Page 14 - Chow Life - Spring 2016
P. 14

Poor Performance



               or Prostatic Problem?





                                                                                   by Joann Randall, DVM, DACT


            Diseases of the canine prostate   prostatic cells (called hyperplasia)   and yellow, or slightly bloody, cystic
          gland are problems frequently       and the size of the cells (called   fluid may be seen in the urine.
          encountered in a small animal       hypertrophy). This enlargement of   Also, hypertrophied tissue within
          practice, especially in intact male   the prostate gland is a normal aging   the gland often has an increased
          dogs over the age of 6 years old.   process that occurs in intact male   blood supply, which may lead to
          There are many causes of prostate   dogs and humans and is termed      bright red blood dripping from the
          disease, but this article will focus   benign prostatic hypertrophy,   penis unassociated with urination.
          primarily on the most common        benign prostatic hyperplasia, or   It is this blood noticed on the hairs
          disease affecting older, intact     BPH.                               at the end of the penis, or seen as
          male dogs as it is these dogs in     Benign prostatic hyperplasia is   bright red drops dripping on the
          their prime that frequently start   the most commonly diagnosed        floor that is the most common
          showing signs of poor performance   prostatic disease in the intact    finding alerting owners that there is
          in working trials, bite work, and   male dog. There is not a breed     a problem.
          decreased breeding libido.          predilection for prostatic disease,   Other symptoms of BPH are
            Anatomically, the prostate is a   but German Shepherd dogs and       straining to pass a bowel movement
          bilobed gland in the male dog that   Dobermans seem to have an         due to pressure from the enlarged
          encircles the urethra, or the tubular   increased prevalence. It has been   gland on the rectum, straining to
          structure that leaves the bladder   shown that 50% of intact male dogs   urinate due to pressure from the
          carrying urine. The                                                             enlarged prostate on the
          urethra, carrying urine                                                         urethra, abdominal pain,
          from the bladder, travels    “Benign prostatic hyperplasia is the               and/or infertility.
          through the prostate         most commonly diagnosed prostatic                    There are many other
          gland after it leaves the        disease in the intact male dog”                prostatic diseases that can
          bladder and then runs                                                           cause the same symptoms,
          through the length of                                                           such as infection of the
          the penis. The importance of the    have microscopic evidence of BPH   prostate, large cysts, or prostatic
          anatomy of the prostate encircling   by 5 years of age and >95% are    cancer. Therefore, a complete
          the urethra will be discussed a bit   affected by 9 years of age.      diagnostic workup needs to be done
          later.                               Many dogs with BPH never show     to diagnose the problem properly.
            The function of the prostate gland  any symptoms, or none that are   Initially, a physical exam is done
          is to produce a fluid which helps   outwardly visible. As previously   including a rectal palpation to
          support and transport sperm during  discussed, the urethra leaves the   assess the prostate gland for size
          ejaculation. In the prepubertal male,  bladder and runs through the    and consistency. Usually, dogs
          the prostate gland is quite small   prostate gland. As the male ages   with BPH have uniformly enlarged
          and located farther forward in the   and the prostate enlarges, the gland   prostate glands that are not painful
          abdominal cavity. It really serves no   starts to press in on the urethra,   when palpated. Sometimes, in
          function until the male undergoes   making it more difficult for urine to   large breed dogs, the gland
          puberty.                            pass through. The owner may notice  is too far forward in the
            As the male acquires sexual       that the dog takes longer to urinate,   abdomen and not able
          maturity and the testicles start    or strains. In extreme cases, the   to be easily reached on
          producing testosterone, the prostate   dog may even be unable to pass any   the digital exam.
          gland increases in size and reaches   urine at all.                      The best diagnostic
          peak secretory function by about 4   Sometimes, due to hormone         tool available for assessing
          years of age. After this time, due to   imbalances, the enlarged prostate   prostatic size and architecture
          continued testosterone exposure,    gland starts to develop cysts. As   is the ultrasound machine. An
               the cells within the gland start  these cysts grow, they may form   ultrasonic exam is a noninvasive
               to increase in the number of   channels emptying into the urethra   and painless procedure done
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