Urinary Involvement In Scleroderma A 67-year-old Retired Male Went To His Doctor,?

A 67-year-old retired male went to his doctor,? - urinary involvement in scleroderma

complained of pain in his legs began in the lower back, which then radiates to the side of the anterior thigh and knee. Your doctor took a medical history and physical followed by laboratory investigations. He detected a hardening in the prostate and an increase in the number of blood tests. His PSA (prostate-specific antigen), was an enzyme excreted by the normal prostate tissue (0-4 ng / ml) 450. Alkaline phosphatase was also increased to 157 U / L, an indication of bone.

The doctor suggested that the reduction of testosterone in men. He suggested that castration, but the man was not interested in the castration and asked if there is another way to do so. The patient was treated, a single shot from a drug that is slowly released tothe body over a period of three months. At that time, the patient noticed a marked alleviation of pain.

1. What is the diagnosis of this man? How do you know?

2. As the condition of man has affected the ability of urinary and reproduction?

3. Describe a mechanism by which a drug can reduce the level of testosterone in the body.

4. Why reduce testosterone to castration? All a castrated male testosterone gone? Why or why not?

5. How could it affect the ability of the castration of a man getting an erection or to ejaculate? Why?