Male Sx Flashcards
What are different causes of penile trauma?
Fractures of the os penis
Trauma/strangulation
Amputation
What vessels have to be ligated before amputation is performed?
Caudal superficial epigastric vessels
T/F: TVT primary tx is sx
False
Paraphimosis
Inability to retract penis into prepuce
What are the congenital vs. acquired causes of paraphimosis
Congenital: narrow orifice or shortened prepuce
Acquired: trauma, infection and priapism
What is indicated if there is recurrent/persistent paraphimosis?
Phallopexy
Remove 1.5 cm strip of mucosa from dorsal prepuce and penis
What is the term for accumulation of glandular secretions in prostate of older intact males
Prostatic cysts
What is a sign of prostatic cysts on u/s?
Double bladder
What is the most common mistake of scrotal ablation?
Not enough skin left behind
What is an indication of scrotal ablation?
Castration of older dogs due to large amount of dead space created
Phimosis
Inability to protrude penis beyond preputial orifice
What are CS of phimosis
Unusual urine streams, balanoposthitis from urine retention
What is the treatment of phimosis?
Enlarge preputial orifice- fish mouth procedure
What is a normal aging change and is seen due to increased number and sensitivity of testosterone receptors?
Benign prostatic hypertrophy
What are PE findings of BPH?
Symmetrical, enlarged and pain free prostate
What is the tx choice for BPH?
Castration
What is the most common cause of prostatic abscess?
E. coli
What is pathognomonic CS of prostatic abscess?
Capsular tissue surrounding fluid
What are the systemic ab choices used for mild prostatic abscess cases?
Enrofloxacin and TMS
What is marsipulization
Creation of prostatocutaneous stoma
What is the most common prostatic neoplasia?
Adenocarcinoma- castration has no effect
What are CS of prostatic neoplasia?
Dysuria, hematuria, straining to defecate, ribbon like feces, lameness (metastasis) large asymmetrical prostate
What are CS of BPH?
Asymptomatic, dyschezia and ribbon like feces
