Page 2773 - Cote clinical veterinary advisor dogs and cats 4th

Prostatitis 1443

Prostatitis
VetBooks.ir History and physical examination consistent

with prostatic disease
History: e.g., tenesmus, Physical examination:
dysuria, preputial discharge, e.g., preputial discharge
fever, lethargy, weakness, prostatomegaly, prostatic
stiff gait, hematuria, infertility pain

Abdominal ultrasound

Focal/diffuse hyperechogenicity, Hypoechoic/anechoic focal area(s) Large cystic structure
prostatomegaly, small cysts within prostate, mineralization, adjacent to prostate
asymmetric shape

Cytology* Cytology*
Cytology*

Leukocytes
erythrocytes Acellular, cell debris Acellular, cell debris
bacteria

Many Inflammation/
erythrocytes infection Neoplastic Culture Culture Culture

Culture Positive Negative Negative
Culture single bacterial sp.
Negative
Positive
BPH †
Prostatitis Neoplasia Prostatic abscess Prostatic cyst Paraprostatic cyst

*Cytology can be obtained from a fine-needle aspirate, a prostatic massage, or an ejaculate depending on circumstances.
† Highly unlikely in castrated male.
BPH, Benign prostatic hyperplasia.

EDITED BY: Leah A. Cohn, DVM, PhD, DACVIM
ORIGINALLY WRITTEN BY: Lisa A. Brownlee, DVM, MS, DACVIM

Clinical Algorithms

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