Hopp til innhold
NHI.no
Annonse

Blod i sæden, hematospermi: Årsaker

Innhold i artikkelen

Blødningen skyldes rift i blodkar langs sædlederen eller urinrøret. Her kan noen personer ha blodårer som ligger helt i overflaten og som lett skades, og derfor blør nå og da. Kronisk betennelse av prostatakjertelen kan en sjelden gang være årsak til hematospermi, men du vil da også ha lokal smerte, vannlatingsproblemer og utflod. Infeksjoner i urinrøret kan også forårsake blodtilblanding, men da vil man vanligvis ha utflod fra urinrøet og svie ved vannlatning samtidig.

Annonse

Hos eldre personer kan blod i urinen være et tegn på ondarta sykdom. Derfor anbefales eldre som opplever blod i sæd eller urin, om å kontakte lege for en sjekk.

Vil du vite mer

Dette dokumentet er basert på det profesjonelle dokumentet Hematospermi . Referanselisten for dette dokumentet vises nedenfor

  1. Stefanovic KB, Gregg PC, Soung M. Evaluation and treatment of hematospermia. Am Fam Physician 2009; 80: 1421-7. pmid:20000304 PubMed
  2. Weiss BD, Richie JP. Hematospermia. UpToDate, last updated Jan 25, 2018. UpToDate
  3. Kumar P, Kapoor S, Nargund V.. Haematospermia - a systematic review. Ann R Coll Surg Engl 2006; 88: 339-42. pmid:16834849 PubMed
  4. Zhang XR, Gu BJ, Xu YM, et al. Transrectal ultrasonography-guided transperineal bilateral seminal vesicle puncture and continuous irrigation for the treatment of intractable hematospermia. Chin Med J (Engl) 2008; 121: 1052-4. pmid:18706259 PubMed
  5. Polito M, Giannubilo W, d'Anzeo G, Muzzonigro G. Hematospermia: diagnosis and treatment. Arch Ital Urol Androl 2006; 78: 82-5. pmid:16929612 PubMed
  6. Szlauer R, Jungwirth A. Haematospermia: diagnosis and treatment. Andrologia 2008; 40: 120-4. pmid:18336463 PubMed
  7. Leocádio DE, Stein BS. Hematospermia: etiological and management considerations. Int Urol Nephrol 2009; 41: 77-83. pmid:18563615 PubMed
  8. Ahmad I, Krishna NS. Hemospermia. J Urol 2007; 177: 1613-8. pmid:17437771 PubMed
  9. Prando A. Endorectal magnetic resonance imaging in persistent hemospermia. Int Braz J Urol 2008; 34: 171-7. pmid:18462515 PubMed
  10. Bamberger E, Madeb R, Steinberg J, et al. Detection of sexually transmitted pathogens in patients with hematospermia. Isr Med Assoc J 2005; 7: 224-7. pmid:15849868 PubMed
  11. Pal DK. Haemospermia: an Indian experience. Trop Doct 2006; 36: 61-2. pmid:16483447 PubMed
  12. Moukaddam HA, Haddad MC, El-Sayyed K, Wazzan W. Diagnosis and treatment of midline prostatic cysts. Clin Imaging 2003; 27: 44-6. pmid:12504321 PubMed
  13. Fuse H, Nishio R, Murakami K, Okumura A. Transurethral incision for hematospermia caused by ejaculatory duct obstruction. Arch Androl 2003; 49: 433-8. pmid:14555325 PubMed
  14. Aslam MI, Cheetham P, Miller MA. A management algorithm for hematospermia. Nat Rev Urol 2009; 6: 398-402. pmid:19578357 PubMed
  15. Han M, Brannigan RE, Antenor JA, et al. Association of hemospermia with prostate cancer. J Urol 2004; 172: 2189-92. pmid:15538229 PubMed
  16. Saito S. Posterior urethral hemangioma: one of the unknown causes of hematuria and/or hematospermia. Urology 2008; 71: 168.e11-4. pmid:18242389 PubMed
  17. Wang LJ, Tsui KH, Wong YC, et al. Arterial bleeding in patients with intractable hematospermia and concomitant hematuria: a preliminary report. Urology 2006; 68: 938-41. pmid:17113883 PubMed
  18. Manoharan M, Ayyathurai R, Nieder AM, Soloway MS. Hemospermia following transrectal ultrasound-guided prostate biopsy: a prospective study. Prostate Cancer Prostatic Dis 2007; 10: 283-7. pmid:17310259 PubMed
  19. Kakehi Y, Naito S; Japanese Urological Association. Complication rates of ultrasound-guided prostate biopsy: a nation-wide survey in Japan. Int J Urol 2008; 15: 319-21. pmid:18380819 PubMed
  20. Suzuki K, Nishimi D, Morioka H, Takanami M. Hematospermia associated with congenital arteriovenous malformation of internal iliac vessels. Int J Urol 2007; 14: 370-2. pmid:17470176 PubMed
  21. Maheshkumar P, Otite U, Gordon S, et al. Testicular tumor presenting as hematospermia. J Urol 2001; 165: 188. pmid:11125399 PubMed
  22. Torigian DA, Ramchandani P. Hematospermia: imaging findings. Abdom Imaging 2007; 32: 29-49. pmid:16802198 PubMed
  23. Yagci C, Kupeli S, Tok C, et al. Efficacy of transrectal ultrasonography in the evaluation of hematospermia. Clin Imaging 2004; 28: 286-90. pmid:15246480 PubMed
  24. Li L, Jiang C, Song C, et al. Transurethral endoscopy technique with a ureteroscope for diagnosis and management of seminal tracts disorders: a new approach. J Endourol 2008; 22: 719-24. pmid:18338956 PubMed
  25. Wilson C, Boyd K, Mohammed A, Little B. A single episode of haematospermia can be safely managed in the community. Int J Clin Pract 2010; 64: 1436-9. pmid:20716149 PubMed
Annonse
Annonse