Hematospermia in a young adolescent: Clinical and diagnostic long-term follow-up

Abstract

Hematospermia may affect men of any age after puberty. The age range varies from 14 to 74 years, with its peak incidence in men aged 30 to 40 years old. Urogenital inflammation and infection are the most common causes of hematospermia. We report a case of recurrent hematospermia in a 12.5 years old white boy caused by hemorrhage in the right seminal vesicle diagnosed by MRI. Some authors have speculated that obstruction or stricture at the level of the verumontanum orifice or stenosis of the ejaculatory duct in adults may be the basic pathophysiology of persistent or recurrent hematospermia. Our patient was not treated with anti inflammatory drugs or antibiotics and the transurethral seminal vesiculoscopy was not required due to infrequent recurrence of hematospermia (4 episodes in 2 years). Hematospermia disappeared spontaneously within 2 years and did not recur for the following year of follow-up.