Mr Bradley is a 41 year old electrician who has been noticing blood in his semen. He first noticed this four weeks ago and has had a further four episodes since. He denies any urethral discharge or urinary symptoms and has been married for 5 years. Mr Bradley is otherwise fit and well, he is a non-smoker and drinks approximately 14 units of alcohol a week. Blood pressure is 131/82. Examination including abdomen, prostate and testes examination is unremarkable. Urine dipstick is negative.

What is the most appropriate next step?

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