Acute Prostatitis Illness - Essay Example

The rectal assessment discloses an expanded prostate with an irregular shape, tenderness, and bogginess. Clinical presentation is used to diagnose acute prostatitis. Urine analysis and culture are used to test for uropathogens. Patients suffering from acute prostatitis and possessing other risk elements such as chronic renal failure, and diabetes are more at risk for prostatic abscesses (Resnick & Thompson, 2000). Treatment in acute prostatitis includes antimicrobial treatment combined with drainage through the urethra by transurethral resection of the prostate, through the rectum by aspiration and perineum by aspiration (Shoskes, 2008).

I agree that Benign prostatic hyperplasia is an illness where there is an unusual expansion of the prostate gland. The risk elements in this condition include dietary aspects, alcohol, metabolic syndrome, sexual activity, age and presence of flowing androgens (Bachmann & Rosette, 2012). The signs and symptoms consist of incomplete voiding, straining to void, frequent urination, nocturia, problem in beginning urine stream and dribbling. According to the American Urological Association, the diagnosis includes a blood test, bladder test, measuring post-void residual volume, cystoscopy, ultrasound and urodynamic pressure (Urology Care Foundation, Inc. 2014). Treatment of benign prostatic hypertrophy includes α1adrenoceptor antagonists for signs related to obstruction of the lower urinary tract. In this particular case, doxazosin is most suitable (Kirby, McConnell, Fitzpatrick, Roehrborn, Wyllie & Boyle, 2005). The other drugs that are appropriate are 5-alpha reductase inhibitors, combination medications, alpha-blockers and phosphodiesterase-5 inhibitors (NIH Publication, 2014).

I agree that Prostate cancer is the most killer disease in men. The risk aspects comprise environmental and genetic factors. Some risk factors cannot be managed for example family history of prostate cancer, race and family (Kazer & Powel, 2002). Symptoms of prostate cancer include weight loss, constipation, fatigue, perennial pain, urgency and frequency in urination, dysuria, and induration of the prostate. Some individuals experience symptoms such as bladder distention and keeping of urine. The diagnosis displays a firm asymmetrical prostate that is visible on a digital rectal assessment. Treatment of prostate cancer involves androgen deprivation treatment, salvage EBRT, salvage radical prostatectomy, surgical castration, luteinizing hormone, anti-androgens and oral estrogens (Horwich, 2010).

Sheila Eidson response
Agree with Sheila Eidson on acute prostatitis. According to Foye, Lemke & Williams (2013), acute prostatitis is not common but it is an illness that occurs together with urinary tract infection (p.1375). The signs include:
- Low back pain
- Chills
- Fever
- Urinary obstruction for example urgency, frequency, hesitancy, straining and weak stream.
Inappropriate treatment of acute prostatitis leads to relapse of the illness that results in chronic prostatitis. The general clinical presentation is a reoccurrence of urinary tract infection (p.1375). The recommended treatment for acute prostatitis takes 4 to 6 weeks. Chronic prostatitis is treated within 10 – 12 weeks and the appropriate medications include Fluoroquinolones, doxycycline, nitrofurantoin and trimethoprim-sulfamethoxazole (p. 1375).

I agree that Benign prostatic hypertrophy is a non-cancerous expansion of the transition area of the prostate gland. The risk aspects include normal androgen levels and advances in age (). The signs and symptoms comprise of:
- Lower urinary tract symptoms
- Bladder outlet obstruction
- Enlargement prostrate
- Urgency, frequency in urination
- Reduced caliber
- A bothersome nocturnal frequency of urination
According to Goolsby & Grubbs (2011), diagnosis is based on the PSA level. When the PSA level is raised above 0.75 ng/ml in a period less than twelve months, the individual should consult a urologist for further examination and management. This is influenced by the age of the patient (p. 319). Change in lifestyle and drugs are used together to treat severe and mild symptoms of enlarged prostate.

I agree that prostate cancer is a cancerous growth of the prostate gland. It is the most common type of cancer than any other cancer and the risk increases with age. It is the most killer cancer second to lung cancer. The risk factors for prostate cancer include lack of physical exercise, obesity, ethnicity and smokers being at greater risk than nonsmokers (Ellsworth, 2012). A device referred to as a cancer risk calculator is utilized to recognize an individual risk of getting prostate cancer. Research has proved that a dose of 5g/day reduces 25% the possibility of developing prostate cancer compared to a placebo (p.16). The diagnostic tool used for prostate cancer is prostate-specific antigen (PSA), digital rectal assessment, trans-rectal ultrasound and prostate biopsy (Ramon & Denis, 2007). Treatment of prostate cancer includes external beam radiotherapy, active surveillance, hormone therapy and radical prostatectomy (International Symposium on Special Aspects of Radiotherapy & Moser, 2008). Read More