• Identification of Female Prostate Gland
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Identification of Female Prostate Gland

HEALTH OF WOMAN. 2017.2(118):106–110

Romashchenko O., Grygorenko V., Biloholovska V., Melnykov S., Kosiukhno M.
State Institution «Institute of Urology of the NAMS of Ukraine»

In 2002 the Federative International Committee for Anatomical Terminology (FICAT) officially renamed paraurethral glands into female prostate gland and included the notion «female prostate gland» in the list of anatomical structures,but its role, functioning, features of its influence on the state of sexual function, and relation to the formation of urogenital disorders still remain undetermined.

The objective: Optimization of study of angioarchitechture of female prostate gland.

Patients and methods. A sexological, gynaecological, and urological examination of 22 sexually active women aged from 24 to 42 years, with the average age 32.1±0.4, 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 grey 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 prostatospecific antigen (PSA total, free) in blood serum was determined.

Results. Accumulation of tissues of paraurethral glands in the projection of distal part of urethra was established in 7 (31.8%) women, in the proximal part – in 12 (54.5%), and along the whole urethra – in 3 (13.7%) in the form of an oval formation, length 2.2±0.25 cm, width 1.52±0.14 cm, thickness 1.3±0.16 cm, and volume 4.75±0.65 cm3 (anticipated female prostate gland).

Diameter of vessels in the examined organs was from 0.28 to 0.36 cm, blood flow speed (Vps) constituted from 8.7 to 11.0 cm/s, resistivity index (IR) – 0.6–0.62, pulsatility index (IP) – 1.44–1.21. At the background of videoerotic stimulation the intensification of blood flow in the specified anatomical structures was marked: diameter of vessels constituted 0.28–0.41 cm, Vps – 8.9–11.9 cm/s, IR – 0.67–0.74, IP – 1.5–1.6.

In all women PSA was revealed in blood serum: average levels for PSA total – 4.22±1.22 ng/ml, and free 0.11±0.02 ng/ml.

Conclusion. Ultrasound study of vessels of paraurethral zone with Doppler method on the previously catheterized urinary bladder allows determining female prostate gland as a separate anatomical structure.

Key words:  female prostate gland, paraurethral glands, zona G, the ultrasound diagnostic.

REFERENCES

1. Zaviacic M, Zaviacic T, Ablin RJ, Breza J, Holoman J. 2001. The human female prostate: history, functional morphology implications. Sexology 11: 44–49.

2. De Graaf R. De mulierum organis generationi inservientibus. Tractatus novus demonstrans tamhomines et animalia caetera omnia, quae viviparadicuntur, haud minus quam viviparadicuntur, haud minus quam vivipara abovo originem ducere. Leyden. 1672.

3. Skene AJC. 1880. The anatomy and pathology of two important glands of the female urethra. Amer J Obatetr Diss Women Child 13: 265–270.

4. Rudolf Virchow. 1857. Celluar Pathology: 516–522.

5. Huffman JW. 1948. The detailed anatomy of the paraurethral ducts in the adult human female. Amer J Obstet Gynecology 55: 86–101. https://doi.org/10.1016/0002-9378(48)90157-4

6. Grafenberg E. 1950. The role of the urethra in female orgasm. Int J Sexology 3: 145–148.

7. Addiego F, Belzer EG, Commoli J et al. 1981. Female ejaculation: a case study. J Sex Research 17: 13–21. https://doi.org/10.1080/00224498109551094

8. Perry J, Whipple B. 1981. Pelvic Muscle Strength of Female Ejaculators: Evidance in support of a New Theory of Orgasm. J. Sex. Res. 17: 22–39. https://doi.org/10.1080/00224498109551095

9. Hines TM. 2001. The G-spot: a modern gynecologic myth. Amer J of Obstetr g Gynecology 185(2): 359–362. https://doi.org/10.1067/mob.2001.115995; PMid:11518892

10. Zaviacic M, Zaviacic T, Ablin R, Breza J, Holoman J. 2000. Ultrastructure of the normal adult human female prostate gland (Skenets gland). Anat Embryology 201: 51–61.

11. Rubio-Casitlas A, Rodriguez-Quintero CM. 2009. The female prostate: the end of the controversy. International Society for Sexual Medicine. News bulletin 30: 7.

12. Taboga SR, Goes RM, Zanetoni C, Santos FCA. 2001. Ultrastructural characterization of the secretory cells in the prostate:a comparative study between the male and female organs. Acta Microscopia 3:205–206.

13. Billis Oliveira-Reis A, Ferreira FT et al. 2009. Female urethral carcinoma: evidences to origin from Skene’s glands. Urologic Oncology: Seminars and Original Investigations 3:19.

14. Stifter, Karl F. andStackl, Walter: Ultrasballuntersucbung zur Topograpbie des G-Punktes. Vienna. 2002 (film excerpt from C.O.M.E.).

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