Prostate Pathology

Question 1

What are the common pathologies of the prostate

Answer 1

Cysts
Benign prostatic hyperplasia
Prostatits
Prostate carcinoma
Enlarged seminal vesicles
Stones in seminal vesicles, prostate, ejaculatory ducts

Question 2

Seminal vesicle cysts can be ____or ____

Answer 2

Congenital or acquired

Question 3

When are congenital cysts seen during the greatest repro activity

Answer 3

2nd & 3rd decades of life

Question 4

Acquired cysts are most often seen in

Answer 4

Elderly age

Question 5

Prostate gland enlargment (Increased number of cells)

Answer 5

Benign prostatic hyperplasia

Question 6

BPH is hyperplasia of the

Answer 6

Periurethral gland

Question 7

BPH is usually originating in the

Answer 7

Transitional zone

Question 8

BPH is most commonly in

Answer 8

Males >50

Question 9

What are the symptoms of an enlarged prostate

Answer 9

Intermittent flow of urine
Difficulty controlling urine
Frequent urination
Weak flow urine
Pain or burn sensation when urinating
Problems achieving or maintaining an erection
Presence of blood in urine or semen
Pain in lower back, upper thigh or hips

Question 10

What is the sonographic appearance of BPH

Answer 10

Hypoechoic to peripheral zone

Question 11

What are the treatments for BPH

Answer 11

Surigical approaches
Prostate resection (Dilated urine filled prostatic urethra)

Question 12

What is prostatitis

Answer 12

Inflammatory process of the prostate

Question 13

In prostatitis color Doppler may show

Answer 13

Increased blood flow

Question 14

What are the symptoms of prostatitis

Answer 14

Asymptomatic
Frequent urintion
Difficult urinating
Pain/burn during urination
Chills/Fever
Chronic infectious prostatitis (Frequent bladder infections)

Question 15

Prostatitis is considered chronic if it lasts more than

Answer 15

3 months

Question 16

Second most common cause of death in men over 50

Answer 16

Carcinoma of the prostate

Question 17

What is the sonographic appearance of a carcinoma of the prostate

Answer 17

Usually starts in peripheral zone
Increased vascularity

Question 18

What are the symptoms of the carcinoma of the prostate

Answer 18

Urinary problems

Question 19

What are the risk factors of a carcinoma of the prostate

Answer 19

Men with high plasma testosterone levels

Question 20

How do you diagnose a carcinoma of the prostate

Answer 20

Transabdominal & transrectal U/S
PSA (Prostatic specific antigen)
Biopsy

Question 21

What are the symptoms of a carcinoma of the prostate that has spread

Answer 21

Pain in back, hip, thigh, shoulder, bones
Swelling or edema in legs & feet
Weight loss
Fatigue
Change in bowel

Question 22

Male and female urinary catheterization is a direct drainage of the

Answer 22

Urinary bladder

Question 23

What are the 2 reasons for a urinary catheterization

Answer 23

Diagnostic purposes
Theraputically

Question 24

What ways can a catheter be placed
In-and-out procedure:
Left indwelling:

Answer 24

Left in with self-retaining device
Long-term drainage for patients with chronic urinary retention

Question 25

Length of male and female catheter

Answer 25

M - 30-40 cm
F - 7-20 cm

Question 26

What are theraputic reasons someone might have a catheter

Answer 26

Acute urinary retention
Chronic obstruction
Initiation of continuous bladder irrigation
Neurogenic bladder
Hygienic care of bedridden patients

Question 27

With a catheter U/S allows for

Answer 27

Dynamic visualization of urinary catheter placement within bladder

Question 28

What are complications of catheterization

Answer 28

Tramatic insertion
Creation of flase tracts
Urethral trauma clogging catheter
Accidental/intenstional removal of catheter (With balloon)