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BMC Urology
Published in: BMC Urology 1/2020

01-12-2020 | Hemangioma | Research article

Clinical characteristics and endoscopic treatment of hematospermia with postcoital hematuria

Authors: Zao-Ming Huang, Yan-Feng Li, Qi Wang, Yong Zhang, Yong Luo, Zhi-Lin Nie, Ke Li, Qing-Xing Feng, Xu-Dong Liu

Published in: BMC Urology | Issue 1/2020

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Abstract

Background

Recurrent hematospermia accompanied by postejaculatory hematuria is a very rare phenomenon, has not been well understood in the clinical setting, and usually leads to misdiagnosis and mistreatment. The aim of this study was to summarize the clinical characteristics, etiologic diagnosis, and endoscopic treatment of hematospermia with postcoital hematuria.

Methods

We collected the clinical data from 39 patients of hematospermia with postcoital hematuria, who were admitted to our hospital from May 2014 to October 2019. The etiologic diagnostic process and endoscopic surgery were analyzed retrospectively, and we observed and evaluated the efficacy and any complications during follow-up.

Results

The average age of the 39 patients was 44.1 years (range, 18–61 years), and the disease history ranged from 1 month to 20 years, with a median duration of 24 months. All of the patients were observed by urethrocystoscopy, which showed 38 cases of posterior urethral hemangioma (PUH) or abnormal varicose vessels, and 1 case of anterior urethral hemangioma. Of these, 18 patients underwent transurethral resection of urethral hemangioma, and 21 patients underwent transurethral electrocauterization. Postoperative follow-up ranged from 1 to 56 months, with a median of 16 months. The symptoms disappeared in 37 patients and recurred in 2 patients two to 3 months after the operation. The two recurrent patients were treated again by transurethral electrocauterization, and their symptoms then disappeared.

Conclusions

PUH is the most common cause of hematospermia with postejaculatory hematuria. Herein, we demonstrated that transurethral resection or electrocauterization provides a safe, effective, and minimally invasive method for the treatment of PUH.
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Metadata
Title
Clinical characteristics and endoscopic treatment of hematospermia with postcoital hematuria
Authors
Zao-Ming Huang
Yan-Feng Li
Qi Wang
Yong Zhang
Yong Luo
Zhi-Lin Nie
Ke Li
Qing-Xing Feng
Xu-Dong Liu
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Urology / Issue 1/2020
Electronic ISSN: 1471-2490
DOI
https://doi.org/10.1186/s12894-020-00646-x

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