Massive Hemospermia: A New Etiology and Simplified Treatment

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Abstract
Hemospermia is a common urologic symptom that is usually benign and self-limited, and requires no clinical investigation. Massive hemospermia causing hematuria, with clot formation and occasional urinary retention, occurs in a subset of patients. Three patients are reported in whom cystourethroscopy demonstrated nonvaricose abnormal posterior urethral vessels. Treatment consisted of fulguration of the vessels. One patient was cured, 1 had no symptoms for 3 yr and 1 improved slightly. Endoscopically, this is a safe and simple outpatient surgical procedure that is recommended for massive hemospermia due to abnormal posterior urethral vessels.

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