Haemospermia: transrectalsonographic study

ABSTRACT

38 patients with age ranging between 18 - 65 years, complaining of frequent haemospermia were examined by transrectal sonography [TRS]. Abnormal findings were detected in 31 patients [82%]. 23 patients [61%] had prostatic lesions including calcifications in 8, benign hyperplasia in 7, midline cyst in 3, prostatitis in 3 and cancer in 2. Seminal vesicles lesions were detected in 16 patients [42%] including calcifications in 8, cyst in 3, primary solid malignant mass in 2, malignant infiltration from prostatic cancer in 2 and asymmetry in 1. We found that TRS is able to suggest the cause of haemospermia in the majority of patients. It is recommended as the first imaging modality in patients complaining of haemospermia