Canine Flash Notes - Prostatic Disease Flashcards
what is the common signalment of dogs affected with prostatic disease?
most dogs around 8 years with tumors 10 & up - dobermans have a higher incidence of all prostatic diseases, usually intact males (neutered males can equally have prostatic neoplasia)
what clinical signs are seen with all prostatic diseases?
tenesmus, dysuria, preputial (urethral) discharge, & prostatomegaly
what signs are seen with squamous metaplasia of the prostate?
testicular mass with atrophy of contralateral testis, alopecia, pigmentation, gynecomastia, pendulous prepuce/scrotum, & pale mucus membranes
what dogs are commonly affected with acute prostatic abscesses? what about chronic?
younger intact male dogs will get systemic illness, chronic - usually older males
what is the most common bacterial isolate from prostatic diseases?
e. coli
what testing is done for brucella in dogs with prostatic diseases?
screen with card or rapid slide agglutination or IFA/TAT - false positives are common, but negatives are reliable
what is the treatment of choice for BPH?
castration - finasteride can help as well
what is the treatment of choice for prostatic abscesses & cysts?
ultrasound guided or surgical drainage of abscesses & cysts with omentalization
what is the prognosis of BPH & intraprostatic cysts?
excellent with castration
what is the prognosis of prostatitis?
fair
what is the prognosis for a prostatic abscess?
guarded to poor
what is the prognosis for prostatic neoplasia?
poor - they are invasive & advanced at the time of diagnosis
how is prostatic disease prevented?
early castration in dogs
why is early castration in male ferrets avoided?
early castration is associated with the development of prostatic disease
what diagnostics are indicated when prostatic disease is suspected?
urinalysis/culture, digital rectal palpation, ultrasound, abdominal rads, retrograde urethrocystogram, prostate cytology/fluid culture, & brucella testing