Hemospermia: Review of the Management with 5 Years Follow-Up
WACHIRA KOCHAKARN, M.D.*, CHAROEN LEENANUPUNTH, M.D.*, KRISADA RATANA-OLARN, M.D.*, VIRA VISESHSINDH, M.D.*
Affiliation : * Division of Urology, Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.
Objective : To review our experience with hemospermia and a long term follow-up.
Materials and Methods : Medical records of patients with hemospermia treated at the
Division of Urology, Ramathibodi Hospital between 1993 and 1995 were reviewed. Clinical presen-
tation, investigation, diagnosis, treatment, outcomes and long term follow-up were noted.
Results : Sixty-eight patients were found and completed follow-up to 5 years. The mean
age was 40 years (range 28-62). Physical examination including DRE and urine examinations
were done in all of the cases. Special investigations such as PSA, TRUS, IVP and cystourethro-
scopy were performed in selected cases. Prostatitis was found in 27.9 per cent, tuberculosis in 4.4
per cent, sexually related causes in 5.8 per cent and idiopathic in 61 per cent No malignancy was
found in this study. Hypertension was found in 7.3 per cent of the patients. Thirty-two per cent
had recurrent episodes of hemospermia. Specific treatment was used only for prostatitis and tuber-
culosis. No specific treatment was used for the idiopathic group.
Conclusions : Hemospermia is a benign condition. Most of the causes were from idio-
pathic and inflammation. Only simple investigation was needed and treatment was recommended
depending on the diagnosis and no specific treatment was needed for idiopathic cause.
Keywords : Hemospermia, Ejaculation, Management, Outcomes
