Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic workup
- Transrectal prostate ultrasonography (TRUS; ultrasound using an ultrasound probe inserted into the rectum) including examination of the two seminal vesicles (glandula vesiculosa, vesicula seminalis); in more than 80% of cases of hemospermia, there is visually detectable pathology
- Scrotal sonography (synonyms: testicular sonography; testicular ultrasound); method of examination of the scrotal organs testes and epididymis with ultrasound.
- Computed tomography (CT) or magnetic resonance imaging (MRI) – for diagnosis and localization of, for example, cysts or calcifications of the male adnexa.
- Urethroscopy (urethroscopy) – to exclude urethral diseases such as urethral strictures, urethral anomalies.
- Cystoscopy (cystoscopy of the bladder)
- Prostate biopsy (tissue sampling from the prostate).