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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