Is There Any Value Investigating Persistent Haematospermia? Results of a 12-Year Prospective Study
| Autor: | Ashish A. Kumar, Trevor J. Dorkin, Kuruvilla K. Zachariah |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Gynecology
medicine.medical_specialty medicine.diagnostic_test business.industry Urology Physical examination urologic and male genital diseases Malignancy medicine.disease Prostate cancer medicine.anatomical_structure Haematospermia Prostate Biopsy medicine Surgery In patient medicine.symptom Prospective cohort study business |
| Zdroj: | British Journal of Medical and Surgical Urology. 4:202-206 |
| ISSN: | 1875-9742 |
| Popis: | Summary Objectives We hypothesise that haematospermia, with no additional clinical features and regardless of age, does not warrant investigation as abnormal pathology is rarely found. Patients and methods Twelve-year prospective data were collected on men referred with persistent haematospermia. Patients were divided into two age groups: less than 40 years and greater than 40 years. Patients were assessed through history and clinical examination including a DRE, serum PSA and a TRUS – with or without biopsy. Results Fourteen men under 40 presented with haematospermia. TRUS showed calcification in 2 patients. No malignancy was detected in this sub-group. Of 104 patients aged over forty, 59 presented with persistent haematospermia alone and no malignancy detected on investigation. Three prostate carcinoma diagnoses were made in patients with haematospermia and raised serum PSA. Four prostate carcinomas were detected in patients with a triad of haematospermia, an abnormal DRE and raised serum PSA. Conclusions Mono-symptomatic haematospermia – regardless of age – requires only limited investigation as the condition is invariably benign. Prostate biopsies should only be considered if an elevated PSA and/or abnormal DRE are detected. |
| Databáze: | OpenAIRE |
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