Soler Fernández J M, Herrera Puerto J, Asuar Aydillo S, Domínguez Bravo C, Laguna Alvarez E, Delgado Mije D
Actas Urol Esp. 1989 Sep-Oct;13(5):371-4.
We present a clinical study of 29 patients with macroscopic hemospermia. The associated symptoms prevailed over monosymptomatic presentation. Urethral-prostate-vesicular inflammation was the most common etiology (55%). We single out the presence of a seminal vesicle cyst, two malignant urogenital tumours and one patient with presentation of the post-radiotherapy symptom. In 24% of the cases the cause was unknown. Diagnosis was done preferably by means of case clinic and sexual history, physical exploration, prostate/seminal vesicle echography and bacteriological-cytological study of the urine fraction plus semen. We carried out other diagnostic explorations on a selective basis. We consider hemospermia to be a benign symptom, although its presence requires the carrying out of a methodical series of explorations to rule out other pathologies of very diverse condition worthy to being taken into account.
我们对29例肉眼可见血精症患者进行了一项临床研究。相关症状比单一症状更为常见。尿道-前列腺-精囊炎症是最常见的病因（55%）。我们特别指出了精囊囊肿的存在、两例泌尿生殖系统恶性肿瘤以及一例出现放疗后症状的患者。在24%的病例中病因不明。诊断最好通过病例临床和性病史、体格检查、前列腺/精囊超声检查以及尿液成分加精液的细菌学-细胞学研究来进行。我们在有选择的基础上进行了其他诊断性检查。我们认为血精症是一种良性症状，尽管其存在需要进行一系列有条不紊的检查以排除其他各种值得考虑的不同病情的病理情况。
