Disorders Of The Prostate Flashcards
What is prostatitis?
Inflammation of prostate
What organisms cause acute + chronic prostatitis?
E. coli
Staphylococcus species
STIs pathogens
Describe acute prostatitis
Acute flare up of inflammation of prostate
Symptoms of acute prostatitis
- malaise
- rigors
- fever
- difficult passing urine
- dysuria
- perianal tenderness
What is found on a rectal exam of acute prostatitis?
Soft, tender + enlarged prostate
What does chronic prostatitis result from?
Inadequately treated infections
As antibodies cannot penetrate prostate effectively
Symptoms of chronic prostatitis
Asymptomatic
Diagnosis of chronic prostatitis
- neutrophils, plasma cells + lymphocytes in histology
- positive culture from sample of prostatic secretion
What is the most common type of prostatitis?
Chronic non bacterial prostatitis
Common history of patient with chronic prostatitis
Recurrent parasitic or urinary tract infections
What organism typically causes chronic non-bacterial prostatitis?
Chlamydia trachomatis
What is benign prostatic hypertrophy/hyperplasia?
Non-neoplastic enlargement of prostate gland
Presentation of BPH
- difficulty or hesitancy to start urination
- poor stream
- dribbling post micturition
- frequency
- nocturia
Investigation of BPH
Digital rectal exam
Firm, smooth + rubbery prostate
Treatment of BPH
- alpha blockers: relaxes smooth muscle at bladder neck + within prostate e.g.tamsulosin
- 5a reductase inhibitors: prevents conversion of testosterone to dihydrotestosterone > shrinks prostate e.g. finasteride
- transurethral resection of prostate
