prostate

Question 1

acute prostatitis

Answer 1

this is inflammation of the prostate usually due to bacteria

Question 2

what is the most common cause of acute prostatitis in young adults

Answer 2

gonorrhea and chlamydia

Question 3

what is the most common cause of acute prostatitis in older adults

Answer 3

e coli and pseudomonas

Question 4

how does acute prostatitis present

Answer 4

dysuria, fever and chills. tender and boggy prostate on DRE. WBCs and bacterial cultures.

Question 5

chronic prostatitis

Answer 5

chronic inflammation of the prostate. dysuria, pelvic, low back pain. WBCs but cultures are negative.

Question 6

BPH?

Answer 6

hyperplasia of the stroma and glands. age-related change with no increase in cancer risk. related to DHT.

Question 7

what zone of the prostate does BPH affect?

Answer 7

the central periurethral zone

Question 8

clinical presentation of BPH

Answer 8

starting and stopping the urine stream issues, impaired emptying, increased risk of infection and hydronephrosis, dribbling. microscopic hematuria, elevated PSA.

Question 9

what else does BPH increase the risk for?

Answer 9

hyperplasia of the bladder wall smooth muscle, also bladder diverticula.

Question 10

prostate adenocarcinoma

Answer 10

malignant proliferation of the glands. most common cancer in men, 2nd most common cause of death.

Question 11

risks for prostate cancer?

Answer 11

race (african > caucasian > asian)

diet high in saturated fats.

Question 12

why is prostate cancer usually clinically silent?

Answer 12

because it is in the posterior, peripheral region and thus doesn’t cause symptoms.