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This guideline covers the diagnosis and management of Haematospermia (blood seen within the ejaculate)
Haematospermia has a high chance of being a benign disease, albeit distressing and concerning.
Exclude other inguino-scrotal abnormality (e.g. scrotal mass)
Prostate-specific antigen (PSA)
Rectal examination (PR)
There is no evidence of the value of additional urological tests that may include renal ultrasound scan (USS), trans-rectal USS, cystoscopy, these are rarely undertaken.
Consider referral in patients:
e-Referral service selection:
This guideline has been signed off by the Western Locality on behalf of NEW Devon CCG.
Publication date: December 2016