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Prostate Disorders

From Mediwikis

Benign Prostatic Hyperplasia (BPH)

This enlargement of the prostate is common in older men, and can lead to ↑ Urinary Frequency, Incontinence, Nocturia & Stream Hesitancy, all with a progressive onset. If left, it can lead to risk of UTIs, or Urinary Retention.

Prostatitis

Pain? Bacteria? WBCs? Name Description
yes yes yes Acute prostatitis Bacterial infection of the prostate gland that requires urgent medical treatment.
± yes yes Chronic bacterial prostatitis Relatively rare condition that usually presents as intermittent urinary tract infections.
yes no yes Inflammatory CP/CPPS Chronic prostatitis/chronic pelvic pain syndrome, accounting for 90%-95% of prostatitis diagnoses.
yes no no Noninflammatory CP/CPPS

Prostate Cancer

Slow growing, often asymptomatic, or with similar symptoms to BPH (↑ Urinary Frequency, Incontinence, Nocturia & Stream Hesitancy), along with more specific symptoms- haematuria, dysuria, and sexual dysfunction.

Investigations

  • Digital Rectal Examination is required to palpate enlargement and an irregular surface, followed by biopsy, and Prostate Specific Antigen (PSA).