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Size of seminal vesicles in the prostate


Size Of Seminal Vesicles In The Prostate

Seminal vesicles in men are normal sizes



The structure of the prostate gland and seminal vesicles: features and purpose


Men's health allows a representative of the strong half of humanity not only to be active and live a long life, but also favorably affects intimate relationships, the ability to independently conceive and give birth to a strong baby, and so on. A man should be attentive to his health throughout his adult life, but especially after forty years, because it is at this age that male diseases develop, including inflammation of the prostate gland. This organ is one of the most important among the pelvic organs, because it performs many functions that make men full and healthy.


Inflammation of the Prostate gland can appear not only in adulthood, but at a young age, and such a disease can be provoked by a sedentary lifestyle, lack of quality intimate life, an unhealthy lifestyle, and so on. Almost all diseases of the prostate gland are manifested by pronounced symptoms, including pain during a small trip to the toilet, frequent desires to visit the toilet, discomfort in the pelvic area, erection problems, discomfort in the perineum, and so on.


When such symptoms appear, a man must definitely visit a urologist for a consultation, who, after receiving the results of certain tests, will be able to make an accurate diagnosis and prescribe the most effective treatment. In order for a man to be able to competently monitor his health, he definitely needs to know the structure of the prostate gland. which will allow him to independently determine e at an early stage of the onset of the disease and thereby contacting a doctor to begin a treatment course as early as possible.


Knowing the structure of the prostate gland, you will be able to independently conduct regular diagnostics, which will help the doctor to make an accurate diagnosis as soon as possible, and as a result, as soon as possible, save the patient from suffering and anguish caused by unpleasant and painful symptoms. If we consider the structure of the prostate, then we must first say that this organ is unpaired, and it is located under the bladder, which causes unpleasant and painful symptoms of the inflammatory process. We are talking about the fact that during inflammation, the prostate increases in size and thereby "presses" on other organs of the small pelvis, including the bladder.



Why you need to know the structure of the prostate and seminal vesicles


When studying the structure of the prostate, you should know that there are three types of cells in the organ, in particular, chief cells, basal and endocrine cells, and each of them has its own function, which is important for the normal "work" of the prostate gland. The prostate glands are located at the lining of the urethra, around the connective tissue of the urethra, and around the main part of the organ. Knowing the structure of The prostate gland is extremely important not only for a man, but also for the boy's mother, because only the attentive attitude of the mother to her son will allow at an early stage to identify any deviations from the norm in this matter. You should know not only the structure of the prostate, but also the structure of the Seminal vesicles, because their role in the normal and full life of a man is extremely important. By the way, the main task of the seminal vesicles is to produce a secret in which the male spermatozoa "live" actively and are saturated with fructose, which is the "nutrition" of the spermatozoa


If the dimensions are increased, then the doctor may be diagnosing a male disease, which can greatly harm the health of a man and spoil his quality of life. The seminal vesicles have three membranes, each of which plays an important role in the normal functioning of this organ, so a man also needs to know information on this issue in order to be able to control his health, since the seminal vesicles consist of a mucous membrane, a muscular membrane and an adventitia.< /p>

The normal structure of this organ, as well as the normal structure of the prostate gland, is the fact that the man is healthy, but you can be sure of this only after passing certain tests and studying their results by an experienced doctor. The function of the prostate gland is to develop a special acidic environment that liquefies the spermatozoa and makes them more mobile, which has a positive effect not only on the health of a man, but also on the possibility of fertilizing a female egg. It should be summarized that the influence of the prostate gland on the well-being of a representative of the strong half of humanity is extremely important, therefore, first of all, this organ of the small pelvis is examined by a urologist in the most "detailed" manner.


