October 23rd, 2017
Prostate nodule as the name suggests, refers to formation of a firm swelling on the surface of prostate gland. It may be asymptomatic or may present with long standing pelvic pain and urinary tract infection. Prostate nodules can also present in the setting of prostate malignancy or prostatitis.
Prostate gland is a vital reproductive gland that produces secretions for the vitality of sperms in the semen transportation.
As discussed previously, prostate nodule is an area of induration of firmness on the surface of prostate gland. On physical palpation, it feels like the finger knuckle. It is imperative to mention that prostate nodules may be malignant and therefore should be carefully evaluated by histological tissue examination or biopsy.
Traditionally, tumor and nodular growth are both abnormal outgrowth of cells, but it is important to keep in mind that prostate nodules are usually benign and prostate cancer growths are malignant and therefore should be managed at an emergent basis.
Following are some common causes of prostate nodules:
Other less common causes of prostate nodules are; infarct of prostate tissue, hemorrhoids or other abnormalities of rectum. Some serious sexually transmitted infection and diseases (such as cryptococcal infection in HIV patients) can also present with prostate nodule.
The first and foremost step in the diagnostic process is; history taking and examination. Your doctor will ask you question regarding the onset of nodule and associated symptoms. To confirm the cause of nodule, your doctor can advise a number of tests such as biopsy, urine analysis, digital rectal examination, and PSA levels.
The treatment or management options depends on the primary cause of prostate nodules. If you are experiencing prostate nodule due to malignancy, it is highly recommended to seek emergent treatment to remove cancerous mass. For less serious causes such as prostate calculi or prostatitis, appropriate drug or antibiotic regimen can address the issue.