Pardeep Kumar Mittal MD, Presenter: Nothing to Disclose

Juan Camilo Camacho, Abstract Co-Author: Nothing to Disclose

Nima Kokabi MD, Abstract Co-Author: Nothing to Disclose

William C. Small MD, PhD, Abstract Co-Author: Nothing to Disclose

Kiran Kumar Maddu MBBS, Abstract Co-Author: Nothing to Disclose

Courtney Ann Coursey Moreno MD, Abstract Co-Author: Nothing to Disclose

1.To demonstrate   hematospermia (HS) is an idiopathic and self-limiting anxiety provoking condition but MRI plays an important role in the diagnostic workup of men with persistent HS and to discuss potential etiologies. 2.To review  image appearance of associated pathologies and role of MRI in evaluating conditions causing hematospermia

Pathophysiology of hematospermia: Etiologies of HS: • Congenital (seminal vesicle cyst, mullerian duct /ejaculatory duct cyst) • Infection/inflammation (cystitis, prostatitis, epididymo-orchitis) • Neoplasm (bladder, prostate, testicular and urethral cancer) • Iatrogenic (biopsy, radiation, instrumentation, etc.) • Trauma MRI is the modality of choice for diagnosing HS due to its superior contrast resolution , multiplanar imaging capabilities, and ability to resolve small caliber structures (such as ejaculatory ducts, vasa deferentia, internal architecture of prostate, etc). SUMMARY MR plays an important role in the diagnostic workup of patients with persistent HS and  associated signs and symptoms of the disease. In addition, there is no ionizing radiation involved with MR imaging. Attendees will gain an appreciation for the wide variety of conditions encountered in HS at imaging.  

http://abstract.rsna.org/uploads/2014/14007212/14007212_tq7u.pdf

Mittal, P, Camacho, J, Kokabi, N, Small, W, Maddu, K, Coursey Moreno, C, When Diagnostic Workup Is Needed: Hematospermia at Magnetic Resonance Imaging.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14007212.html