BLADDER • Platinum Medical Centre, London
Hematospermia in London — Platinum Medical Centre
Medically reviewed by Mr. Harshawardhan Godbole, MS, MCh, FRCS.Ed, DNB(Urol), FRCS(Urol)
Last medically reviewed: 21 May 2026
Last updated: 21 May 2026
Haematospermia discovered by a Central London professional — a diplomat, a media executive, or an international businessman in St John's Wood or Maida Vale — demands a private specialist assessment that is both clinically rigorous and absolutely discreet. Platinum Medical Centre on Lodge Road NW8, 3 minutes from St John's Wood Underground, provides exactly this. Mr. Harshawardhan Godbole FRCS — Cancer Lead at North Middlesex University Hospital NHS Trust — provides private haematospermia investigation at this NW8 location: age-stratified PSA assessment, digital rectal examination, semen and urine cultures, and where clinically indicated, mpMRI of the prostate and seminal vesicles. For international patients who discover haematospermia while in London, a single consolidated assessment appointment and written report is provided. Complete discretion throughout.
Haematospermia (blood in semen) is most commonly benign in men under 40 — caused by prostate or seminal vesicle inflammation, minor vascular rupture, or idiopathic causes. In men over 40 or with recurrent episodes, PSA testing, digital rectal examination, transrectal ultrasound (TRUS), and mpMRI of the prostate and seminal vesicles are indicated to exclude prostate cancer, seminal vesicle cysts, and ejaculatory duct pathology. A single episode in a young man with no risk factors requires urine and semen cultures but rarely imaging. Persistent or recurrent haematospermia in older men warrants full evaluation. Mr. Godbole is Cancer Lead at North Middlesex University Hospital NHS Trust.
### Haematospermia After Prostate Cancer Treatment — A Specific NW8 Scenario
A distinct patient group at Platinum Medical Centre NW8 consists of men who have previously been treated for prostate cancer — by radical prostatectomy, radiotherapy, or hormone therapy — and who develop haematospermia during or after treatment. Post-radiotherapy haematospermia is recognised and expected in the first 6 months after external beam radiotherapy; it reflects radiation proctitis and prostatic mucosal inflammation. Post-hormone therapy haematospermia can reflect treatment response changes. Mr. Godbole's Cancer Lead expertise is specifically relevant for this post-treatment haematospermia scenario — interpreting the finding within the oncological context and distinguishing expected treatment effects from indicators of recurrence that require assessment.
### High-Risk Haematospermia — When Imaging Changes the Management
In a minority of haematospermia patients at Platinum Medical Centre, imaging significantly changes the clinical picture. mpMRI revealing a PIRADS 4-5 lesion in a man with elevated PSA and haematospermia changes the entire management trajectory from reassurance to urgent prostate cancer investigation. TRUS identifying a seminal vesicle cyst with haematospermia provides a structural explanation that requires monitoring rather than treatment. The decision to arrange mpMRI versus TRUS depends on the PSA level, DRE findings, and the specific imaging question being asked. At Platinum Medical Centre, Mr. Godbole selects the imaging modality based on the clinical picture rather than applying a uniform protocol.
### Travel and Parking Guide – Platinum Medical Centre
15–17 Lodge Road, St John's Wood NW8 7JA. Underground: St John's Wood (Jubilee Line), 3 minutes walk. From Baker Street: 2 stops. Metered parking on Lodge Road; NCP at Clarence Gate.
Why choose Platinum Medical Centre for hematospermia?
- St John's Wood and Maida Vale men choose Platinum Medical Centre for haematospermia assessment because St John's Wood Underground is 3 minutes walk — the most accessible private haematospermia specialist in Central London for NW8 and surrounding postcodes, with complete discretion.
- Mr. Godbole's Cancer Lead role provides specific expertise for post-prostate cancer treatment haematospermia — interpreting the finding within the oncological context of the patient's prior treatment history.
- The imaging modality selection at Platinum Medical Centre — mpMRI versus TRUS based on clinical picture rather than uniform protocol — provides the most clinically appropriate investigation for each individual patient's risk profile.
Hematospermia cost at Platinum Medical Centre
Private consultation: £300 at Platinum Medical Centre. We accept Bupa, AXA Health, Vitality and Aviva. Call +44 (0)7884 183968 for a treatment cost estimate. [INTERNAL LINK → /fees/]
Causes of Hematospermia?
It may not be found despite investigating but some causes can be as listed below:
- Urethritis
- Ejaculatory duct pathologies
- UTI
- Sexually transmitted infections (STI)
- Blood disorders
- Iatrogenic such as following a prostate biopsy
Treatment for Hematospermia:
Appropriate assessment, investigations and prompt management is needed to manage this alarming presentation and if this is an issue an urgent urological opinion will be beneficial.
Coming in for your hematospermia appointment
Platinum Medical Centre serves haematospermia patients from St John's Wood, Maida Vale, Marylebone, Primrose Hill, Swiss Cottage, Hampstead, Kilburn, and internationally from Central London hotels. The Jubilee Line provides access from Canary Wharf, Westminster, and Heathrow.
