ABSTRACT
Patients have to be reassured as most of the time there is no underlying pathology, but prostate cancer should be ruled out-particularly in the over 50s. Haematospermia usually takes several weeks to resolve. If it is persistent or recurrent then the patient should be investigated for
• coagulopathies • hypertension • prostate cancer [rectal examination and prostate specific antigen (PSA) should be
performed to exclude prostate cancer] • congenital or acquired anomalies. Transrectal ultrasound (TRUS) to look for seminal
vesicle abnormalities, prostatic calculi and ejaculatory duct pathology should be performed. Only rarely may cystoscopy be useful.
