Endorectal magnetic resonance imaging in persistent hemospermia.
OBJECTIVE
To present the spectrum of abnormalities found at endorectal magnetic resonance imaging (E-MRI), in patients with persistent hemospermia.


METHODS
A review of E-MRI findings observed in 86 patients with persistent hemospermia was performed and results compared with those reported in the literature. Follow-up was possible in 37 of 86 (43%) patients with hemospermia.


RESULTS
E-MRI showed abnormal findings in 52 of 86 (60%) patients with hemospermia. These findings were: a) hemorrhagic seminal vesicle and ejaculatory duct, isolated (n = 11 or 21%) or associated with complicated midline prostatic cyst (n = 10 or 19.0%); b) hemorrhagic chronic seminal vesiculitis, isolated (n = 14 or 27%) or associated with calculi within dilated ejaculatory ducts (n = 2 or 4 %); c) hemorrhagic seminal vesicle associated with calculi within dilated ejaculatory duct (n = 4 or 7.7%) or within seminal vesicle (n = 4 or 7.7%); d) non-complicated midline prostatic cyst (n = 6 or 11.5%); and e) prostate cancer (n = 1 or 2%). Successful treatment was more frequent in patients with chronic inflammatory and/or obstructive abnormalities.


CONCLUSIONS
E-MRI should be considered the modality of choice, for the evaluation of patients with persistent hemospermia.
Prando
Adilson
A
Department of Radiology and Diagnostic Imaging, Vera Cruz Hospital, Campinas, Sao Paulo, Brazil. aprando@mpc.com.br
D000328:Adult; D000368:Aged; D003560:Cysts / Q000150:complications / Q000175:diagnosis; D004543:Ejaculatory Ducts; D005832:Genital Diseases, Male / Q000150:complications / Q000175:diagnosis; D051516:Hemospermia / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011471:Prostatic Neoplasms / Q000150:complications / Q000175:diagnosis; D012669:Seminal Vesicles