Of course, if we are talking about a young and active man, then, most likely, the functionality of the prostate gland is correct and within the normal range, while with age the quality of the "work" of this organ deteriorates, which, as a result, negatively affects the health of a representative of a strong half of humanity. If we are talking about a man over 55 - 60 years old, then the prostate cells gradually atrophy, and in their place there are growths of salts and stones, and if preventive measures are taken, then these consequences can be avoided. It is important that prevention will allow a man at any age to be not only healthy, but also active, including in personal relationships. Prevention in this case refers to a variety of methods and methods, including maintaining a healthy lifestyle, regular exercise, regular jogging or active pastime, and so on. It is impossible not to say about prostate massage, which can be performed both by a medical specialist and by the man himself at home. The structure of the prostate gland allows you to perform massage actions on your own without much difficulty, which will avoid difficulties and make it possible to save money.


One of the most common diseases of the prostate gland is prostatitis, which is very pronounced in symptoms, so it is not difficult to determine the onset of the disease. You should not self-medicate, because in such a situation you can "muffle" the symptoms, but also recover from the disease, and without an accurate diagnosis, any treatment can be not only ineffective, but also dangerous. This is due to the fact that the symptoms of prostatitis are similar to those of other male diseases, so only an experienced doctor can leave an accurate diagnosis, and only after studying the test results.


Having made a diagnosis, the doctor will select the most effective course of treatment for the man, which will give the desired result regarding health in the shortest possible time, which will enable the representative of the strong half of humanity to return to full-fledged life. Of course, with prostatitis, you can also use folk remedies, but only after consulting a doctor who will help you choose the most effective course of traditional medicine in your case. An excellent means of preventing prostatitis is massage, as mentioned above, then massage can also be used in the treatment of this disease.


Massage is carried out through the anus, and massage actions can be carried out with a finger or a special massager, and it is recommended to massage regularly, or rather daily. The massage process should last about five minutes, which is why this method of prevention can be suitable even for a man who has very little free time due to active life. If, for some reason, a man cannot massage the prostate on his own, then you should contact a medical specialist who has the skills and practical experience in this field of activity, who will perform the task at a high medical professional level.



Ultrasound of the pelvic organs in men


Modern diagnostics actively uses high-tech and progressive examination methods, but does not refuse traditional methods, one of which is ultrasound.


Ultrasound of the pelvic organs in men is an affordable, safe and quite informative type of diagnostics, with which you can not only detect various diseases of the urogenital area in the early stages, but also monitor the state of men's health.


Ultrasound examination of the small pelvis covers several organs at once:



  • bladder,
  • seminal vesicles
  • prostate (prostate).

Note: Ultrasound of the small pelvis in men can be performed for diagnostic (primary detection of diseases) and prophylactic (monitoring of the state of internal organs) purposes. Screening (preventive) ultrasound is recommended for men over 50 at least 1-2 times a year, since it is at this age that the risk of developing prostate cancer increases.



Methods of performing pelvic ultrasound in men


Ultrasound examination of the pelvic organs in men is performed transabdominally or transrectally.


Transabdominal ultrasound is performed through the anterior wall of the abdominal cavity. A portable small probe is passed over the lower abdomen and examined the seminal vesicles, prostate, bladder, lymphatic system and all nearby tissues.


The most complete picture of the state of these organs is given by Transrectal ultrasound (TRUS), which is performed by inserting a rectal probe into the patient's anus.


This procedure is very delicate, and in many cases men treat it extremely negatively.But only TRUS is the most informative method in the field of diagnosing diseases of the male genital organs - adenoma, prostatitis or malignant neoplasms can be detected at the very beginning of their development.


Which doctor prescribes the procedure and for what reasons


Pelvic ultrasound for men is prescribed by the attending physician (andrologist, urologist, therapist or surgeon) in order to identify the cause of the pathology, assess the condition of a particular organ, clarify a preliminary diagnosis, prescribe the correct treatment for the identified disease, or decide on the need for further diagnosis.< /p>

The main complaints that are the reason for the appointment of ultrasound:



  • urination disorders - frequent, including nocturnal, painful, difficult, feeling of incomplete emptying of the bladder, etc.;
  • pain and discomfort in the bladder, perineum, rectum, scrotum;
  • renal colic of unknown etiology;
  • blood in urine or semen;
  • discharge from the urethra;
  • inflammatory disease or injury to the bladder, seminal vesicles, or prostate;
  • sexually transmitted infections;
  • infertility, erectile dysfunction;
  • abnormal development of the pelvic organs;
  • suspicion of cancer;
  • pre- and postoperative diagnostics;
  • control of medical manipulations during surgery;
  • Screening for men over 50.


