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Published on: August 13, 2015
Prostatic disorders in the dog
S D Johnston1, K Kamolpatana, M V Root-Kustritz
1College of Veterinary Medicine, Western University of Health Sciences, Pomona, CA 91766-1854, USA. sjohnston@westernu.edu
Benign prostatic hypertrophy (BPH) affects over 80% of intact male dogs over 5 years old. Finasteride treatment can help manage BPH and related conditions by reducing testosterone conversion.
Area of Science:
- Veterinary Medicine
- Canine Urology
- Oncology
Background:
- Canine prostatic disorders are common, including benign prostatic hypertrophy (BPH), prostatitis, cysts, and adenocarcinoma.
- BPH affects over 80% of intact male dogs older than 5 years, presenting with signs like bloody prostatic fluid, constipation, and difficult urination.
- BPH often co-occurs with other prostatic conditions such as infection, abscesses, cysts, and neoplasia.
Purpose of the Study:
- To summarize common canine prostatic disorders.
- To discuss the efficacy of finasteride in treating BPH and associated conditions.
- To explore the potential link between prostatic intraepithelial neoplasia (PIN) and adenocarcinoma in dogs.
Main Methods:
- Review of existing literature on canine prostatic diseases.
- Analysis of BPH pathophysiology and treatment responses.
- Examination of studies on canine prostatic adenocarcinoma and PIN.
Main Results:
- BPH is a prevalent, age-related condition in intact male dogs.
- Finasteride treatment effectively reduces BPH by inhibiting dihydrotestosterone production, leading to apoptosis and prostatic involution.
- Finasteride may benefit concurrent prostatic conditions, excluding neoplasia.
- Studies indicate a potential increased risk of prostatic adenocarcinoma in neutered dogs.
- Prostatic intraepithelial neoplasia (PIN) is frequently observed in older male dogs and may be a precursor to adenocarcinoma.
Conclusions:
- Finasteride is a viable treatment for canine BPH and associated disorders, except neoplasia.
- The relationship between neutering status and prostatic adenocarcinoma risk warrants further investigation.
- PIN may serve as a precursor to canine prostatic adenocarcinoma, similar to its role in humans.
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