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Referral
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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-WC-Urology (PCT) (not for patient attendance)-Devon ICB-15N
Referral Form
Pathway Group
This guideline has been signed off on behalf of NHS Devon.
Publication date: December 2016
