Haematospermia (blood in the semen)

Summary: Urological referral rarely indicated

Advice: Urological referral rarely indicated
Refer To: Mr A Doble


Clinical information

Haematospermia does not require referral unless associated with haematuria, an abnormal prostate on rectal examination or a raised PSA.

Most patients have low-grade seminal tract infection and are best managed using an NSAID and/or Ofloxacin for 6-8 weeks.

Semen culture, however, is not indicated because of the high risk of contamination by urethral organisms.

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Fast-Track referral forms (medical staff only)

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