All information is correct at time of printing and is subject to change without notice. The Devon Formulary and Referral Website is not in any way liable for the accuracy of any information printed and stored by users. For the most up-to-date information, please refer to the website.
Referral
Contact us about this page
Haematospermia
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.
Out of scope
Exclude haematuria
Exclude other inguino-scrotal abnormality (e.g. scrotal mass)
Prostate-specific antigen (PSA)
Rectal examination (PR)
Scrotal examination
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.
Exclude:
- Sexually transmitted infections (STIs) and
- Bleeding diathesis
Reassure and do not refer if:
- PSA is normal and
- Patient is less than 45 years old and
- Symptoms settles within 6 weeks
Referral Criteria
Consider referral in patients:
- Over 45 years old and
- Persisting episodes, more than 3
- Abnormal PSA
Referral Instructions
e-Referral service selection:
- Specialty: Urology
- Clinic Type: Not otherwise specified
- Service: DRSS-Western-Urology-Devon ICB-15N
Referral Form
Pathway Group
This guideline has been signed off on behalf of NHS Devon.
Publication date: December 2016
