Testicular Tumor Presenting as Hematospermia

Maheshkumar, Pattabiraman; Otite, U.; Gordon, Stephen; Berney, Daniel M.; Nargund, Vinod

doi:10.1097/00005392-200101000-00050

Cited by 28 publications

(14 citation statements)

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“…In a large prostate cancer screening study, Han et al [18] reported that men with hematospermia, which comprised 0.5% of the screening population and had a mean age of 61 years, were 1.73-fold as likely to have prostate cancer after age, prostate specific antigen (PSA), and digital rectal exam (DRE) results were adjusted. Testicular tumors and melanoma presenting with hematospermia have also been reported [19,20]. Resolution of the hematospermia would be expected after treatment of the underlying malignancy.…”

Section: Neoplasms and Vascular Abnormalitiesmentioning

confidence: 99%

“…A urethral swab for sexually transmitted disease should be done and a course of empiric antibiotic therapy should be instituted with azithromycin or doxycycline or a quinolone as regional resistance patterns dictate. Maheshkumar et al [19] suggested that a scrotal US be carried out in all cases of persistent hematospermia in order to rule out testicular pathology as an underlying cause. While testicular tumors are rare overall, they are the second most common tumors in men aged 20-24 years [35].…”

Section: Managementmentioning

confidence: 99%

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Hematospermia: etiological and management considerations

Leocádio

Stein

2008

Int Urol Nephrol

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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.

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Section: Neoplasms and Vascular Abnormalitiesmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

Hematospermia: etiological and management considerations

Leocádio

Stein

2008

Int Urol Nephrol

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“…An algorithm for hemospermia by the American Academy of Family Physicians recommends scrotal examination for patients below 40 years of age presenting with hemospermia to rule out infection and testicular cancer [4]. The first case of testicular cancer presenting with hemospermia was reported in 2001 [5], and 2 other cases were reported in 2002 [6]. In all 3 cases, scrotal examination and ultrasonography were performed.…”

Section: Discussionmentioning

confidence: 99%

Seminoma in the Testis Presenting as Hemospermia

Beji

Hoejgaard

Lyngdorf

2012

Case Rep Nephrol Urol

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“…Han et al [11] demonstrated in a prostate screening study that men with hematospermia, which comprised 0.5% of the screening population and had a mean age of 61 years, were 1.73-fold more likely to have prostate cancer after adjusting for age, prostate-specific antigen, and rectal palpation results. Testicular tumors also rarely present with hematospermia [13,14]. In a HIV-positive man with malignant melanoma that metastasized to the seminal vesicles, persistent hematospermia was observed [15].…”

Section: Etiologymentioning

confidence: 99%

Hematospermia: etiology, diagnosis, and treatment

Fuse

Komiya

Nozaki

et al. 2011

Reprod Medicine & Biology

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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.

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Testicular Tumor Presenting as Hematospermia

Cited by 28 publications

References 1 publication

Hematospermia: etiological and management considerations

Hematospermia: etiological and management considerations

Seminoma in the Testis Presenting as Hemospermia

Hematospermia: etiology, diagnosis, and treatment

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