Preparation


In preparation for pelvic ultrasound, depending on the method of diagnosis, there are two very important points:



  • Transabdominal examination is carried out strictly with a full bladder, i.e. 1 hour before the procedure, you need to drink about 1 liter of non-carbonated liquid or follow your usual drinking regimen, but do not urinate for 3-4 hours before the ultrasound;
  • TRUS requires emptying the bladder and bowels. To cleanse the intestines of feces, you need to do a cleansing enema twice (on the eve and on the day of the study).


Method of conducting


The duration of the examination is no more than half an hour. The patient is located on the diagnostic couch in the supine position (with transabdominal ultrasound) or on the side (with transrectal ultrasound).


Examination through the abdominal wall is completely painless. To improve skin contact and the quality of sound wave reception, a special medical gel is applied to the skin of the patient's abdomen. The uzist doctor leads the sensor of the device along the surface of the patient's abdomen, slightly pressing in the projections of the organs under study.


TRUS is performed by inserting a rectal probe into the patient's rectum. To increase the infectious safety of manipulation, a disposable latex cap (condom) is put on the sensor. If you have an allergy to latex, be sure to tell your doctor about this before starting the study.


Contraindications for transrectal ultrasound


TRUS is characterized by slight pain and complete safety in the presence of hemorrhoids.


However, in case of exacerbation of hemorrhoids. in the presence of anal fissures, the study is not carried out.


Important! TRUS of the pelvic organs provides much more information - it reveals small cysts, miniabscesses, stones, structural microchanges in the seminal vesicles and prostate that cannot be detected with transabdominal ultrasound. In addition, transrectal ultrasound is more appropriate for urinary incontinence or acute cystitis.



Results of pelvic ultrasound in men


Deciphering pelvic ultrasound should be done by a clinician according to characteristic indicators:



  • location of each of the organs;
  • size and shape;
  • structure and outlines;
  • character of echogenicity.

The results of each of these indicators are entered into the study form, according to which the attending physician, comparing the patient's complaints and the ultrasound findings, determines the presence or absence of the disease.


Norms of pelvic ultrasound in men


Prostate gland and seminal vesicles of normal shape and size. Neoplasms, tumors, cysts were not detected.


An unchanged prostate has the following parameters:



  • upper front (normally 2.4-4.1cm),
  • anteroposterior (1.6-2.3cm),
  • transverse (2.7-4.3cm).

The volume of the prostate gland is about 24-30cm3.


The size of the seminal vesicles in cross section is 8-10mm


The bladder also has a normal shape and size. The thickness of the bladder wall is on average 3-5mm.


Stones and other pathological inclusions are absent.


When examining the bladder after urination, the complete absence of urine in it is recorded, which normally flows from the ureters into the bladder.


The results of the examination can be affected by the presence of stool or excess gas in the intestines, restless body position during the procedure, a thick layer of fat or an open wound on the abdomen.


What does a pelvic ultrasound in men show


The bladder is located behind the pubic bone joint, when filled, it rises above it, with its apex adjacent to the anterior wall of the abdominal cavity. On ultrasound, the organ is seen as an oval formation with even clear contours, while its far wall is visualized better than the anterior one (closest to the sensor).


The seminal vesicles are located on the sides and slightly posterior to the bladder and above the prostate gland. On ultrasound, they look like bubble formations communicating with each other.


The prostate gland is a dense muscular-glandular organ, the secret of which is involved in the formation of sperm. Therefore, the reproductive usefulness of a man depends on the health of the prostate. The prostate gland is located under the bladder. Its contours are clear and even.


