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Diseases of Prostate and HomeopathyDr.Satheesh Kumar.P.K
BHMS,MD(Hom)
Medical Officer, Dept. of Homoeopathy, Govt. of Kerala
The common diseases affectin the prostate are !enin hypertrophy
of the prostate,
carcinoma of the prostate and prostatitis. "rostatic calc#li and
t#!erc#losis of the prostateare t$o other diseases rarely affectin
the prostate. These conditions #s#ally occ#r in menover %&
years of ae.
Before dealin $ith the diseases of the prostate, $e m#st have an
idea a!o#t the str#ct#re
of prostate land. "rostate is an accessory land of male
reprod#ctive system, $hich adds
to the !#l' of the seminal fl#id. (t is p#rely a enital oran
this is evinced !y the fact thatin animals manifestin a seasonal
se*#al life, the oran is r#dimentary e*cept d#rin
r#ttin season. The normal ad#lt prostatic epitheli#m #nderoes
atrophy after castration)
"rostate resem!les an inverted cone and is firm in consistency,
$hich lies !elo$ the nec'
of the #rinary !ladder and s#rro#ndin the commencement of male
#rethra. t lies !ehind
the lo$er part of p#!is symphysis and in front of rect#m.
Size:+!o#t cm across the !ase ($idth)-cm vertically ape* to !ase
(lenth) and
cm antero/posteriorly (thic'ness)0eiht1 +!o#t 2 m.
+pe*1 Directed do$n $ards !et$een the medial marins of the
levator ani m#scle.Base1 Directed #p$ards and is str#ct#rally
contin#es $ith the nec' of !ladder.
Surface: Four surfaces
+nterior s#rface lies cm !ehind the p#!ic symphysis $ith retro
p#!ic fat intervenin. ts#pper part is connected to p#!ic !one !y
p#!o/ prostatic liaments and the lo$er end is
pierced !y the #rethra.
"osterior s#rface1 Trianle in shape. cm from the an#s and can !e
easily palpated ondiital e*amination thro#h the rect#m. 3ear its
#pper !order it is pierced on each side of
the median plane !y the e4ac#latory d#ct.nferio/lateral
s#rfaces1 5elated to anterior fi!ers of levator ani.
Lobes1 The #rethra and e4ac#latory d#ct traverse the prostate
and divide it into % lo!es.+nterior lo!e1 / is a small isthm#s
connectin the t$o lateral lo!es in front of #rethra. t
contain little or no land#lar tiss#es and there for seldom forms
an adenoma"osterior lo!e1 connects the t$o lateral lo!es !ehind the
#rethra. +denoma never occ#rs
here. B#t the "rimary carcinoma is said to !ein in this
part.Median lo!e1 lies !ehind the #pper part of the #rethra and in
front of the e4ac#latory d#ct
and 4#st !elo$ the nec' of the !ladder. t contains m#ch land#lar
tiss#es and is commonsite of adenoma.
6ateral lo!e1 lie on each side of the #rethra. t contains eno#h
of land#lar tiss#es, $hich
may form an adenoma in old ae.Capsule:"rostate has a thin
caps#le of fi!ro m#sc#lar tiss#es (tr#e caps#le) !#t is
alsoenclosed in a loose sheath of visceral pelvic fascia (false
caps#le), $hich is separated from
the caps#le at the front and sides !y prostatic veno#s
ple*#s.Histoloy: sho$s t$o $ell defined concentric 7ones separated
!y an ill/defined irre#lar
caps#le. The 7ones are a!sent anteriorly. O#ter larer 7one is
composed of lare !ranchedland. This is the e*cl#sive 7one for
carcinoma. nner smaller 7one composed of
s#!m#cosal lands and a ro#p of short simple m#cosal lands
s#rro#ndin the #pper partof the #rethra. This 7one is typically
prone to !enin hypertrophy of prostate d#e to
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more) contin#es to enlare and forms a divertic#l#m.
+pper urinary tract ,A. Dilatation of #reters and pelvis /ca#sed
!y !ac' press#re.
. nfection and-. Stone.
Kidney,A.hronic renal fail#re.
Clinical features
linical feat#res of !enin hypertrophy of prostate are those of
o!str#ction to the o#t flo$of #rine from the !ladder and these are
varia!le accordin to the lo!es affected.
Fre-uencyis the earliest symptoms especially at niht. @Cs#ally
commencin at or -a.m.< ncrease fre=#ency of mict#rition is d#e
to inade=#ate emptyin of the !ladder and
d#e to presence of sensitive prostatic m#c#s mem!rane of the
intravesical enlarement ofthe prostate. The fre=#ency !ecomes
proressive and is then present !oth !y niht and !y
day.+rencyd#e to the fact that #rine escapes thro#h the
stretched vesical sphincter in to
sensitive prostatic m#cosa @empty prostatic #rethra
