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symptoms prostatitis
prostatodynia - perineal discomfort, urinary problems, obstructive symptoms
__________ is an unusual bact infection by e coli with protean manifestations
acute prostatitis
presentation acute prostatitis
fever, back + perineal pain, chills, dysuria
swollen, boggy + warm prostate
acute urinary retention
treatment acute prostatitis
long course atb
how to diagnose chronic prostatitis
milking urethra after prostate massage → bacteria in it
bph definition
degenerative - hyperplasia + hypertrophy of prostate in transition zone
+ voiding symptoms
digital rectal exam of prostate in bph
enlarged - smooth and soft
postvoidal residual
abnormal amount urine in bladder after voiding, from bph
cystoscopy results of bph
trilobar hyperplasia and a median lobe causing obstruction
medical treatment bph
a1 adrenergic blockers, 5a reductase i
drugs for bph lower what?
prostate specific antigens (must double them when testing)
clinical presentation prostate carcinoma
no symptoms, if advanced then weight loss + pelvic pain + obstruction
best imaging test for patients w/ suspected prostate cancer
TRUS
grading vs staging name of prostate cancer
gleason grading
tnm staging
what is common in patients w/ high PSA in prostate cancer
bone metastasis
exam for staging local disease in prostate cancer
digital rectal exam
what is TRUS used for in prostate cancer
direct biopsy
treatment for low risk prostate cancer
active surveillance → psa testing, digital rectal exam, biopsy
most common treatment for prostate cancer
surgical removal + radiation therapy
what is the preferred type of surgery for prostate cancer
laparoscopic radical prostatectomy
what does high psa after treatment mean in prostate cancer
tumour recurrence
in prostate cancer treatment, how can suppression of serum testosterone be achieved
bilateral surgical orchiectomy or median castration