The surrounding (connective) tissues are a kind of ligamentous apparatus that holds each organ in its place. All organs of the small pelvis in men are located in close proximity to each other, so they are functionally interdependent. That is, a violation of the performance of one organ will negatively affect the functions of the others.


The seminal vesicles are a paired organ consisting of two sac-like formations located above the upper edge of the prostate gland. The length of the vesicle is 6-8 cm, the width is 1.5-2 cm, the thickness is 0.5-1 cm. There are anterior and posterior surfaces of the seminal vesicle. The front surface of the bubbles are adjacent to the bottom of the bladder, the back - to the front wall of the rectal ampulla. Between the rectum and the seminal vesicles lies the vesicorectal septum. The seminal vesicles consist of a body and a neck. The upper third of the seminal vesicles is covered by the peritoneum, the rest lies extraperitoneally. The neck of the seminal vesicles passes into the excretory duct, which opens into the side wall of the ampulla of the vas deferens. The lower part of the ureters passes over the body of the seminal vesicles. At the top, the seminal vesicles diverge, and at the bottom they almost touch. The main functions of the seminal vesicles are: - in the production of a significant part of the seminal fluid (up to 75% of the volume of the ejaculate); - in the accumulation of seminal fluid components until the moment of ejaculation (spermatozoa from the seminal vesicles, as a rule, are not present, and the main receptacle of spermatozoa is the ampullae of the vas deferens); - in participation in the mechanism of ejaculation (at the time of ejaculation, the contents of the seminal vesicles and vas deferens through the ejaculatory ducts enter the urethra, where it mixes with the prostate secretion and is excreted).


Pathology of the seminal vesicles (usually inflammation - vesiculitis) can lead to a deterioration in sperm quality and infertility.


Inflammation of the seminal vesicles is called vesiculitis. Inflammation of the seminal vesicles can cause purulent infections (gonococcal, E. coli, staphylococcus, etc.). Usually, the disease develops vesiculitis in patients with chronic prostatitis. But just as often, such a disease develops in men suffering from diseases of the genitourinary system (urethritis, orchitis, epididymitis, etc.). However, there are cases when the cause of vesiculitis is a common infectious disease, like influenza or tonsillitis. Some factors can be attributed to the causes of inflammation of the seminal vesicles: prolonged sitting and a sedentary lifestyle, malnutrition, leading to frequent constipation, hypothermia, and as a result, suppression of the immune system, prolonged sexual abstinence, as well as excessive sexual activity If vesiculitis has developed as a result of complications of diseases of the genitourinary system, this means that the infection has entered the seminal vesicles through the vas deferens. In other cases, the infection can get into the seminal vesicles by the hematogenous route (through the blood). Inflammatory diseases of the seminal vesicles are divided into acute and chronic vesiculitis.


Some symptoms of acute vesiculitis can be distinguished: high fever, chills, headache, pain in the groin, pain in the rectum, in the lower abdomen on one or both sides. The resulting pain during ejaculation is often accompanied by blood impurities. If vesiculitis is suspected, the necessary tests are carried out. At the same time, a large number of leukocytes and erythrocytes are found in the urine and fluid of the seminal vesicles. Next, an ultrasound examination is performed, which shows an increase in seminal vesicles. Treatment of acute vesiculitis Treatment of acute vesiculitis begins with the appointment of broad-spectrum antibiotics, painkillers, and sometimes laxatives are prescribed.In some cases of vesiculitis, complications can occur when the seminal vesicles are completely filled with pus and stretched. This requires surgical intervention


