Male Genital Tract, Case 2 67-year-old male has nocturia, urinary hesitancy, “weak” urine...
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Transcript of Male Genital Tract, Case 2 67-year-old male has nocturia, urinary hesitancy, “weak” urine...
![Page 1: Male Genital Tract, Case 2 67-year-old male has nocturia, urinary hesitancy, “weak” urine stream, and dribbling at the end of urination. On digital rectal.](https://reader035.fdocuments.us/reader035/viewer/2022070410/56649eaa5503460f94baec48/html5/thumbnails/1.jpg)
Male Genital Tract,Case 2
67-year-old male has nocturia, urinary
hesitancy , “weak” urine stream, and
dribbling at the end of urination.
On digital rectal exam the prostate gland is
enlarged and non-tender. There are no
palpable masses.
![Page 2: Male Genital Tract, Case 2 67-year-old male has nocturia, urinary hesitancy, “weak” urine stream, and dribbling at the end of urination. On digital rectal.](https://reader035.fdocuments.us/reader035/viewer/2022070410/56649eaa5503460f94baec48/html5/thumbnails/2.jpg)
Identify the organDescribe the gross findings.
![Page 3: Male Genital Tract, Case 2 67-year-old male has nocturia, urinary hesitancy, “weak” urine stream, and dribbling at the end of urination. On digital rectal.](https://reader035.fdocuments.us/reader035/viewer/2022070410/56649eaa5503460f94baec48/html5/thumbnails/3.jpg)
Nodular Prostatic HyperplasiaThe autopsy specimen consists of a cut section of prostate gland.Note the numerous large and small circular nodules.
![Page 4: Male Genital Tract, Case 2 67-year-old male has nocturia, urinary hesitancy, “weak” urine stream, and dribbling at the end of urination. On digital rectal.](https://reader035.fdocuments.us/reader035/viewer/2022070410/56649eaa5503460f94baec48/html5/thumbnails/4.jpg)
Describe the lower power histologic findings
![Page 5: Male Genital Tract, Case 2 67-year-old male has nocturia, urinary hesitancy, “weak” urine stream, and dribbling at the end of urination. On digital rectal.](https://reader035.fdocuments.us/reader035/viewer/2022070410/56649eaa5503460f94baec48/html5/thumbnails/5.jpg)
Multiple nodules composed of hyperplastic glands
in which the lining epithelium is thrown up into folds and papillary structures.
Hyperplasticconnectivetissue stroma
DilatedGlands
![Page 6: Male Genital Tract, Case 2 67-year-old male has nocturia, urinary hesitancy, “weak” urine stream, and dribbling at the end of urination. On digital rectal.](https://reader035.fdocuments.us/reader035/viewer/2022070410/56649eaa5503460f94baec48/html5/thumbnails/6.jpg)
Describe the high power histologic findingsThe microscopic section of the prostate gland reveals a gland in which the hyperplastic epithelium forms folds (arrow) which extendinto the lumen.
![Page 7: Male Genital Tract, Case 2 67-year-old male has nocturia, urinary hesitancy, “weak” urine stream, and dribbling at the end of urination. On digital rectal.](https://reader035.fdocuments.us/reader035/viewer/2022070410/56649eaa5503460f94baec48/html5/thumbnails/7.jpg)
Identify the organ(s)Identify the structuresDescribe the gross findings
![Page 8: Male Genital Tract, Case 2 67-year-old male has nocturia, urinary hesitancy, “weak” urine stream, and dribbling at the end of urination. On digital rectal.](https://reader035.fdocuments.us/reader035/viewer/2022070410/56649eaa5503460f94baec48/html5/thumbnails/8.jpg)
Benign Prostatic HyperplasiaThe autopsy specimen consists of the urinary bladder and attached prostate. The bladder is opened longitudinally along the anterior midline through the prostatic urethra. Note the distinct bands or trabeculations in the posterior wall of the bladder. What is the nature of the trabeculations? What is the pathogenesis of the trabeculations?
A- TrabeculationB - Prostate