
Macroscopic Anatomy
Microscopic Anatomy
Prostate Ducts
Deferential ampullas,Seminal
Vesicles and Bladder neck.


In shape the prostate is usually described as a flattened cone with the base upwards,
the apex downwards and four sides with rounded corners. The four sides are known as the
front, back and lower-lateral faces. A normal prostate is 4 cm in length, 3 cm at the
cross-section and 2.5 cm at the antero-posterior section. Weight ranges from 15 to 20 gr.
Lodged in the pelvis, the prostate adheres strongly to the bladder neck and is fixed to
the pelvic bones (mainly anteriorly to the pubis) by many ligaments and other supporting
structures e.g. the urogenital diaphragm (see fig. 1).

Thirty percent of the prostate is
muscle fibre and the remaining seventy percent is made up of glandular cells
grouped together in about 30 glandular units
known as acina.
The prostate can be divided into three
zones: the peripheral(PZ), the central(CZ) and the
periurethral transitional area(TZ) (fig.2). This
subdivision is extremely important as prostate tumors almost always originate in the peripheral
zone and BPH in the transitional.
Depending on its causes, prostatitis originates in the periurethral or peripheral
zones
and causes different symptoms in each instance.
 
The prostate contains three large ducts, a small central
duct known as the utriculus and as many small canals as there are acina.
The
three major ducts are:
- in the middle the urethra through which urine flows from the bladder;  ´
- to the right and left of the urethra,
the ejaculatory ducts, which join the urethra at the veru montanum and
through which sperm pass from the deferential ampullas.
The utriculus
is a small duct which joins the veru montanum between the two ejaculatory ducts. It is
considered a pre-sex differentiation embryological remnant of what will become the uterus
in females. After birth, in males the utriculus may atrophy and almost totally disappear
or become a closed duct, dilate and form cysts (utricular
cysts) which may cause prostatitis-like symptoms if inflamed.
During ejaculation, the fluid produced by each acinus flows through the minor
ducts (which also join the
urethra at the veru montanum) to mix with the sperm from the seminal vesicles. This
prostatic fluid is essential to ensure motility and vitality of spermatozoa and indeed, in
the course of prostate inflammation, abnormalities in them may impair fertility.

A description of the prostate anatomy would be seriously incomplete without
a mentioning the deferential ampullas, the seminal vesicles
and the bladder neck. Although they are not a part of the prostate, these organs play an
essential role in its functioning.

The deferential ampullas contain the sperm produced by the testicles.
The seminal
vesicles, as the name suggests, are two small, internally
pluriseptate sacs (mean diameter 5x4 cm) which only help in the
physiological semen chemical
composition. The
strong pelvic muscles contraction during orgasm, force the semen into the ejaculatory ducts
which join the urethra, where it is mixed with the prostatic fluid secreted by the acini,
before being ejaculated.
The bladder
neck is the area at the base of the bladder which opens into a funnel during
micturition to allow urine to flow along the lines of less resistance,
in the proximal urethra. The urethra distends when urine is passing and when is pulled by
specific extra-urethral muscles.
From the above description we can now provide an answer to a common question:
What is the prostate
for?
The prostate function is to produce and store in its glandular acini the prostatic fluid,
, for nourishing the spermatozoa in the sperm, which is stored in
the deferential ampullas. During orgasm the
pelvic muscles force both prostatic fluid and sperm into the urethra at the same time.
There they are mixed and ejaculated. |