Efesoy Ozan, Çayan Selahittin, Akbay Erdem
Department of Urology, Mersin City Training and Research Hospital, Mersin, Turkey.
Department of Urology, Mersin University Faculty of Medicine, Mersin, Turkey.
Turk J Urol. 2022 Nov;48(6):398-405. doi: 10.5152/tud.2020.20428.
Hematospermia or hemospermia is traditionally defined as the presence of fresh or altered blood in semen. Several factors might cause hematospermia, including infectious, inflammatory, iatrogenic, traumatic, structural, neoplastic, vascular, and systemic factors. The main aim of evaluation is to identify significant or treatable underlying causes of hematospermia and to re-assure the patient if no causative factor is detected after full evaluation. This review aims novel management of hematospermia, including a detailed history, physical examination, appropriate laboratory investigations, and diagnostic imaging, based on underlying causes of hematospermia.
血精症传统上被定义为精液中存在新鲜血液或变性血液。多种因素可能导致血精症，包括感染性、炎症性、医源性、创伤性、结构性、肿瘤性、血管性和全身性因素。评估的主要目的是识别血精症的重要或可治疗的潜在病因，并且如果在全面评估后未检测到致病因素，则让患者放心。本综述旨在基于血精症的潜在病因，对血精症进行新的管理，包括详细的病史、体格检查、适当的实验室检查和诊断性影像学检查。