In the vast majority of cases, vesiculitis is chronic. Complaints in chronic vesiculitis are divided into general and local symptoms. Common symptoms include weakness, increased fatigue, regular increase in body temperature up to 370C. Local symptoms include pain above the pubis or in the perineum, radiating to the groin, sacrum or lower back. The pain is aggravated by a full bladder and by defecation. During bowel movements, discharge from the urethra may appear. Ejaculation becomes painful, blood appears in the semen. All these manifestations may be expressed slightly or absent. In the absence of treatment, the inflammatory process can progress - the body temperature rises to 38-390C, pain and all other manifestations of the disease increase dramatically. Further, in the absence of treatment, suppuration of the seminal vesicles may develop, and it will be possible to help the patient only with an operation. Another option - chronic inflammation of the seminal vesicles will spread to the epididymis, cause bilateral chronic epididymitis, which can be complicated by an obstructive form of infertility. Diagnosis is based primarily on data from a rectal digital examination. It is carried out in the position of the patient, squatting on a stool or chair, on the finger of the examining doctor. The doctor also squats, leaning his right elbow joint on his knee. Normal seminal vesicles are usually not palpable. If they are inflamed, then spindle-shaped painful formations can be felt over the prostate gland. In the secret of the seminal vesicle with vesiculitis, it is possible to detect a jelly-like mass (sperm, pus, blood). Normally, in the secretion of the seminal vesicle, leukocytes are absent or are contained in an amount of no more than 3-4 per field of view. With vesiculitis, leukocytes are determined in large numbers, erythrocytes, bacteria, pathological forms of sperm. Vesiculography (contrast examination of the seminal vesicle) is a traditional method for diagnosing vesicle diseases. However, vesiculograms characteristic of nonspecific inflammation do not exist. It is carried out only for differential diagnosis with tuberculosis and seminal vesicle sarcoma. The method is invasive, i.e. associated with an incision, and its implementation, in essence, is a diagnostic operation. Unlike vesiculography, ultrasound is completely non-invasive and harmless. It is usually performed using rectal probes. Ultrasound scans reveal enlarged and deformed seminal vesicles.


Treatment of chronic vesiculitis


When a diagnosis is made - chronic vesiculitis - the patient is prescribed antibiotic therapy. Apply mild laxatives, rectal suppositories with anesthetics. In the absence of acute inflammation, physiotherapeutic procedures, massage of the seminal vesicles, hot microclysters, etc. are carried out. Prevention of vesiculitis It consists in the treatment of the underlying disease (chronic prostatitis) and the elimination of factors contributing to the development of the disease. Try not to overcool, use laxatives for constipation, be sure to pause active rest when sedentary, have a regular sex life without long periods of abstinence and without excesses, treat existing chronic diseases and, finally, just live a healthy, full, joyful life.

Tumors of seminal vesicles


Tumor lesion of the seminal vesicles occurs most often due to their involvement in the tumor process emanating from neighboring organs (rectum, prostate gland). There are benign and malignant neoplasms of the seminal vesicle, also epithelial and non-epithelial. With tumors of the seminal vesicle in the early stages, the symptoms are not expressed. Perhaps the only characteristic signs of the disease may be hemospermia and pain in the depths of the small pelvis associated with obstruction of the excretory and vas deferens. In other manifestations, the clinical picture is similar to the manifestations of a prostate tumor. An essential sign of tumors of the seminal vesicle is an increase and thickening of the prostate gland and seminal vesicles during their rectal palpation in the patient's squatting position. Of great importance is the analysis of the secret of the prostate gland and seminal vesicles obtained separately, as well as the study of the ejaculate. Cytological analysis of the secret obtained by rectal palpation may reveal complexes of malignant cells. Transrectal ultrasound of the prostate and seminal vesicles is a very valuable method to suspect a tumor at an early stage and to identify the extent of the process.X-ray computed tomography, puncture transperineal vesiculography and genitography are necessary in determining the extent of the process and differential diagnosis with common inflammatory diseases, obstructive conditions and their complications. Transperineal biopsy of the prostate and seminal vesicles under transrectal ultrasound guidance allows confirming the diagnosis morphologically. Differential diagnosis with a tuberculous process, acute and chronic vesiculitis, abscess and empyema of the seminal vesicle, as well as with prostate tumors, is carried out first. In the treatment of seminal vesicle tumors, the same approach is used as in surgical interventions for prostate cancer. Extended operations of prostatovesiculectomy with surrounding tissue and regional lymphatic outflow tracts are performed. In malignant tumors of the seminal vesicles, the prognosis is unfavorable, which is associated with the detection of a tumor lesion, usually at a late stage.



