The infection can involve the prostate gland and the seminal vesicles and this may produce urgency of micturition or haematospermia (the finding of blood in the ejaculate).

Patients with hematospermia should be evaluated by a urologist to identify or rule out medical causes.

Idiopathic hematospermia is sometimes treated with tetracycline and prostatic massage.

Complications in over 800 patients have included one episode of hematospermia and, in another patient, post-operative pain for 7 days.

Transient fever, pain, hematospermia, and hematuria are all common, as are positive urine cultures.

Hemorrhagic manifestations have been documented in only one instance, hematospermia (red-brown fluid in ejaculate).