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Huang ZM, Li YF, Wang Q, Zhang Y, Luo Y, Nie ZL, Li K, Feng QX, Liu XD. Clinical characteristics and endoscopic treatment of hematospermia with postcoital hematuria. BMC Urol 2020; 20:78. [PMID: 32600309 PMCID: PMC7325095 DOI: 10.1186/s12894-020-00646-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2020] [Accepted: 06/19/2020] [Indexed: 11/10/2022] Open
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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Affiliation(s)
- Zao-Ming Huang
- Department of Urology, Daping Hospital, Army Medical University, No.10, Daping Changjiangzhilu, Yuzhong District, Chongqing, 400042, China
| | - Yan-Feng Li
- Department of Urology, Daping Hospital, Army Medical University, No.10, Daping Changjiangzhilu, Yuzhong District, Chongqing, 400042, China.
| | - Qi Wang
- Department of Urology, Chongqing Renji Hospital, University of Chinese Academy of Sciences, Chongqing, 400062, China
| | - Yong Zhang
- Department of Urology, Daping Hospital, Army Medical University, No.10, Daping Changjiangzhilu, Yuzhong District, Chongqing, 400042, China
| | - Yong Luo
- Department of Urology, Daping Hospital, Army Medical University, No.10, Daping Changjiangzhilu, Yuzhong District, Chongqing, 400042, China
| | - Zhi-Lin Nie
- Department of Urology, Daping Hospital, Army Medical University, No.10, Daping Changjiangzhilu, Yuzhong District, Chongqing, 400042, China
| | - Ke Li
- Department of Urology, Daping Hospital, Army Medical University, No.10, Daping Changjiangzhilu, Yuzhong District, Chongqing, 400042, China
| | - Qing-Xing Feng
- Department of Urology, Daping Hospital, Army Medical University, No.10, Daping Changjiangzhilu, Yuzhong District, Chongqing, 400042, China
| | - Xu-Dong Liu
- Department of Urology, Daping Hospital, Army Medical University, No.10, Daping Changjiangzhilu, Yuzhong District, Chongqing, 400042, China
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