Size of seminal vesicles in the prostate


The prostate gland (PG) is located in the pelvis (pelvis), under the bladder, circularly covers its neck and urethra. It has the appearance of a somewhat flattened cone (chestnut shape). This sexual organ is available only in men!


There are: the base adjacent to the bladder, and the apex adjacent to the pelvic diaphragm, the back, anterior and lower lateral surfaces.


The prostatic part of the urethra passes through the gland. Its length is on average 3 cm. At the same time, the urethra has either an arcuate course with a concavity posteriorly, or a relatively straight course with a bend at an angle of 30-35 on the seed tubercle, which is the middle of the distance from the base to the top. The wall of the urethra has mucous, submucosal and muscular layers. She does not have a serous membrane. Around the initial section of the urethra, immediately behind the internal opening of the urethra, there is a smooth muscle ring. In its thickness, muscle bundles spirally pass, continuing from the musculature of the bladder. These muscle bundles combine and, intertwining with elements of connective tissue, create a powerful circular formation of the internal sphincter of the urethra.


The pancreas is in contact with its base with the ampoules of the seminal vesicles lying in this area. The anterior surface of the gland is connected by a paired ligament to the symphysis. The posterior surface is adjacent to the lowest part of the rectum. They are separated by a thin layer of loose adipose tissue and the vesicorectal septum, or Denonvillier's fascia, which consists of bundles of dense fibrous tissue extending downward and passing into the formation of the perineum. The inferior lateral surfaces of the pancreas are bordered by the muscles that lift the anus. The apex of the pancreas is adjacent to the urogenital diaphragm. The bundles of striated muscles, together with the deep transverse perineal muscle, form the external voluntary sphincter of the urethra.


On the back surface of the urethra there is a longitudinal elevation of the seminal tubercle. At the top of it, a prostatic uterus opens with a hole, which is a sac (3-5 mm in size).


Figure 1.1 seminal vesicle, 2 vas deferens, 3 ampulla of vas deferens, 4 excretory duct of seminal vesicle5 vas deferens, 6 prostate gland, 7 seminal colliculus, 8 prostatic uterus9 membranous urethra


The ejaculatory ducts enter the gland on the posterior surface, go down, medially and anteriorly in its thickness, and open on the back wall of the urethra on the seminal tubercle. Their length is 15 mm, diameter 2 mm. On the posterior surface of the gland, along the midline, there is a recess that, in the form of a groove, divides the gland into 2 lobes: right and left. Between them, the presence of a third or middle lobe is sometimes noted. Sometimes this third lobe looks like a tubercle located on the base of the gland. There are other classifications of the lobar structure of the pancreas, in particular, into 5 lobes anterior, posterior, middle and two lateral lobes (Lowsley O.S., 1915); 6 lobes, two posterior, two internal and two lateral lobes (Tissel L.E., 1975).


At present, the most common is the zonal anatomy of the pancreas, developed by the urologist and morphologist J.E. MS Neal (1981). He identified four glandular zones. The central one has the shape of a cone with a base, which is the base of the pancreas, and an apex facing the seed tubercle. On the side, it is delimited by the ejaculatory ducts. It makes up 20% of the volume of the gland. Peripheral occupies most of the glandular sections of the pancreas, surrounds the urethra distal to the seminal hillock, and makes up about 75% of the volume of the gland. Two transitional zones are two rounded segments located laterally from the proximal urethra, they account for 5% of the glandular volume of the pancreas.In addition, there are four fibromuscular layers. The anterior fibromuscular stroma covers the anterior part of the pancreas. The circular muscle layer surrounding the urethra is divided into: preprostatic sphincter, longitudinal smooth muscle fibers of the urethra and postprostatic sphincter.


