Haemstospermia: Where Does It Come From; How Serious is This Symptom?
Yassin, Aksam*,1,2, 1 Clinic of Urology/Andrology,Segeberger Kliniken, Norderstedt-Hamburg, Schleswig-Holstein, Germany2 Gulf Medical College School of Medicine, Ajman, UAE
ABSTRACT- Objective: to assess haematospermia in literature compared with results of own study, and to clarify whether this symptom represents a particular or serious case. Material and Methods:Retrospective analysis of our 502 cases within the last 10 years till Mid 2004. Age: 28-71 (med. 52 years), in terms of characteristics, aetiology, pathogenesis and diagnostic procedures (history, DRE, PSA and lab, cytological smears, Tuberculosis-diagnostics, uro-sonography incl. TRUS, bacteriology incl. specimens of ejaculation and cystoscopy). Our data were compared with previous publication by literature review. Results:22% of the patients were younger than 45 years (N=111), 78% were older. 502 cases of Haematospermia were analysed! About 57 % of our group suffered from the idiopathic & refractory haematospermia. Mainly in men over 45 (78%) living sexually abstinent for quite a long time. 66% of the mentioned cases reported of haematospermia directly after masturbations without accompanying resp. secondary symptoms. Most of these cases are complicated by urethral stenoses or prostate stones. Conclusion: • Haematospermia is alarming for those affected - but normally harmless • An urological graduation-diagnostic is advisable in refractory haematospermia • The main reason of the refractory cases is masturbation after long sexual abstinence
Key words: sexual abstinence, masturbation, haematospermia