血精症：如何处理？

Haemospermia: how to proceed?

作者信息

Creagh T, McNamara A, McDermott T E, Grainger R, Butler M

机构信息

Department of Urology, Meath Hospital, Dublin.

出版信息

Ir J Med Sci. 1993 May;162(5):173-4. doi: 10.1007/BF02945177.

DOI:10.1007/BF02945177

PMID:8335452

Abstract

Haemospermia is an alarming symptom but does it signify serious disease and how should it be investigated? A retrospective review of 44 men showed no evidence of malignancy and infection as the commonest cause. Standard investigation with midstream specimen of urine, intravenous pyelogram and cystoscopy is unhelpful. Microscopy and culture of a first stream specimen of urine or expressed prostatic secretions is the investigation of choice. Cystoscopy should be reserved for patients with recurrent haemospermia.

摘要

血精是一种令人担忧的症状，但它是否意味着严重疾病以及应如何进行检查？对44名男性的回顾性研究表明，最常见的原因并非恶性肿瘤和感染。采用中段尿标本、静脉肾盂造影和膀胱镜检查等标准检查并无帮助。首选的检查是对首段尿标本或前列腺液进行显微镜检查和培养。膀胱镜检查应仅用于复发性血精患者。