Pendarahan Prostate

Arterial Supply
 The inferior vesical artery is the typical arterial supply to the
prostate.
 The inferior vesical artery branches into urethral arteries that enter the
prostatovesical junction posterolaterally and course in a perpendicular
route to the urethra.
 They travel toward the bladder neck with the largest branches
posteriorly, approaching the bladder neck in the one o'clock to five
o'clock positions and the seven o'clock to eleven o'clock positions.
 They then supply the urethra after making a caudal turn to run parallel to
the urethra.
 These branches supply the urethra, the periurethral glands, and the
transition zone of the prostate.
 The inferior vesical artery also branches into the capsular artery.
 The capsular artery yields small branches that supply the anterior
prostatic capsule.
 The capsular branches enter the prostate at 90-degree angles and
provide arterial supply to the glandular tissues.
 Also supplied by banches from
 Internal pudendal artery
 Middle rectal (hemorrhoidal) artery
Venous Drainage

 The prostate includes abundant venous drainage through the

periprostatic plexus.
 The periprostatic plexus anastomoses with the deep dorsal vein of the
penis and the internal iliac (hypogastric) veins.
 Batson venous plexus (or Batson veins) is a network of veins with no
valves that connect deep pelvic veins draining the bladder, prostate, and
rectum to the internal vertebral venous plexus.

Lymphatic Drainage

 The obturator and internal iliac nodes are the primary sites of
lymphatic drainage from the prostate.
 The presacral group or, infrequently, the external iliac nodes may receive
a small portion of the initial lymphatic drainage.

Nerve Supply

 The cavernous nerves provide sympathetic and parasympathetic

innervation to the prostate from the pelvic plexus.
 Innervations to the glandular and stromal elements of the prostate are
found traveling with branches of the capsular artery.
 Sympathetic fibers innervate the smooth muscle of the capsule and
stroma for contraction.
 The parasympathetic nerves promote secretory function by terminating
in the acini.
 The pelvic plexuses carry afferent neurons from the prostate to the pelvic
and thoracolumbar spinal centers.