Endorectal magnetic resonance imaging in persistent hemospermia

Prando, Adilson

doi:10.1590/s1677-55382008000200007

Cited by 27 publications

(23 citation statements)

References 20 publications

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“…Previous reports showed that the incidence of SVH in patients with hematospermia ranged from 25% to 53.1%. 12,15,[22][23][24] Abnormal lesions, such as MLCs, EDO, calculi within the seminal vesicle and ejaculatory duct, and seminal vesicle amyloidosis, have been found to be the underlying causes of SVH. 12,14,22,25,26 Similarly, MLCs, EDO, calculi within the seminal vesicle and seminal vesicle amyloidosis were also found in our patients with SVH.…”

Section: Discussionmentioning

confidence: 99%

“…Transurethral endoscopic treatment was previously reported to be effective for patients with chronic hematospermia accompanied by MLCs or EDO. 22,24,26,28 Among our patients with hematospermia that persisted for more than 1 year, transurethral unroofing was carried out for six patients with MLCs; and TURED for three patients with EDO. In all these patients, hematospermia resolved.…”

Section: Discussionmentioning

confidence: 99%

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Natural history of hematospermia in 189 Japanese men

2016

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Natural history of hematospermia in 189 Japanese men

2016

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“…Haematospermia is associated with many factors, the common aetiology included inflammation of the prostate, seminal vesicles (Ahmad & Krishna, ; Kumar, Kapoor, & Nargund, ; Prando, ), prostate biopsy (Raaijmakers, Kirkels, Roobol, Wildhagen, & Schrder, ), prostatic calculi, chronic prostatitis, carcinoma of the prostate (Papp, Kopa, Szabo, & Erdei, ), seminal vesicle calculi, the ejaculatory duct calculi, Mullerian duct cysts, ejaculatory duct cysts, seminal vesicle cysts, schistosomiasis (Razek, Elhanbly, & Eldeak, ), prostatitis, tuberculosis, hypertension (Kochakarn, Leenanupunth, Ratana‐Olarn, & Viseshsindh, ). However, 15% to 20% of the cases are idiopathic, with unknown causes (Papp et al., ; Razek et al., ).…”

Section: Commentmentioning

confidence: 99%

Clinical features of haematospermia associated with seminal vesicle calculi versus posterior urethral haemangioma

et al. 2018

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To compare the clinical features of seminal vesicle calculi(SVC) versus posterior urethral haemangioma(PUH) to assist urologists in differentiating and diagnosing the causes of haematospermia. Patients with SVC or PUH were included. Patient age, disease duration, hospital stay, operation time, symptoms, surgical approach, pathological results and postoperative complications were recorded. A total of seven patients with SVC and 15 patients with PUH involved have an average age of 34.1 and 44.5 years separately. Patients with SVC complained of recurrent haematospermia; patients with PUH complained of recurrent haematospermia and urethral opening bleeding after sexual arousal. SVC manifested as a dark red blood-semen mixture with ejaculation pain and no blood clots; the condition could improve after anti-infective treatment. PUH manifested as no visible blood-semen mixture, bright red semen with blood clots and no ejaculation pain; the condition did not respond to anti-infective treatment. SVC was treated with holmium laser lithotripsy under a transurethral seminal vesiculoscopy. PUH was treated with transurethral resection and fulguration. Postoperative follow-up showed that the clinical symptoms gradually disappeared, with no postoperative complications. Both SVC and PUH can result in recurrent haematospermia. Therefore, urologists should treat haematospermia differently according to the cause.

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“…We would also like to mention that the role of MRI studies is emerging with the recent suggestion that endorectal MRI should be considered the ‘evaluation modality of choice’ in patients with persistent hematospermia [12]. The MRI has also been reported as sensitive in the detection of bleeding in the seminal vesicles in patients with hematospermia [12].…”

Section: Causesmentioning

confidence: 99%

“…The MRI has also been reported as sensitive in the detection of bleeding in the seminal vesicles in patients with hematospermia [12]. In case of recurrent hematospermia, MRI and CT may be useful in finding the cause [13].…”

Section: Causesmentioning

confidence: 99%

Should every patient with hematospermia be investigated? A critical review

Akhter¹,

Khan²,

Chinegwundoh³

2013

cejurol1/2013

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Hematospermia or hemospermia is defined as the presence of blood in ejaculate. It often invokes considerable anxiety and is frightening for the patient. Mostly, it is due to infectious causes and regarded as a benign and self–limiting condition particularly in younger patients. Patients above 40 years of age and those with high risk factors require thorough evaluation. Detailed examination is mandatory, and should include: blood pressure measurement and abdominal palpation to identify hepatosplenomegaly or renal enlargement. Genital examination must also be performed to assess for the presence of testicular lumps and urethral discharge, as well as a rectal examination to assess the prostate. Further investigations include cystoscopy, transrectal ultrasound, and prostate biopsy. Diagnosing prostatic pathologies is made easier by performing transrectal ultrasound. It is useful in diagnosing calculi, cysts, prostatic varices, and inflammatory changes, as well as therapeutic in certain cases where cyst or abscess is drained and is found to be the cause of hematospermia. Complex investigations depend on history and examination. A role of MRI is emerging to rule out rare causes of hematospermia. Evidence based evaluation of hematospermia is not only useful in definitive diagnosis, but it can also be cost effective. Therefore, we suggest that patients with high risk factors should be investigated thoroughly. However, younger patients with one episode can be monitored closely and investigated only if deemed necessary.

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Endorectal magnetic resonance imaging in persistent hemospermia

Cited by 27 publications

References 20 publications

Natural history of hematospermia in 189 Japanese men

Natural history of hematospermia in 189 Japanese men

Clinical features of haematospermia associated with seminal vesicle calculi versus posterior urethral haemangioma

Should every patient with hematospermia be investigated? A critical review

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