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Spermaturia is a medical condition characterized by the presence of sperm in urine. It is often a symptom of other underlying health issues, such as prostatitis, urethritis, or epididymitis.

Causes

The primary cause of spermaturia is retrograde ejaculation, a condition where semen enters the bladder instead of exiting through the penis during ejaculation. Other causes can include:

• Prostatitis: An inflammation or infection of the prostate gland.
• Urethritis: An inflammation of the urethra, often caused by sexually transmitted infections.
• Epididymitis: An inflammation of the epididymis, a tube located at the back of the testicles.

Symptoms

The main symptom of spermaturia is the presence of sperm in urine. Other symptoms can vary depending on the underlying cause and may include:

• Pain or discomfort in the pelvic area
• Frequent urination
• Painful ejaculation
• Blood in the urine or semen

Diagnosis

Diagnosis of spermaturia typically involves a physical examination and a review of the patient's medical history. Additional tests may include:

• Urinalysis: A test to check for the presence of sperm in the urine.
• Ultrasound: An imaging test to check for abnormalities in the urinary tract.
• Cystoscopy: A procedure to examine the inside of the bladder and urethra.

Treatment

Treatment for spermaturia depends on the underlying cause. Options may include:

• Antibiotics: To treat infections causing inflammation.
• Alpha blockers: To relax the muscles in the prostate and bladder neck.
• Surgery: In severe cases, surgery may be required to correct structural abnormalities.

See Also

• Retrograde ejaculation
• Prostatitis
• Urethritis
• Epididymitis

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