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Q tip test
Indication / to know the cause of stress incontenience in female
(Posative in urethral hypermobolity)
⚡️Acute prostatitis Vs Acute cystitis their's fever in prostatitis while NO fever in cystitis
2 test used for screening of Ca prostate
- D.R.E. (digital rectal examination)
- PSA
⚡️Side effects or complications of castration (medical or surgical)
– loss of libido
– erectile dysfunction
– gynecomastia
⚡️Complication of radical prostatectomy
- Erectile Dysfunction ED
- Incontinence
Features suggestive of prostate malignancy on Digital Rectal Examination (D.R.E. )
- stony hard
- irregularity
- nodularity
- fixation to underlying tissue
75 Y.O male complian of chronic pelvic pain & this X ray was done for him
1) descripe findings
2) what is the most likely diagnosis?
- multiple bilaterlal radio-opaic lesions in pelic bons (sclerotic lessions)
- metastatic prostate Ca
Tumors that metastasized to bone :
1) prostate
2) breast
3) kidney
4) lung 🫁
5) thyriod
Prostate-specific antigen (PSA) functions
-liquefaction of semen.
-marker for prostatic disease.
Surgery for BPH
1) open prostatectomy
2) endoscopic surgery
- TURP
- TUIP
3) endoscopic laser surgery
- evaporization
- enucleation HOLEP
Ddx of high PSA
- Aging (normally increases with age )
- prostatitis
- BPH
- Ca prostate
- ejaculation (mildly increase PSA)
- Folley's catheter insertion (pressure effect on prostate)
- cystoscopy (pressure effect on prostate)
