Senile Seminal Vesicle Amyloidosis Associated with Hematospermia: Demonstration by Endorectal MRI

Botash, Robert J.; Poster, Robert B.; Abraham, Jerrold L.; Makhuli, Zahi M.

doi:10.1097/00004728-199709000-00017

Cited by 15 publications

(8 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Whether increased portal pressure induces hematospermia via connections between the hemorrhoidal and prostatic plexuses remains speculation. Finally, senile amyloidosis of the seminal vesicles is associated with aging and has been associated with hematospermia in older men [29]. Treatment of the underlying systemic pathology should resolve the accompanying hematospermia.…”

Section: Systemic Conditionsmentioning

confidence: 99%

Hematospermia: etiological and management considerations

Leocádio

Stein

2008

Int Urol Nephrol

View full text Add to dashboard Cite

Hematospermia is an anxiety-provoking sign that is usually due to inflammatory or infectious causes. Recurrent or symptomatic hematospermia may herald more serious underlying pathology, especially in those patients over 40 years old. A thorough evaluation is warranted to both rule out more serious pathology and to adequately address patient anxiety. With modern imaging techniques, the number of "idiopathic" cases should be much lower than historically reported.

show abstract

Section: Systemic Conditionsmentioning

confidence: 99%

Hematospermia: etiological and management considerations

Leocádio

Stein

2008

Int Urol Nephrol

View full text Add to dashboard Cite

show abstract

“…Patients on medications such as aspirin and clopidogrel can express hematospermia due to their anticoagulative effect (54,55). Amyloidosis of the seminal vesicles in the elderly has been associated with hematospermia (56). After treatment of the underlying systemic disorder, the patient's hematospermia should resolve.…”

Section: Systemic Conditionsmentioning

confidence: 99%

Hematospermia Evaluation at MR Imaging

Mittal¹,

Camacho²,

Sahani

et al. 2016

RadioGraphics

View full text Add to dashboard Cite

Hematospermia is a challenging and anxiety-provoking condition that can manifest as a single episode or recur over the course of weeks to months. It is usually a benign self-limiting condition in younger sexually active males without a history of risk factors such as cancer, urogenital malformations, bleeding disorders, and their associated symptoms. However, patients with recurrent, refractory and painful hematospermia with associated symptoms, such as fever, pain, or weight loss, require evaluation through clinical assessment and noninvasive investigations to rule out underlying pathologic conditions such as ejaculatory obstruction, infectious and inflammatory causes, malignancy, vascular malformations, and systemic disorders that increase the risk of bleeding, especially when presenting in older men. If these investigations are negative, the patient should be reassured and treated accordingly. In the recent past, magnetic resonance (MR) imaging has assumed a major role in the investigation of hematospermia due to its excellent soft-tissue contrast and multiplanar capabilities. In this review, we will discuss the potential causes of hematospermia and its diagnostic workup, including pathophysiology, anatomic considerations, the imaging appearance of associated pathologic conditions, and management. (©)RSNA, 2016.

show abstract

“…However, it remains to be clarified whether increased portal pressure via connections to prostatic venous plexuses can induce hematospermia. Amyloidosis of seminal vesicles, which mostly shows localized lesions, is associated with hematospermia in older men [34][35][36]. Furthermore, hematospermia may even be a rare and sole symptom of lymphoma [37].…”

Section: Etiologymentioning

confidence: 99%

Hematospermia: etiology, diagnosis, and treatment

Fuse

Komiya

Nozaki

et al. 2011

Reprod Medicine & Biology

View full text Add to dashboard Cite

Hematospermia is a relatively frequent, distressing, and frightening symptom for the majority of men. Although the differential diagnosis list is extensive, it is usually a benign, self-limiting disorder, including inflammatory and infective pathologies, resolving in several weeks. However, in some cases, hematospermia is the harbinger of more serious pathological lesions that should not be missed. In younger patients below 40 years of age, infection of the urogenital tract is the most common etiology. Simple routine laboratory studies should identify the pathological factors. In patients 40 years or older, or those with persistent or recurrent conditions or associated symptoms, it is necessary to exclude urogenital malignant disorders. Patients should also undergo medical history taking, physical examination including temperature and blood pressure assessment, digital rectal palpation, and laboratory blood, urine, and semen tests. If the diagnosis is still unclear, further investigations involve transrectal ultrasonography, magnetic resonance imaging, urethrocystoscopy, and histological confirmation by biopsy. Treatment for hematospermia depends on the underlying pathological lesions, but often involves only minimal examinations and simple reassurance in most cases. Hematospermia caused by genitourinary infections is effectively treated with appropriate antiviral, antibiotic, or antiparasitic agents. Hematospermia due to malignant disorders including prostate, testis, and seminal vesicle cancers resolves with definitive treatment of the primary lesions.

show abstract

Senile Seminal Vesicle Amyloidosis Associated with Hematospermia: Demonstration by Endorectal MRI

Cited by 15 publications

References 5 publications

Hematospermia: etiological and management considerations

Hematospermia: etiological and management considerations

Hematospermia Evaluation at MR Imaging

Hematospermia: etiology, diagnosis, and treatment

Contact Info

Product

Resources

About