Warning

Services available

Advice where required via clinical mailbox:  aa.clinicalurologyayrhospital@aapct.scot.nhs.uk

Urgent cancer suspected (UCS), urgent or routine outpatient referrals via SCI gateway.

Intro/background

Haematospermia is an alarming symptom, but rarely associated with malignancy and most patients can be reassured, particularly for an isolated episode in younger men. STIs and infection needs to be considered, and a full history and examination are required. Rarely, haematospermia can be associated with urological cancers in older men. Uncontrolled hypertension is cited as another cause.

Assessment

Haematospermia pathway 1

1. NHSGGC. Haematospermia. 

Reproduced with kind permission of NHSGGC.

When & how to refer

SCI Gateway to Urology.

Editorial Information

Last reviewed: 14/11/2025

Next review date: 14/11/2027

Author(s): Urology consultants.

Version: 01.0

Approved By: Urology Directorate Governance Group