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1

Prostatitis

Inflammation of the prostate, sometimes caused by infection

2

What is an enlarged prostate called?

Prostatic hypertrophy
- BPH

3

Who does prostate growth affect?

Virtually all men over 50

4

What symptom occurs with increasing age?

Difficult urination

5

What is prostatitis treated with?

Antibiotics

6

What is BPH treated with? (2)

1. Medicines
2. Surgery

7

BPH

Benign prostatic hyperplasia

8

What is the most common form of cancer in men?

Prostate cancer

9

How can prostate cancer be treated? (4)

1. Surgery
2. Radiation
3. Hormone therapy
4. Chemotherapy

10

What is acute prostatitis usually caused by?

Non-specific infection, spread from the urethra or bladder
- often following catheterisation, cystoscopy, urethral dilation or prostate surgery

11

What is the most common prostate problem for men younger than age 50?

Prostatitis

12

What may follow acute prostatitis?

Chronic infection

13

When might fibrosis of the gland occur?

During healing
- causing urethral stricture or obstruction

14

When does a chronic infection occur?

When it goes untreated

15

What are the symptoms of prostatitis? (5)

1. Low back pain
2. Low grade fever
3. Dysuria
4. Urinary urgency
5. Enlarged prostate on digital exam
- very painful

16

What is prostatitis caused by? (2)

1. UTI
2. STD

17

What does prostatitis look like on US? (6)

1. Normal
2. Hypoechoic due to inflammation
3. Edematous gland
4. Slightly enlarged
5. Focal or diffuse hypoechoic areas
6. Increased colour

18

What is the number one feature of prostatitis?

Volume

19

Where are the focal hypoechoic regions located in prostatitis?

In the peripheral zone

20

What does discrete fulid collectinon in the prostate gland suggest?

Abscess formation

21

What does colour doppler US demonstrate on an abscess?

Increase flow in the periphery

22

What is the treatment for acute or chronic prostatitis? (3)

1. Antibiotics
2. Medications
3. Surgery

- depends on the type

23

What is benign prostatic enlargment?

Hyperplastic nodules form around the urethra and may obstruct the flow of urine, causing urinary retention

24

Where does BPH occur?

In the transition zone

25

What can prevent the bladder emptying completely during micturition?

Urethral stricture

26

What causes pyelonephritis?

Urethral stricture

27

Pyelonephritis

Inflammation of the substance of the kidney as a result of bacterial infection

28

What is the most common prostate problem for men older than age 50?

BPH

29

How does BPH appear on US? (6)

1. Irregular and enlarged transition zone
- central gland is enlarged
2. Heterogenous
3. Cysts
4. Calcifications
5. Central and Peripheral zone may be compressed
6. Increase volume of the prostate