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 The
prostate is a variable-sized gland located in
the male pelvis, usually the size of a walnut
measuring 3-4 centimeters long by 3-5 centimeters
in width. On average the gland weighs about
20 grams. It is found behind the pubic bone,
in front of the rectum, and below the bladder,
surrounded by the pelvic muscles.
The prostate surrounds the urethra which carries
urine from the bladder to the penis and travels
in thecenter of the gland. The seminal vesicles
attach to the prostate and produce material
that mixes with prostatic fluid to form semen.
The tubes from the testicles carry sperm to
the prostate where the sperm are mixed with
the prostate and seminal vesicle fluid. This
fluid is then ejaculated during orgasm by a
connection to the urethra called the ejaculatory
ducts.
For many years the prostate was thought to exist
in "lobes", however, we now refer to the prostate
ashaving various concentric zones. These zones
are termed: anterior fibromuscular stroma, peripheral
zone, central zone, and transition zone.
It is the peripheral zone of the prostate that
a doctor can feel by a finger in the rectum.
Almost all prostate cancers start in the peripheral
zone, thus, the importance ofthe rectal examination.
The transition zone generally accounts for less
than 5% of the total prostate volume. Nonetheless,
it is the exclusive site for the development
of benign prostatic hyperplasia (BPH) and may
therefore become massive.
The central zone is involved with the connection
of the seminal vesicles to the prostate and
is rarely associated with any disease process.
The anterior fibromuscular stroma is the anchoring
point of the urethral sphincter that controls
urination: it does not have any glands and therefore
cancer or enlargement does not develop here. |
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