Do you have experience of using the Canine Prostate Specific Esterase (CPSE) test?

RE: Do you have experience of using the Canine Prostate Specific Esterase (CPSE) test?

Dinu Catilina — Wed, 03 May 2023 22:37:29 GMT

It is useless. Most dogs over the age of 6 will have some degree of benign hyperplasia and you would anyway only treat symptomatic patients. I don't aspirate only ultrasound as it would make no difference to the patient. I prefer to ultrasound as some prostates get so big that they fall in the abdomen and you can't feel them transrectally. If I see multiple small cysts then it's more likely to be BPH. If I see 2-3 large ones then it's more likely to be surgical and you would want to omentalise it regardless if it's an abscess or a cyst.

RE: Do you have experience of using the Canine Prostate Specific Esterase (CPSE) test?

Nick Turner-Henke — Sat, 29 Apr 2023 07:22:29 GMT

Enjoyed your use of maths in describing survival times. Reminds me of my old practice where you would see T.F.Bundy in the history.

RE: Do you have experience of using the Canine Prostate Specific Esterase (CPSE) test?

David Mills — Fri, 28 Apr 2023 21:41:55 GMT

Not sure what it adds, but then don’t know much about it - sounds different to human PSA which is wildly inaccurate AFAIK.

Yes most cases will be BPH based on clinical exam - symmetrical, non painful enlargement. Those that are painful, ill, non symmetrical would raise suspicion of other causes. It costs little / nothing to put a scanner on and you’ll normally have an answer almost immediately.

Prostatic washes I haven’t done in forever, prefer to FNA. Yes yes you can seed but if it’s malignant seeding will make the square root of FA to survival time so better to get a good sample than piss about with something that is more likely to be non diagnostic.