Is Blood in Semen Normal After Ureteroscopy and Double J Stent Removal?

Q: Is Blood in Semen Normal After Ureteroscopy and Double J Stent Removal?

Hello： If there is no pain during urination and no large blood clots, and urination is gradually returning to normal, that is fine. <br>Some urinary surgeries may have slight effects, but if these symptoms persist after 7 days, a follow-up appointment is necessary.

Hematospermia

I just underwent ureteroscopy for stone fragmentation and had my double J stent removed.
Is it normal to have blood in my semen two days later?

Zhengde, 20~29 year old female. Ask Date: 2017/05/06

Dr. Du Shixi reply Urology

Hello: If there is no pain during urination and no large blood clots, and urination is gradually returning to normal, that is fine.
Some urinary surgeries may have slight effects, but if these symptoms persist after 7 days, a follow-up appointment is necessary.

Reply Date: 2017/05/06

More Info

Experiencing blood in semen (hematospermia) after undergoing ureteroscopy and the removal of a Double J (DJ) stent can be concerning, but it is not uncommon. The presence of blood in semen can occur due to several reasons, particularly following procedures involving the urinary tract and reproductive system.

Firstly, it is essential to understand that ureteroscopy involves the insertion of a scope through the urethra and bladder into the ureter to remove stones or other obstructions. This procedure can cause trauma to the urethra, bladder, and surrounding tissues, which may lead to bleeding. The removal of a DJ stent, which is typically placed to allow urine to flow from the kidney to the bladder when there is a blockage, can also cause irritation and minor trauma to the urinary tract. This irritation can lead to bleeding that may manifest as blood in the urine (hematuria) or, in some cases, blood in the semen.

Blood in semen can occur due to the following reasons:
1. Trauma from the Procedure: The ureteroscopy and the subsequent removal of the DJ stent can cause minor trauma to the reproductive tract, including the prostate and seminal vesicles. This trauma can lead to bleeding, which may appear in the semen.

2. Inflammation or Infection: Post-procedural inflammation or infection can also contribute to bleeding. If there is any irritation or infection in the urinary tract or reproductive system, it can lead to blood being present in the semen.

3. Vascular Changes: The manipulation of tissues during the procedure can cause temporary changes in blood vessels, leading to bleeding.

Typically, if the bleeding is mild and resolves within a few days, it is often considered normal and not a cause for concern. However, if the bleeding persists, increases in volume, or is accompanied by other symptoms such as pain, fever, or difficulty urinating, it is crucial to seek medical attention.
In terms of duration, blood in the semen following such procedures may last for a few days to a week. If you notice that the bleeding continues beyond this period or if you have any concerns, it is advisable to follow up with your healthcare provider. They may recommend further evaluation, such as a physical examination, ultrasound, or other imaging studies, to rule out any complications.

In summary, while blood in semen after ureteroscopy and DJ stent removal can be a normal occurrence due to the reasons mentioned above, it is essential to monitor the situation closely. If the bleeding persists or worsens, do not hesitate to consult your healthcare provider for further evaluation and management.

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