From:
"Sukie Crandall"
Date: 2007-07-10 16:15:09 UTC
Subject: [ferrethealth] Re: Mojave- difficulty urinating again
To: ferrethealth@yahoogroups.com
If it is prostate disease secondary to adrenal disease (pointed to from the TN Panel results)
then the long amount of time without treatment for adrenal disease could have caused the
prostate to go cystic.
These may help you:
http://ferrethealth.org/archive/SG7311
BEGIN QUOTE
Sounds like Merlin has prostate problems from
his adrenal problem. Has your vet been able to
palpate an enlarged prostate, cysts, or abscess?
Has an ultrasound been done of his bladder/prostate?
If you are using the once a month version of Lupron
then you are basically treating him for 4 weeks then not
treating him for 2-4 weeks. Lets use it every 4 weeks!
Propecia can be increased to 1mg once a day.
Melatonin can also be added (1mg once a day, about
7-8 hours post sunrise).
When he is under anesthesia there is relaxation of the smooth
muscles in his prostate, that is why it so easy to express
his bladder then. There is a human prostate medicine called
Flomax (tamsulosin hydrochloride) that also does that.
Perhaps that would help Merlin out. You have to be careful
expressing his bladder. A large bladder has the chance of
rupturing. Time to ultrasound his bladder/prostate to find
out what is actually causing his problem.
Hope that helps,
Jerry Murray, DVM
END QUOTE
http://ferrethealth.org/archive/SG6593
BEGIN QUOTE
You have asked some good questions about
how to treat a prostate problem in your adrenal
boy.
I would recommend surgery to remove the adrenal(s)
and to check the prostate. If the prostate has a large
cyst or abscess then marsupialization can be done. If
the prostate has a small cyst or abscess then
omentalization can be done.
If there is a problem that prevents surgery then medical
treatment can be done. I would use Lupron to get the
adrenal gland(s) under control, Propecia to get the DHT
level lowered, and melatonin. Melatonin can be used with
Lupron and with Propecia. Yes, you can raise the amount of
melatonin to 2mg. The main side effect is lethargy.
Propecia will take about 1 month to get the prostate smaller
and ~4 months to reduce it by ~50%. It is very safe. 1 study
gave beagles 45mg/kg/day for 53 weeks with no side effects.
You indicated that you could not afford Lupron yet were going
to do bloodwork and x-rays. I would suggest you spend your
money on Lupron instead. As the prostate gets big, your vet
will be able to palpate it. Lupron is also a very safe product,
so I would not expect side effects from it either.
I do not know if a Prostate-Specific Antigen (PSA) test would
work with ferrets. There has been no studies that I am aware
of to validate this test in ferrets.
Hope that helps,
Jerry Murray, DVM
END QUOTE
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