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Hematospermia (also known as haematospermia, hemospermia, or haemospermia) is the presence of blood in the ejaculate. It is most often a benign symptom. [1] Among men age 40 or older, hematospermia is a slight predictor of cancer, typically prostate cancer. [2] No specific cause is found in up to 70% of cases. [3]
Usually there is no pain, but discomfort and heavyness is most common in the scrotum. [10] In hematocele of recent occurrence the tunica sac contains coagulated fresh blood. A hematocele that begins bleeding into itself, becoming a hemorrhagic cyst, can easily rupture and cause a number of problems. [11]
Symptoms can include vague back or lower abdominal pain; pain of the penis, scrotum or peritoneum; painful ejaculation; blood in the semen on ejaculation; irritative and obstructive voiding symptoms; and impotence. [16] Infection may be due to sexually transmitted infections, as a complication of a procedure such as prostate biopsy. [9]
The presence of bright red blood in stool, known as hematochezia, typically indicates lower gastrointestinal bleeding. Digested blood from the upper gastrointestinal tract may appear black rather than red, resulting in "coffee ground" vomit or melena. [2] Other signs and symptoms include feeling tired, dizziness, and pale skin color. [18]
In case of proven fertility but unresolved pelvic pain, even one or both partially obstructed ejaculatory ducts may be the origin of pelvic pain and oligospermia. [ 1 ] Ejaculatory duct obstruction may result in a complete lack of semen ( aspermia ) or a very low-volume semen ( oligospermia ) which may contain only the secretion of accessory ...
This means that the sperm is produced in the testes but on its way out, it gets misdirected into the bladder rather than coming out through the urethra. This can lead to a low volume of semen (hypospermia) or no semen production . Structural or functional damage to the bladder neck muscle causes the backflow of semen during the ejaculation.
Initial management consists of immediate blood transfusion if the patient is in hemorrhagic shock. Classically, hemoperitoneum was an indication for emergency surgery to locate the source of bleeding and also to recover spilled blood from the peritoneal cavity and to use it for auto-transfusion if it has not been contaminated by ruptured bowel contents.
A lower gastrointestinal bleed is defined as bleeding originating distal to the ileocecal valve, which includes the colon, rectum, and anus. [2] LGIB was previously defined as any bleed that occurs distal to the ligament of Treitz, which included the aforementioned parts of the intestine and also included the last 1/4 of the duodenum and the entire area of the jejunum and ileum. [1]