002030:Bulbourethral Glands / Q000000981:diagnostic imaging; D002114:Calcinosis / Q000000981:diagnostic imaging; D002137:Calculi / Q000000981:diagnostic imaging; D003560:Cysts / Q000000981:diagnostic imaging; D004108:Dilatation, Pathologic / Q000000981:diagnostic imaging; D004543:Ejaculatory Ducts / Q000000981:diagnostic imaging; D005832:Genital Diseases, Male / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D011467:Prostate / Q000000981:diagnostic imaging*; D011469:Prostatic Diseases / Q000000981:diagnostic imaging; D011470:Prostatic Hyperplasia / Q000000981:diagnostic imaging; D011472:Prostatitis / Q000000981:diagnostic imaging; D012007:Rectum; D012669:Seminal Vesicles / Q000000981:diagnostic imaging; D013094:Spermatozoa; D014463:Ultrasonography