Haemospermia is an alarming symptom but does it signify serious diseas
e and how should it be investigated? A retrospective review of 44 men
showed no evidence of malignancy and infection as the commonest cause.
Standard investigation with midstream specimen of urine, intravenous
pyelogram and cystoscopy is unhelpful. Microscopy and culture of a fir
st stream specimen of urine or expressed prostatic secretions is the i
nvestigation of choice. Cystoscopy should be reserved for patients wit
h recurrent haemospermia.