Case Report
Urologia
Received: June 3, 2013 Accepted after revision: July 31, 2013 Published online: January 11, 2014
Urol Int 2015;95:370–372 DOI: 10.1159/000354766
Internationalis
Monosymptomatic Persistent Hematospermia due to Rarely Encountered Prostatic Utricle Stones Ahmet Şalvarcı a Okan İstanbulluoğlu b
a Department of Urology, Konya Hospital, and b Department of Urology, Faculty of Medicine, Rumi University, Konya, Turkey
Key Words Prostatic utricle stones · Hematospermia
Abstract We present a young patient who had hematospermia which was unresponsive to repeated medical therapies. In this patient prostatic utricle stones were detected via pelvic and transrectal ultrasonography, the presence of the stones was confirmed by transurethral fenestration, and persistent hematospermia disappeared following surgical excision. Thus, we conclude that prostatic utricle stones might have caused hematospermia in this young patient, who had no additional pathology likely to be responsible for this condition. © 2014 S. Karger AG, Basel
vic US detects 75% of prostatic utricles, and retrograde urethrography, voiding cystometry, transrectal ultrasonography and cystoscopy can also be used for diagnosis [4–6]. Hemospermia or hematospermia is the presence of macroscopic blood in ejaculate. It may be the result of diseases of the testicles, the prostate, the vas deferens, the urethra, and the accessory glands and ducts or of Ureaplasma urealyticum and Mycoplasma hominis in the presence of pathogens as seen in the deterioration of semen quality and hematospermia [7]. In general, hematospermia is a benign condition which disappears spontaneously [8]. We would like to present this case to demonstrate the presence of rarely encountered prostatic utricle stones in a patient with hematospermia, who described blood in every ejaculate, which did not improve despite medical treatment. Furthermore, we would like to demonstrate that these stones might cause hematospermia.
Introduction
© 2014 S. Karger AG, Basel 0042–1138/14/0953–0370$39.50/0 E-Mail [email protected] www.karger.com/uin
Case Report A 26-year-old single male patient described bloody ejaculate having persisted for 4.5 years despite various medical treatments. He reported that the ejaculate was partially or completely bloody at every ejaculation. Physical examination revealed no pathology of the extragenital organs, secondary sex characters and prostate. Preoperative leukocytes and urine culture, Escherichia coli
Ahmet Şalvarcı, MD Department of Urology, Konya Hospital Şemsi Tebrizi Mh., Şerafettin Cd No:95 Karatay TR–42103 Konya (Turkey) E-Mail drsalvarci @ hotmail.com
Downloaded by: Univ.of Adelaide 129.127.145.224 - 1/3/2018 12:42:11 AM
The prostatic utricle is found in the posterior urethra of males and originates from müllerian ducts and urogenital sinus, which correspond to the uterus [1]. An infected enlarged prostatic utricle may cause urinary tract infection, stone formation, urinary obstruction, hematuria and recurrent epididymitis and may also lead to infertility, calcification and neoplastic degeneration [2, 3]. Pel-
Fig. 3. Fenestration of prostatic utricle.
>105 CFU/ml in urine samples, were observed. Postoperative urine cultures were negative. The microbiological examination of ejaculate before and after surgery revealed no infection. The complete blood count was unremarkable. Total PSA was 0.53 ng/ml, β-HCG was
Urologia
Received: June 3, 2013 Accepted after revision: July 31, 2013 Published online: January 11, 2014
Urol Int 2015;95:370–372 DOI: 10.1159/000354766
Internationalis
Monosymptomatic Persistent Hematospermia due to Rarely Encountered Prostatic Utricle Stones Ahmet Şalvarcı a Okan İstanbulluoğlu b
a Department of Urology, Konya Hospital, and b Department of Urology, Faculty of Medicine, Rumi University, Konya, Turkey
Key Words Prostatic utricle stones · Hematospermia
Abstract We present a young patient who had hematospermia which was unresponsive to repeated medical therapies. In this patient prostatic utricle stones were detected via pelvic and transrectal ultrasonography, the presence of the stones was confirmed by transurethral fenestration, and persistent hematospermia disappeared following surgical excision. Thus, we conclude that prostatic utricle stones might have caused hematospermia in this young patient, who had no additional pathology likely to be responsible for this condition. © 2014 S. Karger AG, Basel
vic US detects 75% of prostatic utricles, and retrograde urethrography, voiding cystometry, transrectal ultrasonography and cystoscopy can also be used for diagnosis [4–6]. Hemospermia or hematospermia is the presence of macroscopic blood in ejaculate. It may be the result of diseases of the testicles, the prostate, the vas deferens, the urethra, and the accessory glands and ducts or of Ureaplasma urealyticum and Mycoplasma hominis in the presence of pathogens as seen in the deterioration of semen quality and hematospermia [7]. In general, hematospermia is a benign condition which disappears spontaneously [8]. We would like to present this case to demonstrate the presence of rarely encountered prostatic utricle stones in a patient with hematospermia, who described blood in every ejaculate, which did not improve despite medical treatment. Furthermore, we would like to demonstrate that these stones might cause hematospermia.
Introduction
© 2014 S. Karger AG, Basel 0042–1138/14/0953–0370$39.50/0 E-Mail [email protected] www.karger.com/uin
Case Report A 26-year-old single male patient described bloody ejaculate having persisted for 4.5 years despite various medical treatments. He reported that the ejaculate was partially or completely bloody at every ejaculation. Physical examination revealed no pathology of the extragenital organs, secondary sex characters and prostate. Preoperative leukocytes and urine culture, Escherichia coli
Ahmet Şalvarcı, MD Department of Urology, Konya Hospital Şemsi Tebrizi Mh., Şerafettin Cd No:95 Karatay TR–42103 Konya (Turkey) E-Mail drsalvarci @ hotmail.com
Downloaded by: Univ.of Adelaide 129.127.145.224 - 1/3/2018 12:42:11 AM
The prostatic utricle is found in the posterior urethra of males and originates from müllerian ducts and urogenital sinus, which correspond to the uterus [1]. An infected enlarged prostatic utricle may cause urinary tract infection, stone formation, urinary obstruction, hematuria and recurrent epididymitis and may also lead to infertility, calcification and neoplastic degeneration [2, 3]. Pel-
Fig. 3. Fenestration of prostatic utricle.
>105 CFU/ml in urine samples, were observed. Postoperative urine cultures were negative. The microbiological examination of ejaculate before and after surgery revealed no infection. The complete blood count was unremarkable. Total PSA was 0.53 ng/ml, β-HCG was
