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Diseases of the prostate are common in middle-aged to older intact dogs. The canine prostate can be affected by benign prostatic hyperplasia (BPH), squamous metaplasia, cysts, inflammation and neoplasia. BPH, the most common prostatic disorder, is a spontaneous disease of intact male dogs that begins as glandular hyperplasia as early as 2 years of age [1]. Dihydrotestosterone is accepted as a key hormone in the pathogenesis of the disease, stimulating enlargement of the prostate by enhancing growth of both the stromal and glandular components [2]. Oestrogens, in particular the ratio of 17β-oestradiol/testosterone, are also involved in the development of BPH, as is potentially prolactin [3] and also other mitogenic growth factors [4, 5].

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When present, clinical signs of BPH include serosanguinous urethral discharge not associated with urination [6], hemospermia and hematuria, tenesmus, poor semen quality and infertility, and prostatomegaly [7], as well as constipation and dysuria [3]. The diagnosis of BPH is usually based on history, physical and/or andrologic exam and abdominal ultrasonography; and seldom on cytology by fine needle-aspiration (FNA). Palpation usually reveals a symmetrically enlarged and non-painful prostate. The presence of prostatomegaly confirmed by ultrasonography (with a heterogeneous or hyperechoic parenchyma with or without fluid-filled cysts) is frequently sufficient to reach a conclusive diagnosis of BPH [7]. However, BPH can be difficult to differentiate from other prostatic diseases, including squamous metaplasia, prostatitis, prostatic cysts and abscesses, and prostatic neoplasia, due to the similarity of clinical and ultrasonographic findings. Under these circumstances, other methods should be used, i.e., cytology or biopsy, and more recently the seric quantification of canine prostate-specific arginine esterase (CPSE) [8].

CPSE, a serine protease similar to the human prostate-specific antigen (“PSA”), is the most important specific androgen-dependent protein of prostatic secretion in dog and a remarkable marker of androgenic stimulation [9, 10]. Serum CPSE concentrations, as determined by immunoprecipitation, were found to be significantly elevated in dogs with BPH compared to normal dogs [11]. CPSE determination by enzyme-linked immunosorbent assay (ELISA) is currently an interesting method for BPH diagnosis, especially indicated to early detect dogs with a subclinical pathological condition, and opens new perspectives to the follow-up of medical treatment [8]. However, there is scarce information on CPSE levels in middle-aged healthy dogs. In such animals, the determination of CPSE concentration is a feasible procedure that can be of high importance for early BPH diagnosis.

The aims of the present study were: a) to compare CPSE levels in dogs with BPH (study group) and without BPH (control group); and b) to compare clinical, ultrasonographic and CPSE performances in the diagnosis of BPH, considering the cytological marks as the reference method for this study.

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