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The prostate is the only accessory sex gland in the dog. In intact (non-neutered) dogs this gland increases in size and weight with advancing age. This is the most common disorder of the prostate in dogs older than six years and is a normal occurrence of aging. It is not necessarily a life-threatening condition by itself, but can result in a dog being more susceptible to other disorders, along with making the dog very uncomfortable.
Benign prostatic hyperplasia (BPH) in dogs is a hormone mediated proliferation of cells that is commonly seen in dogs from middle age onward. This condition affects the glands and connective tissues of the prostate, causing swelling of the prostrate gland, which then presses against the rectum, making the canal smaller and defecation painful for the dog.
BPH is due to an age-associated increase in estrogen in the prostate. The ratio between estrogen and androgen ratio is believed to contribute to BPH development in older dogs, as both estrogens and androgens are required for significant prostatic enlargement to occur.
The clinical effects of BPH are minimal or absent in most dogs, but in chronic cases, BPH can render the prostate more susceptible to infection from the urinary tract and subsequent development of bacterial prostatitis.
BPH incidence is high in non-neutered dogs. By five years of age, 50 percent of intact dogs exhibit histologic evidence of BPH. The true incidence of prostatis is unknown, but it’s considered common in veterinary practice. However. The incidence of neoplasia is low; carcinomas are reported at 0.29–0.60 in the dog population. Prostatic cysts in intact dogs generally occurs before four years of age. Cancer of the prostate generally occurs before ten years of age.
You will need to provide a thorough history of your dog's's health leading up to the onset of symptoms. Initially, standard laboratory tests will include a complete blood profile, chemical blood profile, a complete blood count, and a urinalysis. Because there are so many possible causes for this condition, your veterinarian will use differential diagnosis. This process is guided by deeper inspection of the apparent outward symptoms, ruling out each of the more common causes until the correct disorder is settled upon and can be treated appropriately.
The doctor will thoroughly examine your dog and make some preliminary estimations based on the physical exam. However, the preferred method for looking at the prostate is by ultrasound, so the results of these images will provide much of the information your veterinarian needs to make a diagnosis. In addition, x-ray imaging can be used to gather information that is not revealed by the ultrasound. Culture samples from the urinary tract will be taken for analysis, as well as semen, and if a mass of tissue, or tumor, is found, your doctor may also perform a biopsy in order to define the mass.
For benign prostatic hyperplasia, treatment is only indicated for symptomatic dogs. Castration is the treatment of choice for animals with no breeding value, and this should effectively resolve the problem.
However, if the dog is valuable for breeding purposes, medications can be used to temporarily reduce the size of the prostate so that the dog can be functional. This treatment is typically only used to reduce clinical signs so that sufficient quantities of semen can be collected and frozen for future use. It is not meant as a long-term therapy, and without further treatment the prostate will return to pretreatment size eight weeks after discontinuation of therapy. Your veterinarian will likely recommend castration once the desired doses of semen are stored.
If the cause is found to be a bacterial infection, antibiotics will be prescribed, based on the specific culture and sensitivity results. If the infection is chronic, the antibiotics of choice will be designed to treat the more intense form of infection. Castration is recommended if the course of antibiotics does not get resolve the infection. If the diagnosis is a cyst, treatment will be based on the location, type, and size of the cyst. Again, castration may be recommended.
If the diagnosis is cancer, it has usually metastasized by the time of diagnosis. Chemotherapy may be advisable, depending on the nature of the cancer, but it is important to keep in mind that there is no cure or long-term remedy for cancer. Pain relief medication will be prescribed to help your dog to cope.
Your veterinarian will want to repeat the prostatic fluid cultures in follow-up visits. Semen evaluation should be performed in all dogs maintained for breeding, but not before 65 days after the resolution of bacterial prostatitis. The abdominal ultrasound will also need to be repeated in order to evaluate the prostate size after medical therapy.
Dogs that test positive for Brucella (Gram-negative bacteria) should not be used for breeding, as this disease is highly infectious. It is also important to note that Brucellosis is a zoonotic infection that can be passed from dogs to humans, although is remains an uncommon disease in humans. In the event that your dog is diagnosed with Brucellosis, you will need to take the necessary precautions when handling any secretions from your dog.
The type of contact that occurs between the teeth where chewing is concerned
The term for the hip and related area
The growth of pathogens away from the original site of the disease
The transformation of a mature tissue into another type of mature tissue
Something that becomes worse or life threatening as it spreads
The gland around the urethra that secretes the fluid to allow sperm to move about
The very end of the large intestine
An in-depth examination of the properties of urine; used to determine the presence or absence of illness
Also referred to as a UTI; a medical condition of the urinary tract and system in which the cells are damaged by microorganisms.
A tube found between the bladder and the outside of the body; used to assist in urination.
The white fluid produced by males in the testicles for reproduction
The condition of being drowsy, listless, or weak
An inflammation of the prostate gland
Denotes an animal that is still able to reproduce or is free of cuts and scrapes
Not being able to cause harm; the opposite of malignant.
The process of removing tissue to examine it, usually for medical reasons.
Used to refer to any drug or medical substance that has the ability to slow down or stop the growth of bacteria and other such organisms.
The result of a malignant growth of the tissue of the epithelial gland.
Term used to imply that a situation or condition is more severe than usual; also used to refer to a disease having run a short course or come on suddenly.
The maximum potential that an animal has as far as its potential profit in terms of meat, eggs, milk, or other goods useful to people; may also refer to their ability to mate and birth and nurse young.
The exiting of excrement from the body; bowel movements.
A lack of desire for food
The term used to describe the movement of an animal
The type of female hormone produced in the ovaries that contributes to sex drive and female characteristics
A covering of cells that turns into the outermost layer of skin and covers the body
A localized infection, usually a lesion filled with pus. Can be large or small in size.