benign prostate Flashcards
BPH is what weight
> 40 grams
etiology BPH
unclear, probably due to hormone changes
what areas does BPH affect most commonly
transition and periurethral zone, tho affects all
symptoms of BPH
Asymptomatic or LUTS/prostatism/bladder outlet obstruction
BPH bladder retention can lead to (3)
bladder stones, infection and kidney damage
typical sono appearance BPH
enlarged inner gland
can have distinct nodes, calcifications, Parenchymal degen cysts, retention cysts
where do we see periurethral glandular nodes of BPH move into
the bladder
standard of care for BPH
turp
other treatments of BPH
watchful waiting, medical therapy, open surgery and laser therapy
what do you need to exclude before doing TURP (3)
neurological disorders, diabetes, local urinary conditions
most prostate cysts are located
midline
parenchymal degenerative cyst most commonly associtaed with
BPH
parenchymal degenerative cyst most common in what zone
transition zone
if large, parenchymal degenerative cyst can contribute to (2)
urinary or ejaculatory obstruction
parenchymal degenerative cyst occur from
duct obstruction
parenchymal degenerative cyst can mimic ____ on DRE
Cancer
parenchymal degenerative cyst are what size
<1cm (small)
where are congenital cysts found
in on close to midline
congenital cysts are found in which ducts
mullerian/wolffian/pronephric dusts
congenital cysts have symptoms when
infected
2 types of congenital cysts
utricle and mullerian duct cysts
utricle cytcs caused by
dialation of prostatic utricle
utricle cytcs associated with
unilateral renal agenesis
utricle cytcs always where
midline
mullerian ducts cyst found where
usually more lateral
utricle and mullerian duct cysts sono appearance
thick was, tear drop shape facing vermontanum
ejaculatory duct cyst appearance
small, typically pointed both ends
ejaculatory duct cyst can cause (2)
infertility and peroneal pain
cystic neoplasms of prostate can include (2)
cystadenoma and cystadenocarcinoma
