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The "lobe" classification describes lobes that, while originally defined in the fetus, are also visible in gross anatomy, including dissection and when viewed endoscopically. [5] [4] The five lobes are the anterior lobe or isthmus, the posterior lobe, the right and left lateral lobes, and the middle or median lobe.
Anatomically the median and lateral lobes are usually enlarged, due to their highly glandular composition. The anterior lobe has little in the way of glandular tissue and is seldom enlarged. (Carcinoma of the prostate typically occurs in the posterior lobe – hence the ability to discern an irregular outline per rectal examination).
The prostatic urethra, the widest and most dilatable part of the urethra canal, is about 3 cm long.. It runs almost vertically through the prostate from its base to its apex, lying nearer its anterior than its posterior surface; the form of the canal is spindle-shaped, being wider in the middle than at either extremity, and narrowest below, where it joins the membranous portion.
These buds become tubular, and form the glandular substance of the two lobes, which ultimately meet and fuse behind the urethra and also extend on to its ventral aspect. The median lobe of the prostate is formed as an extension of the lateral lobes between the common ejaculatory ducts and the bladder.
Seminal fluid continues down the ejaculatory duct into the prostate gland, where an alkaline prostatic fluid is added. [4] This addition provides the texture and odor associated with semen. [ 4 ] The alkalinity of the prostatic fluid serves to neutralize the acidity of the female vaginal tract in order to prolong the survival of sperm in this ...
This article incorporates text in the public domain from page 1232 of the 20th edition of Gray's Anatomy (1918) ^ a b "orifice interne de l'urèthre l.m. - Dictionnaire médical de l'Académie de Médecine" .
The prostatic utricle (Latin for "small pouch of the prostate") is a small indentation in the prostatic urethra, at the apex of the urethral crest, on the seminal colliculus (verumontanum), laterally flanked by openings of the ejaculatory ducts.
In men, prostate surgery (prostatectomy, TURP, etc) and radiation therapy can damage the sphincter and cause stress incontinence. [7] Neurogenic bladder dysfunction can involve a malfunctioning urethral sphincter. [8] Urge incontinence can happen when the urethra cannot hold the urine in as the bladder contracts uncontrollably. [9]