Hematospermia (blood in semen) can be a fearful experience for any male. However, in the absence of pathology, most hemospermia are often self-limiting and will resolve by itself.

Causes of Hematospermia?

The common accompanying sign and symptoms are such as:

  • Increased urinary frequency 
  • Painful urination 
  • Fever 
  • Redness over penile head 
  • Swollen inguinal lymph nodes
  • Redness or rash over penile head

Grade 1

Penis is larger but not hard

Grade 2

Penis is hard but not enough for penetration

Grade 3

Penis is hard enough for penetration but not completely hard

Grade 4

Penis is completely hard
Medication
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Hydrocortisone/ steroid cream

Steroid cream helps soften and reduce inflammation of foreskin- this may help reduce tightness of foreskin to a certain degree.

Usage Method:
Depending on product, however in general 2-3 times a day for at least up to one month

Common side effects:
Steroids may cause recurrent infection at site of application as it suppresses local immunity response.

Treatment

Surgery

Circumcision

Principle of therapy:
Circumcision is a procedure that removes the foreskin from the human penis. In the most common form of the operation, the foreskin is extended with forceps, then a circumcision device may be placed, after which the foreskin is excised.

Duration of Surgery:
45 minutes to 1 hour

Pre-procedure preparation: Advisable to come with a family member/friend. Prior topical anaesthesia will be given to be applied over penile shaft and base to reduce pain during surgery and nerve block injection.

Post-procedure care:
Minimal bleeding is normal post circumcision. Compression bandage and bed rest may be advised during first day post procedure. Wound would be bandaged for at least 3 days. Wound inspection would be done on day 3 after surgery, after which bandage would be removed and further follow up usually not required unless further complications should happen. Wound should be kept dry at all times after surgery. Make sure to dry/ blow dry with hair dryer after shower. Sutures used are usually absorbable suture – no need for removal.

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