The Value of Transrectal Ultrasonography in Evaluation of Hematospermia

Lee, Sang Cheol; Chai, Soo Eung

Abstract

Hematospermia is not an uncommon condition that has brought many patients to doctor's office. In many cases hematospermia is self-limiting and no clear etiology is discovered. Transrectal ultrasonography (US) was performed in 16 patients with hematospermia to evaluation its efficacy in determination of cause. 1. Hematospermia occurred in 16 patients range from 19 to 63 years of age with average of 34. years. Half of them were in the third and a fifth in the fourth decade. 2. In all of patients, urinalysis and urine culture were normal. Rectal palpation and microscopic examination of prostatic secretion had no value in determination of cause of hematospermia. 3. Among the 12 patients who had abnormal transrectal US findings, 4 patients had lesions in seminal vesicle, 3 in prostate and 3 in both. In 2 patients Millenarian duct cysts were found. 4. Among the abnormal US findings, hematoma of seminal vesicle and calcification of prostate were common followed by enlargement of seminal vesicle. The results provide that transrectal ultrasonography is easy and effective method in evaluation of patients with hematospermia.