Types of female prostate gland
Romashchenko, O1; Grygorenko, V1; Biloholovska, V1; Kosiukhno, M1; Melnykov, S1
1: SI 'Institute of Urology of the NAMS of Ukraine', Ukraine
Objective. To determine types of female prostate gland (FPG) in women of reproductive age.
Materials and Methods. The difference between male and female glands is determined by structure, size, location and features of functioning of this anatomical structure, but these aspects need further study and clarification (Zaviacic et al., 1999). A sexological, gynaecological and urological examination of 52 sexually active women aged from 21 to 43 years, with the average age 34.2±7.7, was carried out. Ultrasound study of vessels in paraurethral zone with the Doppler method was carried out using the ultrasound diagnostic expert class system XARIO of TOSHIBA in the regime of gray scale. Before the study the catheterization of urinary bladder and introduction of elastic vessel (50 ml), filled with gel, in the vagina were conducted. A prostatspecific antigen (PSA total, free) in blood serum was determined.
Results. The accumulation of tissues of paraurethral glands in the projection of distal part of urethra was established in 34 (65.4%), in the proximal one – in 12 (23.1%), and along the whole urethra – in 4 (7.7%). The revealed accumulation had the form of oval structure: length 2.4±0.31 cm, width 1.56±0.16, thickness 1.4±0.17 cm, volume 4.81±0.71 cm3. In 2 (3.8%) women paraurethral prostate tissue was not visualized. In women with different types of accumulation of paraurethral glands PSA was revealed in blood serum: average levels for PSA total – 4.7±1.81 ng/ml, and free 0.14±0.05 ng/ml. In women who did not have paraurethral glands the figures were as follows: PSA total 0.7-0.9 ng/ml and free 0.03-0.05 ng/ml. Violation of sexual desire and anorgasmia were respectively established in 5.9% and 2.9% of women with front paraurethral glands, in 25.0% and 8.7% of women with back paraurethral glands, while in 25.0% and 25.0% of women with diffuse type of paraurethral glands. Provided paraurethral glands were not in place one woman had primary anorgasmia established and another woman had secondary anorgasmia at the background of sexual desire reduction.
Conclusion. The type of FPG should be considered when evaluating female sexual health. In women with the front type of paraurethral glands (65.4%), back type (23.1%) and diffuse type (7.7%) the violation of sexual desire was noted in 5.9-25.0% of cases and anorgasmia – in 2.9-25.0% of cases. Patients without FPG had primary and secondary anorgasmia at the background of desire reduction.
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