Male Disorders Flashcards
__ % of intact male dogs have BPH with cystic hyperplasia >5 yrs old and __% have BPH by 8 yrs old
50%, 90%
testosterone is converted by 5alpha - reductase to __ which modulates prostate __ and __
DHT, growth and secretion
what hormone is responsible for BPH
DHT
clinical signs of BPH
bloody preputial discharge hematuria
stranguria
dysuria
constipation
tenesmus
ribbon like stool
diarrhea
hematospermia
you palpate a dogs prostate you suspect has BPH, what would you feel?
the prostate will be symmetrically enlarged, smooth and non-painful +/- firm
two options for tx of BPH
castration or finasteride
after castration how quickly does the prostate reduce in size?
50% decrease in 3 wks, 70-75% decrease in 9 wks
finasteride needs __ wks to decrease prostate size by 50-70% and does not affect __ quality
8-12, semen
__ is the underlying cause of prostate infections (acute/chronic prostatitis)
BPH
acute prostatitis is __ illness and __while chronic prostatitis will have __ clinical status and is __ with __ sperm
systemic, painful, general, non-painful decreased
cytsocentesis should be used to collect a UA for C/S of __ prostatitis while prostatic fluid (3rd fraction) cytology should be used for __ prostatitis
acute, chronic
__ and __ are common bacteria of prostatitis and can be treated with __
S. pseudintermedius, e.coli, enrofloxacin
neutered dogs have a 2.4-4.4x __ risk for prostate neoplasia such as __, __ and __ which have __ prognoses with many metastasis
increased, adenocarcinoma, TCC, SCC, poor
what would the prostate of a dog with prostate neoplasia feel like?
the prostate will be firm, enlarged and lack the sulcus down the middle. There may be asymmetry, pain, or a palpable mass
overall __ increased the survival time of prostate neoplasia but none over 6 months
NSAIDS
squameous metaplasia of the prostate is due to __ influence
estrogen
cryptorchism =
not descending by 6 months
cat testis should be descending by __ days after birth and dogs should be in the scrotum by __ wks of age
10-35, 6-8 wks
cryptorchids are predisposed to __ and __
neoplastic transformation, spermatic cord torsion
torsion of spermatic cord results in __ and is diagnosed by __ or __
scrotal/inguinal swelling, pain, abnormal gait
US or laparotomy
sertoli cell tumors are __ cryptorchid and scrotal. They produce __,__,__ and __ with 2-6% metastasis
50%, estrogen, inhibin, progesterone, AMH
leydig cell tumors are__ scrotal and produces __ and __ with __ metastasis
99%, estrogen and testosterone, low
seminomas are __ cryptorchid and __ scrotal, producing __ with __ local invasion and 6-10% distant invasion
20%, 80%, estrogen, 15%
a preputial smear of a testicular tumor would show >20% of __ from __
superficial epithelial cells, estrogen
