Prostatic Venous Plexus

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Yoshio Ogawa - One of the best experts on this subject based on the ideXlab platform.

Hideo Sakamoto - One of the best experts on this subject based on the ideXlab platform.

Sandro La Vignera - One of the best experts on this subject based on the ideXlab platform.

  • male accessory gland infection frequency in infertile patients with chronic microbial prostatitis and irritable bowel syndrome transrectal ultrasound examination helps to understand the links
    2012
    Co-Authors: Enzo Vicari, Aldo E. Calogero, Rosita A. Condorelli, Lucia O Vicari, Sandro La Vignera
    Abstract:

    The aim of this study was to evaluate the frequency of male accessory gland infection (MAGI) in patients with chronic bacterial prostatitis (CBP) plus irritable bowel syndrome (IBS) and to compare the sperm parameters of patients with or without MAGI. In addition, another objective of this study was to evaluate the ultrasound characterization of the anatomical space between the posterior wall of the prostate and the anterior wall of the rectum using transrectal ultrasonography. Fifty consecutive patients with the following criteria were enrolled: 1) infertility, 2) diagnosis of CBP, and 3) diagnosis of IBS according to the Rome III criteria. The following 2 age-matched control groups were also studied: infertile patients with CBP alone (n 5 56) and fertile men (n 5 30) who had fathered a child within the previous 3 months. Patients and controls underwent an accurate patient history; administration of the National Institutes of Health-Chronic Prostatitis Symptom Index and the Rome III questionnaires for prostatitis and IBS, respectively; physical examination; semen analysis; and transrectal ultrasound evaluation (limited to patients with CBP and IBS or CBP alone). A significantly higher frequency of MAGI was found in patients with CBP plus IBS (82.0%) compared with patients with CBP alone (53.6%) or fertile men (0%). The presence of MAGI in patients with CBP plus IBS was associated with a significantly lower sperm concentration, total number, and forward motility, and with a higher seminal leukocyte concentration compared with patients with CBP alone and MAGI. Sperm normal morphology was similar in the groups of patients. All sperm parameters did not differ significantly in both groups of patients without MAGI. With ultrasound evaluation, a significantly higher frequency of dilatation of Prostatic Venous Plexus was found in patients with CBP plus IBS (75%) compared with patients with CBP alone (10%). Patients with CBP plus IBS had a significantly higher frequency of MAGI compared with patients with CBP alone. This was associated with worse sperm parameters and, hence, poorer reproductive prognosis. We suggest searching for the presence of IBS in patients with prostatitis syndrome, in particular when CBP and/or worse sperm parameters are present. Finally, this is the first observation on ultrasound examination of the anatomical space between the posterior wall of the prostate and the anterior wall of the rectum reported in patients with CBP and IBS. Further studies should clarify the meaning of the ultrasound findings.

Enzo Vicari - One of the best experts on this subject based on the ideXlab platform.

  • male accessory gland infection frequency in infertile patients with chronic microbial prostatitis and irritable bowel syndrome transrectal ultrasound examination helps to understand the links
    2012
    Co-Authors: Enzo Vicari, Aldo E. Calogero, Rosita A. Condorelli, Lucia O Vicari, Sandro La Vignera
    Abstract:

    The aim of this study was to evaluate the frequency of male accessory gland infection (MAGI) in patients with chronic bacterial prostatitis (CBP) plus irritable bowel syndrome (IBS) and to compare the sperm parameters of patients with or without MAGI. In addition, another objective of this study was to evaluate the ultrasound characterization of the anatomical space between the posterior wall of the prostate and the anterior wall of the rectum using transrectal ultrasonography. Fifty consecutive patients with the following criteria were enrolled: 1) infertility, 2) diagnosis of CBP, and 3) diagnosis of IBS according to the Rome III criteria. The following 2 age-matched control groups were also studied: infertile patients with CBP alone (n 5 56) and fertile men (n 5 30) who had fathered a child within the previous 3 months. Patients and controls underwent an accurate patient history; administration of the National Institutes of Health-Chronic Prostatitis Symptom Index and the Rome III questionnaires for prostatitis and IBS, respectively; physical examination; semen analysis; and transrectal ultrasound evaluation (limited to patients with CBP and IBS or CBP alone). A significantly higher frequency of MAGI was found in patients with CBP plus IBS (82.0%) compared with patients with CBP alone (53.6%) or fertile men (0%). The presence of MAGI in patients with CBP plus IBS was associated with a significantly lower sperm concentration, total number, and forward motility, and with a higher seminal leukocyte concentration compared with patients with CBP alone and MAGI. Sperm normal morphology was similar in the groups of patients. All sperm parameters did not differ significantly in both groups of patients without MAGI. With ultrasound evaluation, a significantly higher frequency of dilatation of Prostatic Venous Plexus was found in patients with CBP plus IBS (75%) compared with patients with CBP alone (10%). Patients with CBP plus IBS had a significantly higher frequency of MAGI compared with patients with CBP alone. This was associated with worse sperm parameters and, hence, poorer reproductive prognosis. We suggest searching for the presence of IBS in patients with prostatitis syndrome, in particular when CBP and/or worse sperm parameters are present. Finally, this is the first observation on ultrasound examination of the anatomical space between the posterior wall of the prostate and the anterior wall of the rectum reported in patients with CBP and IBS. Further studies should clarify the meaning of the ultrasound findings.

M K Lai - One of the best experts on this subject based on the ideXlab platform.

  • Prostatic Venous Plexus ultrasonic guidance for Prostatic inflammation
    1991
    Co-Authors: Chengkeng Chuang, M K Lai
    Abstract:

    The Ultrasonic features of the normal prostate, benign Prostatic hyperplasia and Prostatic carcinoma are well known, but ultrasonic diagnosis of prostatitis is still questionable. We studied 190 cases of transrectal sonogram for Prostatic disease; 89 of them had prominent Prostatic Plexus. When compared with clinical and pathological results, Prostatic Venous Plexus should be considered as a normal anatomical features in only 28.5 percent of them with Prostatic inflammation. When Prostatic Venous Plexus is associated with periurethral halo zone and/or Prostatic calculi, the diagnosis of Prostatic inflammation can be made.