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Medscape Education Infectious Diseases, September 2021
Prostate MRI: Imaging and Use of PI-RADS®CMEDr Clare Tempany details updates in the Prostate Imaging Reporting and Data System and illustrates protocols used to optimize prostate MRI.
Considerations in Suspected Prostate CancerDr Kaplan explores the use of PSA testing and explains the role of androgens in the development prostate cancer in this patient case.
A 75-Year-Old Man With Anuria and Abdominal DistentionA 75-year-old man presents with a 6-week history of lower abdominal pain and distention, bilateral lower-extremity swelling, and weight loss. He has been anuric for 3 days. What is the diagnosis?
Benign prostatic hyperplasia (BPH), the abnormal proliferation of prostatic cells, can cause progressive enlargement of the prostate gland. The most common clinical manifestation of BPH is a set of voiding dysfunctions commonly referred to as lower urinary tract symptoms (LUTS). Untreated, obstruction resulting from BPH can lead to acute urinary retention (AUR), which can require surgical interventions such as transurethral resection of the prostate (TURP) or prostatectomy. Usually, LUTS/BPH can be managed with alpha-blockers and 5-alpha reductase inhibitors.
