De Sanctis Vincenzo, Zargooshi Javaad, Marsciani Alberto, Soliman Ashraf T, Elsedfy Heba, Soliman Nada A, Di Maio Salvatore
Pediatric and Adolescent Outpatient Clinic, Quisisana Hospital, Ferrara, Italy.
Department of Sexual Medicine, and The Rhazes Center For Research In Family Health And Sexual Medicine, Kermanshah University of Medical Sciences, Rhazes Boulevard, Kermanshah, Iran. Email:
Pediatr Endocrinol Rev. 2017 Mar;14(3):281-288. doi: 10.17458/per.vol14.2017.SZMS.FD.hematospermia.
Hematospermia or hemospermia is defined as the presence of blood in ejaculate. The true prevalence of the condition is unknown because many cases escape the patient's notice, and remain unrecognized and unreported. There are two main aims in the patient evaluation: first, to ensure that there is no specific condition that is treatable; second, to reassure the patient's parents that no causative factor is present. Many physicians are unfamiliar with this disorder and this forms the basis for our current review. We performed an essentially English language search (Medline since 1966 to present and reference list of articles) for "hematospermia", or "hemospermia" in combination with "adolescents", "young adults", "genital diseases", "management" and "review". The authors' personal experience with 6 adolescents and young men (up to the age of 20 years) is also reported. Several anatomical structures contributing to the ejaculate may be the source of the hematospermia: seminal vesicles, prostate, testis and epididymis. Hematospermia is a generally benign and self-limited condition that is infrequently associated with significant underlying pathology. Once the diagnosis is clear, it is important to reassure the adolescent about the benign nature and self-limiting course of the condition and to provide appropriate treatment to help ensure the adolescent's normal sexual development.
血精症是指精液中存在血液。由于许多病例未被患者注意到，仍未被识别和报告，所以该病症的实际患病率尚不清楚。对患者进行评估有两个主要目的：第一，确保不存在可治疗的特定病症；第二，让患者的父母放心不存在致病因素。许多医生不熟悉这种病症，这构成了我们当前综述的基础。我们对“血精症”或“血精”与“青少年”“青年”“生殖系统疾病”“管理”及“综述”进行了基本的英文文献检索（自1966年至今的Medline及文章参考文献列表）。还报告了作者对6名青少年和青年男性（年龄至20岁）的个人诊疗经验。精液的几个解剖结构可能是血精症的来源：精囊、前列腺、睾丸和附睾。血精症通常是一种良性的自限性病症，很少与严重的潜在病理状况相关。一旦诊断明确，重要的是要让青少年放心该病症的良性性质和自限病程，并提供适当治疗以帮助确保青少年的正常性发育。
