THE PROSTATE

Conical fibro-musculo-glandular organ, which surrounds proximal

part of urethra.
Accessory gland of male reproductive system
It corresponds in female of Para urethral glands
Situation : Lesser pelvis ,
Below the neck of the bladder,
Above the urogenital diaphragm,
Behind the lower part of symphysis pubis
In front of rectal ampulla
On either side by Levator ani
Fundus of the bladder with the vesiculæ seminales
Vertical section of bladder, penis, and urethra
Measurements :
Chest nut in appearance-
Transverse – 4 cm
Vertical – 3 cm
Antero-posterior – 2 cm
Weight – 8 gm
Coverings :
Inner True capsule – by condensation of fibrous stroma of the
gland
Outer false capsule – pelvic fascia
Space between these occupied by prostatic venous plexus
Presenting parts :
Apex
Base
Four surfaces – posterior
anterior
two infero-lateral
Lobes :
Anatomically 3 lobes – median and two lateral
Surgically 5 lobes – median
anterior
posterior
two lateral
Structures traversing the prostate :
prostatic urethra

Features of posterior wall of prostatic urethra :

Urethral crest
Colliculus seminalis ( Verumontanum )
Prostatic utricle
Ejaculatory duct
Prostatic sinus
Vesiculæ seminales and ampullæ of ductus deferentes, seen from the front
Prostate with seminal vesicles and seminal ducts, viewed from in front and above.
Glands of prostate :

Arranged in three concentric layers

• Inner mucous glands

• Intermediate sub mucous glands
• Outer main glands
Arterial supply :
Inferior vesical artery
Middle rectal artery
Internal pudendal artery
Venous drainage :
Prostatic venous plexus – internal iliac vein
Para-vertebral venous plexus of Batson
Lymphatic drainage :
Internal iliac, external iliac, sacral nodes
Nerve supply :
Superior hypogastric plexus,
L-1,2 , S-2,3,4