Prostate anatomy

DR. MOHAMMAD ALMUAKEEL

1. PROSTATE ANATOMY WHAT DO YOU WANT TO KNOW ? Mohammed ALMoaiqel King Abdulazizi Medical City Riyadh Saudi Arabia

2. Prostate gland is a pyramid organ, 20 gm weight approx. 3X4X2 cm

3. Peripheral zone 70% Central zone 25% Transitional zone 5-10% Anterior fibromuscular

4. Prostate CA in PZ BPH in TZ Chronic Prostatitis in PZ

5. Rastinehad AR, Caplin DM, Ost MC, et al. Selective arterial prostatic embolization (SAPE) for refractory hematuria of prostatic origin. Urology 2008 ; 71:181–184. Nabi G, Sheikh N, Greene D, Marsh R. Therapeutic transcatheter arterial embolization in the management of intractable haemorrhage from pelvic urological malignancies: preliminary experience and longterm follow-up . BJU Int 2003; 92:245–247.

6. PROVISO F. C. Carnevale

7. CT ANGIOGRAPHY WITH MIP & VR

8. 25-55 ispilateral oblique vies with 10-20 caudal angulation

9. Foley catheter

10. The inferior vesical artery (white arrows) arises as the second branch and give branches to the inferior portion of the Foley balloon F. C. Carnevale

11. Prostatic arteries Origin & types of anastomosis Origin Internal pudendal artery 34% Superior vesical artery 20% Gluteal- pudendal trunk 18% Obturator artery 13% Prostatorectal trunk 8% Inferior glutaeal artery 4% Accessoory pudendal artery 2% Superior gluteal artery 1.5%

12. Anastomosis Internal pudendal arteries 43% Contralateral PAs 18% Ipsilateral Pas 13% Rectal arteries 14% Vesical arteries 11% Lateral accessory pudendal arteries 20% Prostatic arteries Origin & types of anastomosis

13. Sandeep Bagla ,

14. CONCLUSION Detailed angiographic arterial prostatic supply are mandatory to be known by the interventionlist before and during PAE CT Angio before, ipsilateral view, Foly catheter and CONE BEAM CT all are useful tools during PAE