During a 15-year period, 200 patients with hematospermia were seen at the Mayo Clinic. General physical examination, including digital rectal palpation and urinalysis, was performed on all 200 patients. Of these, 26 had no additional urologic evaluation. In the remaining 174 patients, cystoscopy and K.U.B. roentgenography were done. The results of urologic evaluation in the 174 patients revealed various minor abnormalities in 64; however, in no instance was there significant urologic disease. During follow-up of five to 23 years in 150 of the 174 patients, 106 had no further hematospermia whereas 44 had recurring hematospermia, which persisted in some for more than ten years. None of these patients developed any significant disease related to the hematospermia. In our experience, the occurrence of hematospermia in an otherwise asymptomatic man with normal findings on physical examination, including digital rectal examination, seems not to be associated with the presence of, and does not lead to future development of, significant urologic disease.
在15年期间，梅奥诊所共接诊了200例血精患者。对所有200例患者均进行了包括直肠指诊和尿液分析在内的全面体格检查。其中，26例未进行进一步的泌尿外科评估。在其余174例患者中，进行了膀胱镜检查和腹部平片X线检查。对这174例患者的泌尿外科评估结果显示，64例存在各种轻微异常；然而，无一例存在严重的泌尿系统疾病。在174例患者中的150例进行了5至23年的随访，其中106例未再出现血精，而44例复发血精，部分患者血精持续了十多年。这些患者均未发生与血精相关的任何严重疾病。根据我们的经验，在体格检查（包括直肠指检）结果正常的无症状男性中出现血精，似乎与严重泌尿系统疾病的存在无关，也不会导致其未来发展为严重泌尿系统疾病。
