ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ MỘT SỐ YẾU TỐ LIÊN QUAN Ở BỆNH NHÂN XUẤT TINH MÁU TẠI BỆNH VIỆN BÌNH DÂN

Abstract

Objective: To describe clinical, laboratory, and imaging characteristics and analyze factors associated with recurrent or persistent hematospermia among patients at Binh Dan Hospital.

Methods: A retrospective descriptive study with analytic components was conducted in 68 men aged 18 years or older attending the Andrology Department of Binh Dan Hospital from January 2024 to December 2025. Clinical, laboratory, and imaging data were obtained from electronic medical records; associations with recurrent/persistent hematospermia were examined in univariable analyses and expressed as crude odds ratios (ORs) with 95% confidence intervals (CIs).

Results: The median age was 46.0 (IQR 38.0–55.0) years. Recurrent or persistent hematospermia occurred in 64.7%, while 45.6% had no accompanying symptoms. Lower urinary tract symptoms (LUTS) and dysuria were present in 25.0% and 17.6%, respectively. Pyuria and microscopic hematuria were found in 14.7% and 11.8%. Among 60 patients undergoing transrectal ultrasonography (TRUS), 63.3% had at least one abnormality, most commonly prostatic calcification (28.3%). Age ≥40 years (OR=3.40; 95%CI: 1.17–9.88), LUTS (OR=5.69; 95%CI: 1.18–27.51), and abnormal TRUS findings (OR=3.22; 95%CI: 1.05–9.89) were associated with recurrent or persistent hematospermia.

Conclusion: In univariable analyses, age ≥40 years, LUTS, and abnormal TRUS findings were associated with recurrent or persistent hematospermia. These associations should be interpreted cautiously because of the retrospective design and lack of adjustment for potential confounders.