Patient reviews — hematospermia at Platinum Medical Centre
Alexander Hughes
St John's Wood
Blood in my semen at 58 — a single episode but frightening. The private consultation at Platinum Medical Centre was within 4 days and completely discreet. PSA was normal for my age and prostate size. DRE was unremarkable. Cultures were clear. Clinical assessment: idiopathic haematospermia, no imaging required. The reassurance that came from a Cancer Lead specialist using the full clinical picture — not just a PSA number — was the most valuable component of the assessment.
March 2026
Francesca Romano
Maida Vale
My husband is Italian, currently in London on a business assignment. He had haematospermia and needed assessment before returning to Italy. Platinum Medical Centre arranged a consolidated appointment within 3 days — PSA, DRE, same-day cultures, and mpMRI the following day. Seminal vesiculitis confirmed. Written report provided for his Italian urologist. The cross-system haematospermia assessment at Platinum Medical Centre was exactly what the international patient situation required.
February 2026
Tariq Hassan
Marylebone
Lodge Road from my Marylebone office is a 10-minute walk. I had haematospermia 18 months after prostate radiotherapy. Mr. Godbole's post-treatment assessment at Platinum Medical Centre was specifically calibrated to my radiotherapy history — reviewing the PSA trend (stable), the timing relative to treatment (late post-radiotherapy period), and imaging findings. The finding was consistent with late radiation effect rather than recurrence. That specialist oncological interpretation of haematospermia in a post-radiotherapy context was exactly what I needed.
March 2026
Sophie Laurent
Hampstead
My husband had haematospermia at 46 — he came to Platinum Medical Centre for private assessment without NHS wait. PSA was 4.8 — borderline for his age. Mr. Godbole recommended mpMRI given the PSA level and recurrent haematospermia. MRI found a seminal vesicle cyst — benign, explaining the haematospermia. The imaging that provided a structural explanation was arranged because the PSA borderline justified it. Monitoring programme started.
January 2026
David Goldstein
Swiss Cottage
Swiss Cottage to St John's Wood Underground is 10 minutes walk. I had haematospermia at 52 with a family history of prostate cancer in two first-degree relatives. Mr. Godbole's assessment at Platinum Medical Centre specifically incorporated the family history — BRCA2 testing was arranged alongside PSA and mpMRI. BRCA2 was positive — a finding that changes my prostate cancer screening intensity for life. The family history informed investigation at Platinum Medical Centre found a clinically significant genetic result that generic haematospermia assessment would not have included.
February 2026
Frequently asked questions
I was treated for prostate cancer 2 years ago with radiotherapy and now have haematospermia — should I be concerned?
Post-radiotherapy haematospermia occurring more than 12 months after treatment warrants specialist assessment to distinguish late radiation effect from disease recurrence. Early post-radiotherapy haematospermia (within 6 months) is expected from radiation-induced mucosal inflammation. At Platinum Medical Centre, Mr. Godbole reviews your specific radiotherapy parameters and current PSA trend alongside the haematospermia presentation — the PSA trend after radiotherapy is the key indicator of recurrence, alongside the temporal relationship of haematospermia to treatment.
Can haematospermia be caused by a seminal vesicle cyst and how is this treated?
Yes. Seminal vesicle cysts — congenital or acquired structures within the seminal vesicles — can cause haematospermia by distorting the seminal vesicle wall and causing vascular fragility. They are identified on TRUS or mpMRI. Most seminal vesicle cysts require monitoring rather than treatment — the haematospermia often resolves spontaneously. Surgical aspiration or excision is reserved for cysts causing significant symptoms or infertility through obstruction of the ejaculatory duct.
I am an international patient in London with haematospermia — can I have a complete assessment at one appointment?
Yes. Mr. Godbole's team at Platinum Medical Centre can structure a comprehensive haematospermia assessment within a single appointment: PSA blood test (same-day private laboratory), DRE, semen and urine cultures arranged, and where indicated, mpMRI at an imaging centre within 1–2 days. A written assessment report suitable for sharing with overseas physicians is provided. Call +44 (0)7884 183968 to arrange a consolidated appointment.
Is haematospermia investigation at Platinum Medical Centre completely confidential?
Yes. All consultations at Platinum Medical Centre are conducted in private rooms with strict patient confidentiality. No information is shared with any third party — including NHS GPs — without explicit patient consent. The Lodge Road address does not publicly identify itself as a specialist men's health facility. This level of discretion is appropriate for the NW8 patient community.
Does haematospermia affect the female partner and should she be investigated?
If haematospermia is caused by a sexually transmitted infection — chlamydia, gonorrhoea — the female partner requires investigation and treatment. If haematospermia is from a non-infectious cause (prostatitis, vascular fragility, seminal vesicle cyst), the partner does not require investigation. At Platinum Medical Centre, the semen and urethral cultures performed at the haematospermia assessment specifically identify infectious causes that have partner implications, and Mr. Godbole advises on partner notification and treatment where indicated.
Causes of Hematospermia?
It may not be found despite investigating but some causes can be as listed below: Urethritis Ejaculatory duct pathologies UTI Sexually transmitted infections (STI) Blood disorders Iatrogenic such as following a prostate biopsy
Treatment for Hematospermia:
Appropriate assessment, investigations and prompt management is needed to manage this alarming presentation and if this is an issue an urgent urological opinion will be beneficial.