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What age do dogs get prostate problems?

About 50 percent of intact male dogs experience age-related prostatic changes by the time they're 4 years old.

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A dog receives an ultrasonographic examination to check his prostate.

Treating prostate problems in dogs

Many of today’s pet dogs are neutered, but some owners keep their boys intact. Those intact dogs often experience problems with their prostate. About 50 percent of intact male dogs experience age-related prostatic changes by the time they’re 4 years old. Such changes should be expected, to help put examination findings into perspective and prevent unnecessary treatments. Broad clinical signs that a prostatic disease exists include: blood-tinged fluid on your pet’s bedding, changes in urination such as increased frequency, straining, interrupted streams of urine or blood, and constipation or straining to defecate. More serious clinical signs can also include significant depression and fever. Benign prostatic hyperplasia (BPH) is the most common prostatic condition — the one that about 50 percent of intact male dogs will see by 4 years of age. And while most intact dogs eventually develop BPH, only a portion of those dogs will develop outward signs. Even if BPH is present, your pet should not experience pain or discomfort when a veterinarian is performing a digital palpation examination of the prostate per rectum. However, some pets simply detest this examination on merit alone. Prostatitis, a bacterial prostate infection, is rare in neutered dogs; it’s much more likely in intact dogs. This infection can take the form of a sudden, acute case or a long-term, chronic case. Clinical signs of chronic prostatitis are not always obvious. Signs that include back pain, abdominal pain, a hind-limb stiff gait or depression are significant quality of life concerns, and treatment should ensue. If no signs of discomfort exist, owners can debate the need for antibiotic therapy. In acute cases of prostatitis, your pet may become systemically ill and a digital prostatic examination by a veterinarian will be painful. A brief hospitalization may be required to initially treat these cases, depending on your pet’s health. Because prostatic fluid refluxes into the bladder, a simple urinary tract infection can be misdiagnosed in the presence of prostatitis. Antibiotic therapy aimed at treating a UTI is typically inadequate to treat a prostatitis; if UTIs recur, check for prostatitis. Prostate cancer in dogs occurs most frequently in neutered males and is not dependent on the existence of sex steroid hormones from the testicles. Sadly, prostatic cancer tends to be highly aggressive and metastatic because it’s typically late, after the clinical signs have progressed. Treatments are palliative but not commonly pursued because of side effects and the late diagnosis. Diagnosis of prostatic conditions may occur via digital palpation of the prostate, ultrasonographic examination and by collection of prostatic fluid for culture and microscopic evaluation. Evaluation of the prostate by these three methods will help your veterinarian determine if size changes or an infection is causing the abnormal clinical signs that you may be observing in your pet. In the future, a diagnostic blood test assessing for a prostate-specific arginine esterase, currently available in Europe, will be available for veterinary use in North America. If you have questions about your dog’s prostate, consult your veterinarian. STORY BY: Candace Lyman, DVM, DACT, an assistant professor of theriogenology in the Department of Veterinary Clinical Sciences at Oklahoma State University College of Veterinary Medicine. MEDIA CONTACT: Derinda Blakeney, APR | OSU College of Veterinary Medicine | 405-744-6740 | derinda@okstate.edu

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How long can a dog live with enlarged prostate?

between six weeks to one year The prognosis for dogs with prostate cancer is not good; once diagnosed, the average survival rate is between six weeks to one year. Prostate enlargement could be a symptom of a serious medical condition.

Your dog may or may not exhibit symptoms beyond the enlargement of the prostate gland itself, and it may or may not feel pain as a result of the enlargement. Potential additional symptoms include:

Pain during and trouble urinating

Pain during and trouble defecating

Pain during and trouble walking, coupled with a hindered gait (short steps, stiff rear legs)

Constipation

Abnormal stools

Pain, ranging from mild discomfort to severe pain

Types

- Benign Prostatic Hyperplasia, or BPH, is the most common cause of prostate enlargement. It occurs as a natural part of aging in the majority of unneutered male dogs, but does not occur in neutered male dogs. As the dog ages, the gland goes into hypertrophy, which means that the number and size of the cells in the prostate gland increase. As a result of BPH, benign cysts may develop. This condition puts pressure on surrounding tissue and may cause discomfort. Bacterial Infection - The second most common cause of prostate enlargement, bacteria may enter the prostate through the blood system or urinary tract and cause an infection. Bacterial infections may be acute or chronic and may present as abscesses, which are pockets of pus that form within the gland. Along with the typical symptoms of an enlarged prostate, those caused by bacterial infection are likely to also cause an elevated fever. Cancer - Prostatic cancer is rare in dogs, accounting for less than 10% of enlarged prostate cases; however, they are difficult to treat, are typically malignant and can be life-threatening. Prostatic cancers often metastasize into the liver, lungs, kidneys, lymph nodes, spine, and pelvic bones. Prostate enlargement may also occur as the result of another cancer metastasizing, often transitional cell carcinoma (cancer of the urinary system).

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