Red flags The following findings are of particular concern: Symptoms lasting > 1 month in the absence of a recent prostate biopsy Palpable lesion along the epididymis or in the prostate Travel to a region where schistosomiasis is prevalent Systemic symptoms (eg, fevers, weight loss, night sweats) Interpretation of findings Patients whose symptoms followed prostate biopsy can be reassured that the hematospermia is harmless and will go away, although it often persists for several months.