Abstract
The purpose of this study was to illustrate the spectrum of abnormalities found at endorectal coil magnetic resonance (MR) imaging in patients with hemospermia. Ninety patients aged between 23 and 71 years (mean age 41 years) presenting with hemospermia underwent evaluation with endorectal coil MR imaging at 1.5 T. Duration of hemospermia ranged between 5 days and 4 years (mean 15 months). MR examination protocol included T1-weighted spin-echo (SE) and T2-weighted fast SE MR images obtained in the sagittal, coronal, and axial planes. Abnormalities were observed on endorectal-coil MR images in 49 of 90 patients (54%). Blood within the seminal vesicle or the ejaculatory duct was recognized in 23 of 90 patients (25%). Dilatation of the seminal vesicles or the ejaculatory duct was observed in 31 of 90 patients (34%). Cystic lesions were identified in 14 cases, eight of which involved the utriculus and six the ejaculatory duct. Calculi within the seminal vesicles were depicted in seven patients. No malignant disease was demonstrated. In conclusion, despite the evidence that hemospermia is most often a benign and self-limiting condition, we found that endorectal coil MR imaging can detect abnormal findings in more than half of the patients, and may be helpful in assessing the level at which hemorrhage occurred and in defining the cause of the disease.
Similar content being viewed by others
References
Yu HH, Wong KK, Lim TK, Leong CH. Clinical study of hemospermia. Urology 1977;10:562–3.
Fletcher MS, Herzberg Z, Pryor JP. The aetiology and investigation of haematospermia. Br J Urol 1981;53:669–71.
Koment RW, Poor PM. Infection by human cytomegalovirus associated with chronic hematospermia. Urology 1983;22:617–21.
Van Poppel H, Vereecken R, DeGeeter P, Verduyn H. Hematospermia owing to utricular cyst: embryological summary and surgical review. J Urol 1983;129:608–9.
Marshall VF, Fuller NL. Hematospermia. J Urol 1983;129:377–98.
Banner MP, Hassler R. The normal seminal vesiculogram. Radiology 1978;128:339–44.
Littrup PJ, Lee F, McLeary RD, Wu D, Lee A, Kumasaka GH. Transrectal US of the seminal vesicles and ejaculatory ducts: clinical correlation. Radiology 1988;168:625–8.
King BF, Hattery RR, Lieber MM, Williamson B Jr., Hartman GW, Berquist TH. Seminal vesicles imaging. Radiographics 1989;9:653–76.
Carter SS, Shinohara K, Lipshultz LI. Transrectal ultrasonography in disorders of seminal vesicles and ejaculatory ducts. Urol Clin North Am 1989;16:773–90.
Higashi TS, Takizawa K, Suzuki S, et al. Muellerian duct cyst: ultrasonographic and computed tomographic spectrum. Urol Radiol 1990;12:39–44.
Belker AM, Steinbock GS. Transcrectal prostate ultrasonography as a diagnostic and therapeutic aid for ejaculatory duct obstruction. J Urol 1990;144:356–8.
Worischeck JH, Parra RO. Chronic hematospermia: assessment by transrectal ultrasound. Urology 1994;43:515–20.
Schiebler ML, Schnall MD, Pollack HM, et al. Current role of MR imaging in the staging of adenocarcinoma of the prostate. Radiology 1993;189:339–52.
Quinn SF, Franzini DA, Demlow TA, et al. MR imaging of prostate cancer with an endorectal surface coil technique: correlation with whole-mount specimens. Radiology 1994;190:323–7.
Tempany CM, Zhou X, Zerhouni EA, et al. Staging of prostate cancer: results of radiology diagnostic oncology group project comparison of three MR imaging techniques. Radiology 1994;192:47–54.
Outwater EK, Petersen RO, Siegelman ES, Gomella LG, Chernesky CE, Mitchell DG. Prostate carcinoma: assessment of diagnostic criteria for capsular penetration on endorectal coil MR images. Radiology 1994;193:333–9.
White S, Hricak H, Forstner R, et al. Prostate cancer: effect of postbiopsy hemorrhage on interpretation of MR images. Radiology 1995;195:385–90.
Bartolozzi C, Menchi I, Lencioni R, et al. Local staging of prostate carcinoma with endorectl coil MRI: correlation with whole mount radical prostatectomy specimens. Eur Radiol 1996;6:339–45.
Huch Bni RA, Boner JA, Ltolf UM, Trinkler F, Pestalozzi DM, Krestin GP. Contrast-enhanced endorectal coil MRI in local staging of prostate carcinoma. J Comput Assist Tomogr 1995;19:232–7.
Lencioni R, Menchi I, Paolicchi A, Carini M, Amorosi A, Bartolozzi C. Prediction of pathological tumor volume in clinically localized prostate cancer: value of endorectal coil magnetic resonance imaging. MAGMA 1997;5:117–21.
Secaf E, Nuruddin RN, Hricak H, Demas B. MR imaging of the seminal vesicles. Am J Rad 1991;156:989–94.
Maeda H, Toyooka N, Kinukawa T, Hattori R, Furukawa T. Magnetic resonance images of hematospermia. Urology 1993;41:499–504.
Cho IR, Lee MS, Rha KH, Hong, SJ, Park SS, Kim MJ. Magnetic resonance imaging in hemospermia. J Urol 1997;157:258–62.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Lencioni, R., Ortori, S., Cioni, D. et al. Endorectal coil MR imaging findings in hemospermia. MAGMA 8, 91–97 (1999). https://doi.org/10.1007/BF02590525
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02590525