Male post-coital gross hematuria: are there any complications?

BackgroundMale post-coital gross hematuria is an unsettling condition, and various causes have been reported. However, despite the clinical investigation of this disease, many questions remain unresolved. The objective of this study was to analyze clinical features of male patients displaying post-coital massive hematuria.Materials and MethodsFrom 2002 to 2010, 15 males complaining of massive hematuria following sexual intercourse presented to our clinic. Backgrounds and general conditions were analyzed. Furthermore, medical findings and clinical course were evaluated.ResultsThe mean age of the 15 patients was 45.0 ± 15.1 (range = 26–70) years. Three patients exhibited bladder tamponade, which necessitated the removal of blood clots from the urinary bladder by trans-urethral irrigation. Hematospermia was observed in four subjects. Anti-coagulation agents were administered in three cases. Benign prostatic hyperplasia and cystic lesion of the prostate were diagnosed in three and one patient, respectively. Positive urine cytology was not detected. Treatment for post-coital gross hemorrhage included administration of antibiotics, hemostatic agents, and careful observation. Ten patients experienced recurrent post-coital gross hematuria; however, this condition generally resolved without serious complications.ConclusionsMale post-coital gross hematuria is an unsettling condition characterized by occasional recurrence. However, no serious underlying diseases were observed.