Haematospermia

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 CCG-15N

Referral Forms

DRSS referral form

Pathway Group

This guideline has been signed off by the Western Locality on behalf of NEW Devon CCG.

Publication date: December 2016