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Prostimegaly

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prostimegaly medical definition

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The term "prostimegaly" does not appear to be a recognized or standard medical term - it does not appear in any of the medical textbooks in the library, and the web search returned no direct matches either. It is most likely a misspelling or variant of:

Did You Mean: Prostatomegaly?

Prostatomegaly (also written as prostatomegaly) means enlargement of the prostate gland. It is a descriptive/anatomical term, not a specific diagnosis.

What It Refers To

Prostatomegaly is the macroscopic (actual physical) enlargement of the prostate. It is found in the evaluation of:
  • Benign Prostatic Hyperplasia (BPH) - the most common cause; histologic proliferation of prostatic stromal and epithelial cells, leading to a measurably enlarged gland
  • Prostate cancer - malignant enlargement, typically hard/nodular on digital rectal exam (DRE)
  • Prostatitis - acute bacterial prostatitis can cause asymmetric enlargement with distorted periprostatic fat
  • IgG4-related disease - rare cause of prostatic enlargement in the context of systemic IgG4-RD
  • Prostatic calculi - identified during TRUS workup for LUTS or prostatomegaly

How It Is Detected

  • Digital rectal examination (DRE): smooth, convex, elastic surface suggests benign enlargement; hard/irregular nodule suggests malignancy
  • Transrectal ultrasound (TRUS): used to measure prostate size, especially pre-operatively
  • MRI: T2-weighted imaging shows size and structural detail; useful in prostatitis and cancer staging

Clinical Significance

Prostatomegaly causes bladder outlet obstruction (BOO), leading to:
  • Lower urinary tract symptoms (LUTS): weak stream, hesitancy, nocturia, frequency
  • Urinary retention
  • Recurrent UTIs
  • Bladder calculi
  • Impaired renal function (in severe cases)
  • Smith and Tanagho's General Urology, 19th Ed.
  • Campbell-Walsh-Wein Urology
  • Symptom to Diagnosis: An Evidence-Based Guide, 4th Ed.
Could you clarify what you meant by "prostimegaly"? If you were asking about a specific aspect - BPH treatment, prostate cancer, or something else - let me know and I can go deeper on that topic.
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