prostate

Question 1

function of prostate

Answer 1

its part of the male reproductve system

it contributes to semen

an milky alkaline secretion for nourishment of sperm

sexual pleasure - if massaged

Question 2

what is a transrectal biopsy used for

Answer 2

to take tissue from prostate

Question 3

how many samples from transrectal should you take

Answer 3

at least 12

Question 4

what method do we now use to take sample of prostate

Answer 4

pernineal because less infection rates

Question 5

transrectal vs transperineal

Answer 5

1. transperineal are considered cleaner because the needle is passing through a ‘cleaner place’ the perineum

Question 5

transrectal vs transperineal

Answer 5

1. transperineal are considered cleaner because the needle is passing through a ‘cleaner place’ the perineum
2. no need to give prophylactic antibodies

Question 6

complications/diadvantges of transrectal biopsy

Answer 6

1. infection AND SEPSIS (hence why you give prophylactic antibodies
2. rectal bleeding ( so if you take warfarin etc you may have to stop taking them before hand before you have the procedure)
3. structural damage to surrounding anatomy,
4. having difficulty peeing after
5. hemospermia
6. its possible you may miss the cancer as it can only be identified in the samples you take

Question 7

whats the special mri in prostate cancer

Answer 7

multiparametric mri scan

Question 8

What methods can we remove the prostate

Answer 8

1. laparoscopically
2. retropubic prostatectomy (open incision)
3. perineal prostatectomy
4. robot assisted which is similar to laparoscopic it’s just uses a robot so you have the better wrist motions

after procedure typically put a catheter in to help you drain the urine.

Question 9

when doing a prostatectomy what should you be mindful of

Answer 9

• not destroying the nerves which control erection and bladder damage but not everyone is eligible for this!

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Question 10

which type of procedure for prostaectomy is not done as much

Answer 10

perineal - because risk of complications
such as fistulas, trauma to urethra. also its MORE LILKELY TO LEAD TO ERECTION PROBLEMS

advantge is its a shorter operation

Question 11

radical prostatectmy

Answer 11

remove prostate
seminal glands
lymph noese

Question 12

how long to take antibiotics in acute and bac prostatitis

Answer 12

acyte - 2- 4 weeks

chronic - minimum 4 weeks and can be up to 12 weeks

Question 13

absolute indication for surgery of bph

Answer 13

upper UTI
● Uremia
● Recurrent attacks of acute retention
● Severe obstructive symptoms

Question 14

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