ReviewDeutsches Arzteblatt international2017
Hematospermia-a Symptom With Many Possible Causes.
Review in Deutsches Arzteblatt international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Safety profile and signal detection of tadalafil: a real-world analysis based on the Food and Drug adverse event reporting system.Sexual medicine · 2026Article
- Association between urogenital inflammation conditions and leukocytospermia: insights from a large-scale cross-sectional study.Frontiers in cellular and infection microbiology · 2026Article
- Prostatic Artery Embolization for Refractory Hematospermia Without Hematuria.Cardiovascular and interventional radiology · 2025Article
- Etiology of Hematospermia in Turkish Men: Multicentric Study.Balkan medical journal · 2025Article
- An Alternative Application of Magnetic-Activated Cell Sorting: CD45 and CD235a Based Purification of Semen and Testicular Tissue Samples.International journal of molecular sciences · 2024Article
- Ejaculation: the Process and Characteristics From Start to Finish.Current sexual health reports · 2023Article
- [And there was Zinner's syndrome-a rare differential diagnosis].Urologie (Heidelberg, Germany) · 2022Article
- Epithelioid sarcoma of the penis: A penile sparing approach, and long-term implications.Urology case reports · 2021Article
- Transrectal ultrasound-guided seminal vesicle catheterization with continuous antibiotic infusion for the treatment of refractory hematospermia.Experimental and therapeutic medicine · 2021Article
- Ejaculatory Duct Obstruction in the Setting of an Ectopic Ureter.Sexual medicine · 2020Article
- The Impact of CRISPR-Cas9 on Age-related Disorders: From Pathology to Therapy.Aging and disease · 2020Review
- Article
- Etiology of 305 cases of refractory hematospermia and therapeutic options by emerging endoscopic technology.Scientific reports · 2019Article
- Mosquito-borne and sexual transmission of Zika virus: Recent developments and future directions.Virus research · 2018Review
- Contemporary management of ejaculatory dysfunction.Translational andrology and urology · 2018Review
- Laboratory and clinical management of leukocytospermia and hematospermia: a review.Therapeutic advances in reproductive healthReview
- Hematospermia in a Transgender Woman with Evidence for Endometrial Tissue in the Prostate.AACE clinical case reportsArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHematospermia, or blood in the ejaculate, is a symptom with many possible causes that often gives rise to worry. Precise figures on its prevalence are unavailable. It is most common in men under 40, and its cause is usually benign; nonetheless, even a single episode of hematospermia calls for a basic diagnostic evaluation.
methodsThis review is based on pertinent articles re trieved by a search in PubMed with the key words "hemato spermia," "hemospermia," "ejaculation," "male semen," and "transrectal ultrasound."
resultsA diagnostic algorithm for hematospermia is described. The most common cause is iatrogenic trauma, in particular transrectal ultrasound-guided prostate biopsy to rule out prostate cancer. Urogenital infections are the second most common cause. Pathological changes of the prostate should be considered along with systemic causes, e.g., arterial hypertension or various hematologic disorders. A single event in men under 40 should be evaluated by precise history-taking, a meticulous physical examination including blood-pressure measurement, and urinalysis. Repeated episodes, or hematospermia in men over 40, calls for additional evaluation with further laboratory tests, imaging studies, and, in some cases, interventional diagnostic procedures.
conclusionFurther tests, preferably imaging studies, seem a reasonable way to detect or exclude potential causes of hematospermia, especially malignant ones. The treatment is directed at the underlying cause.
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