Diseases of the Prostate Flashcards
what are the types of prostatic disease?
benign prostatic hypertrophy
bacterial infections
cysts
neoplasia
what are the clinical signs of prostatic disease?
tenesmus
urinary signs (uncommon)
urethral discharge independent of urinatin
abdominal distension
systemic signs of infection
what can be found on physical exam with benign prostatic hypertrophy?
symmetrically enlarged
bilobed
normal texture
non-painful
what can be found on physical exam with prostatic abscesses?
increased size
asymmetric
painful
severe systemic signs
what can be found on physical exam with prostatic cysts?
mild to severe increased size
asymmetric
non-painful
what are the prostatic neoplasias?
adenocarcinoma
transitional cell carcinoma (most common)
what can be found on physical exam with prostatic neoplasia?
increased size
asymmetric
firm
very painful
what antibiotics achieve high concentrations in the prostate?
trimethoprim/sulfa
chloramphenicol
cephalosporins
fluoroquinolones
what are the therapy options for prostatic neoplasia?
surgical excision not usually possible
chemotherapy
radiation
treat transitional cell carcinoma as would anywhere else
what are the advantages of performing a prostatic wash/massage?
simple
inexpensive
what are the disadvantages of performing a prostatic wash/massage?
may not yield specific diagnosis
may not be technically possible in large dog
contraindicated with acute prostatitis or abscess
what can be seen on ultrasound with benign prostatic hypertrophy?
normal to increased echogenicity
may see small cysts
when is bacterial prostatitis firm or soft?
soft: acute bacterial prostatitis
firm: chronic bacterial prostatitis
what is chronic bacterial prostatitis like on exam?
variable size
symmetrical
firm
non-painful
what is prostatic abscess like on exam?
increased size
asymmetric
painful
