Prostits Flashcards

1
Q

The prostate can be divided into biologically distinct regions
• the most important of which are .. this is important because

A

the peripheral and transition zones
→The types of proliferative lesions are different in each region

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2
Q

The prostate is involved by what types of disorders

A

infectious,
inflammatory, hyperplastic, and neoplastic disorders

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3
Q

PROSTATITIS types

A

1) Acute bacterial prostatitis

2) Chronic bacterial prostatitis

3) Chronic pelvic pain syndrome

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4
Q

Acute bacterial prostatitis percentage

A

2%–5% of cases

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5
Q

Acute bacterial prostatitis caused by

A

the same organisms associated with other acute urinary tract infections

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6
Q

Chronic bacterial prostatitis percentage

A

2%–5% of cases

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7
Q

Chronic bacterial prostatitis cause

A

also caused by common uropathogens

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8
Q

3) Chronic pelvic pain syndrome percentage

A

90%–95% of cases

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9
Q

Chronic pelvic pain syndrome can be subdivided into →

A

inflammatory cases, leukocytes in prostatic secretions +, *noninflammatory cases, leukocytes are absent

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10
Q

The diagnosis of prostatitis is not typically based on biopsy why

A

the histologic findings are nonspecific
• biopsy of an infected prostatitis can result in sepsis

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11
Q

granulomatous prostatitis
may produce

A

prostatic induration (hardness)

biopsy to rule out prostate cancer

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12
Q

……prostatitis is relatively common

A

Nonspecific granulomatous

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13
Q

Nonspecific granulomatous prostatitis stems from

A

foreign-body reaction to fluids that leak into tissue from
ruptured prostatic ducts and acini

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14
Q

Type of granuloma that may be seen in granulomatous prostatitis

A

Postsurgical prostatic granulomas also may be seen.

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15
Q

Clinical Features
• Acute bacterial prostatitis

A

sudden onset of → fever,
chills,
dysuria,
perineal pain, and
bladder outlet obstruction; it may be complicated by sepsis

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16
Q

Clinical features Chronic bacterial prostatitis

A

usually is associated with recurrent urinary tract infections
bracketed by asymptomatic periods low back pain,
dysuria, and
perineal and suprapubic discomfort

17
Q

Both acute and chronic bacterial prostatitis is treated with

A

antibiotics.

18
Q

Clinical features Chronic pelvic pain syndrome

A

chronic pain localized to the perineum, suprapubic area, and penis
• Pain during or after ejaculation is a prominent finding
• The etiology is uncertain, and it is a diagnosis of exclusion
• it is not even clear if the pain is related to an abnormality of the prostate

19
Q

Therapy for chronic pelvic pain syndrome is

A

empirical and depends on the nature of the symptoms.