The division of the gland into these lobes is due to the difference in the histological structure of the glandular elements in them and is of clinical importance.


So the central zone adjacent to the seminal vesicles is relatively little prone to pathological changes. The peripheral zone is most often subject to malignant tumor lesions and inflammatory changes. Transitional zones are the most common cause of benign hyperplasia.


Figure 2. Zonal anatomy of the pancreas (according to J.E. Mc Neal, 1981). 1 Central zone, 2 Peripheral zone, 3 Transitional zone, 4 Anterior fibromuscular stroma.


Microanatomy of the prostate


There are 30 50 glands in total. They are located mainly in the posterior and lateral sections of the pancreas, which basically corresponds to the peripheral zone (according to the classification of J.E. McNeal). The glandular passages, merging in pairs, pass into the excretory prostatic ducts, which open with pinholes into the male urethra in the area of the seminal hillock. There are few glandular lobules in the anterior part of the gland (anterior fibromuscular stroma). Along with the prostatic glands, which make up the majority of the pancreas, it also includes the so-called periurethral glands, which are located around the urethra. In addition to the glandular elements, the pancreas contains a large number of bundles of smooth muscle fibers passing in different directions and various thicknesses of connective tissue layers, consisting of collagen and elastic fibers. These layers go directly into the capsule of the gland, which is formed by collagen and elastic tissue and circular muscles.


Anatomy of the seminal vesicles


The seminal vesicles are paired organs located in the pelvic cavity laterally from the ampulla of the vas deferens, above the pancreas, behind and to the side of the bottom of the bladder. The angle between them is 90 degrees. The average dimensions of the seminal vesicle are the following: length 5 cm, width 2 cm, thickness 1 cm. They are surrounded by adventitial and muscular membranes. They have a mucous membrane. They distinguish between the upper expanded end of the base, the body and the lower tapering end, which passes into the excretory duct. The excretory duct of the seminal vesicle connects with the final section of the vas deferens and forms the vas deferens that pierces the pancreas.


Blood supply


The arteries of the pancreas are divided into capsular, radial and urethral. Capsular arise mainly from the inferior cystic artery, form a dense arterial network on the surface of the gland, from which branches extend deep into, mainly along the ejaculatory ducts, giving radial arterial branches, which are the main blood supply to the pancreas. The vessels of the urethral group are directed from top to bottom and in the form of numerous branches run parallel to the urethra. Two or three veins accompany each interlobular artery, merge into the subcapsular venous plexus and then into the vesicoprostatic venous plexus located on the sides of the pancreas.



The seminal vesicles are enlarged. what to do?



The seminal vesicles are enlarged. what to do?


1 Post by Vadim222 " Mon May 25, 2015 9:09 am


I'm 30 years old. Recently, problems with potency have become and sometimes pain in the scrotum. went to the urologist says it's all from an irregular sexual life. ifa and pcr handed over, all negative. I found where in my city they do normal truzi.


Uzist said that the prostate is normal, with seminal vesicles in general trouble(


TRUS of the pancreas - not increased in size (41x19x33) volume - 13.4; the acoustic density of the gland as a whole is normal, with the exception of single small areas of fibrosis along the urethra and along the right ejaculatory duct. no large calcified areas of fibrosis were found in the gland tissue. paraprostatic veins are not dilated. ejaculatory ducts are not dilated. the walls of the posterior urethra are moderately compacted. Seminal vesicles are asymmetric (diameters: the right one is thickened - 18.3 mm, the left one - 10.7 mm) medium-sized cyst-like inclusions are visible in the right seminal vesicle. the structure of the secret on the right is moderately heterogeneous, the secret is a little stagnant, thickish.


The uzist said that the right bubble had died, all hope for the left one. I'm going to the doctor again today. please tell me who has such a problem, is it treatable and is it possible to bring the bubbles to a more or less normal appearance.