Hematospermia evaluation at MR imaging

Pardeep K. Mittal, Juan C. Camacho, Dushyant V. Sahani, Bobby T Kalb, Peter A. Harri, Viraj Master, Nima Kokabi, Matthew Hartman, Hiroumi D. Kitajima, Courtney C. Moreno

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

Hematospermia is a challenging and anxiety-provoking condition that can manifest as a single episode or recur over the course of weeks to months. It is usually a benign self-limiting condition in younger sexually active males without a history of risk factors such as cancer, urogenital malformations, bleeding disorders, and their associated symptoms. However, patients with recurrent, refractory and painful hematospermia with associated symptoms, such as fever, pain, or weight loss, require evaluation through clinical assessment and noninvasive investigations to rule out underlying pathologic conditions such as ejaculatory obstruction, infectious and inflammatory causes, malignancy, vascular malformations, and systemic disorders that increase the risk of bleeding, especially when presenting in older men. If these investigations are negative, the patient should be reassured and treated accordingly. In the recent past, magnetic resonance (MR) imaging has assumed a major role in the investigation of hematospermia due to its excellent soft-tissue contrast and multiplanar capabilities. In this review, we will discuss the potential causes of hematospermia and its diagnostic workup, including pathophysiology, anatomic considerations, the imaging appearance of associated pathologic conditions, and management.

Original languageEnglish (US)
Pages (from-to)1373-1389
Number of pages17
JournalRadiographics
Volume36
Issue number5
DOIs
StatePublished - Sep 1 2016

Fingerprint

Hemospermia
Magnetic Resonance Imaging
Urogenital Neoplasms
Hemorrhage
Vascular Malformations
Weight Loss
Fever
Anxiety
Pain
Neoplasms

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Mittal, P. K., Camacho, J. C., Sahani, D. V., Kalb, B. T., Harri, P. A., Master, V., ... Moreno, C. C. (2016). Hematospermia evaluation at MR imaging. Radiographics, 36(5), 1373-1389. https://doi.org/10.1148/rg.2016150195

Hematospermia evaluation at MR imaging. / Mittal, Pardeep K.; Camacho, Juan C.; Sahani, Dushyant V.; Kalb, Bobby T; Harri, Peter A.; Master, Viraj; Kokabi, Nima; Hartman, Matthew; Kitajima, Hiroumi D.; Moreno, Courtney C.

In: Radiographics, Vol. 36, No. 5, 01.09.2016, p. 1373-1389.

Research output: Contribution to journalReview article

Mittal, PK, Camacho, JC, Sahani, DV, Kalb, BT, Harri, PA, Master, V, Kokabi, N, Hartman, M, Kitajima, HD & Moreno, CC 2016, 'Hematospermia evaluation at MR imaging', Radiographics, vol. 36, no. 5, pp. 1373-1389. https://doi.org/10.1148/rg.2016150195
Mittal PK, Camacho JC, Sahani DV, Kalb BT, Harri PA, Master V et al. Hematospermia evaluation at MR imaging. Radiographics. 2016 Sep 1;36(5):1373-1389. https://doi.org/10.1148/rg.2016150195
Mittal, Pardeep K. ; Camacho, Juan C. ; Sahani, Dushyant V. ; Kalb, Bobby T ; Harri, Peter A. ; Master, Viraj ; Kokabi, Nima ; Hartman, Matthew ; Kitajima, Hiroumi D. ; Moreno, Courtney C. / Hematospermia evaluation at MR imaging. In: Radiographics. 2016 ; Vol. 36, No. 5. pp. 1373-1389.
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