chapter five
What is the Prostate Gland? A small gland, approximately walnut-sized, it is an important part of the reproductive system, providing up to 30 % of seminal fluid. The gland typically weights between 20-40 grams and is made up of glandular tissue and fibromuscular or stromal tissue. Located below the bladder and in front of the rectum, it surrounds the tube in the penis( urethra) that carries urine from the bladder. It is connected to the pubic bone and the posterior surface anterior to the rectum. The rectovesical fascia separates it from the rectum and this is discernable through a rectal exam.
The prostate is comprised of three distinct zones and has different embryologic origins:
• Peripheral zone
• Central zone
• Transition zone
It’ s true to say that many men will experience an enlarged prostate as they age, but when this occurs, the gland can press upon the tube transporting urine from the bladder. This is known as Benign Prostate Enlargement.
There are many other conditions including swelling of the gland known as Prostatitis, and this can make urination quite painful. It may also be caused by an infection. A solitary cell may also multiply out of control, potentially leading to the development of cancer.
Signs and Symptoms of Prostate Problems Some men suffer very little in the way of symptoms, although this does not mean that changes are not occurring in the prostate. If any of the following is experienced, it is best to seek medical advice:
• Problems starting urination
• Increased frequency to urinate
• Urinating more at night
• Bladder failing to empty following urination
• Sudden urge to urinate without warning
• Starting and stopping urination
• Straining to urinate
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