Sonopath Forum

Prostate

Max is a 9 year old English Cocker Spaniel that is not neutered. There is a recent history of bloody discharge pooling at the tip of the penis. No history of dyuria/poilakuria. This happened once previously and the urine MIC was negative. Treatment with Baytril resolved the blood. When I evaluated this dog today he had a palpably enlarged prostate on abdominal palpation. I could not reach the prostate rectally because it was forward over the rim of the pelvis.

I have blood work pending as well as a UA/MIC. When I did the cysto the urine was a bloody wine color.

The prostate was over 5 cm in length.

To me the echotexure and echogenicity of the prostate seemed normal. Occasion cyst noted.

The bladder was clean and I did not scan the Iliac LN

My question:

1. Is this BPH or are there enough markers of malignancy here.

I would be willing to aspirate or biopsy this prostate- but I would prefer just to neuter.

Thanks for any help you may give me.

Comments

June 17, 2015 at 12:41 am -

This looks like prostatitis

This looks like prostatitis and bph to me. Note the hypoechoic striation (arrow) in video one and pericapsular inflammatory pattern at that arrow.. I would fna cyto and culture to be sure but neuter and tx prostatitis and recheck scan in 3 weeks should do it.

The microcystic changes and uniform capsule in video 2 are bph patterns.try th ebasic search for prostate

http://sonopath.com/members/case-studies/search?text=prostate&species=All

randyhermandvm

June 17, 2015 at 2:27 am -

Thank you EL
Always a

Thank you EL

Always a learning experience

rlobetti

June 17, 2015 at 1:37 pm -

Can also consider using a

Can also consider using a depo-progestrone or another anti-androgenic drug prior to castration – if prostamegaly improves then BPH if not not then suspcious for neoplasia.