Ukrainian
scientific journal
Urology, Andrology, Nephrology
  ТОМ 25. № 1`2021 (96)

V.M. Grygorenko, O.V. Romashchenko, V.V. Biloholovska, M.O. Kosiukhno, S.M. Melnykov

The method of identification of the female prostate gland with taking into attention types of its anatomical location

SUMMARY

Aim. To improve the method of identification of the female prostate gland, taking into account the types of its anatomical location.

Materials and methods. Was performed sexological, gynecological and urological examination of 36 sexually active women aged 24-42 years, average age 32.1 ± 3.4 years. For all patients was performed an ultrasonographic study with doppler examination of the vessels of the paraurethral zone. Before the examination was performed catheterization of the bladder and insertion of elastic balloon into the vagina (50 ml) filled with gel, also a lubricant was used on the clitoral zone.

Results. It was established that the accumulation of paraurethral tissue in the area of †the anterior part of the urethra, with the volume of accumulation of the tissue of the gland in 7.26 ± 1.3 cm3, and the highest level of serum PSA 0.79 ± 0.15 ng / ml is most common, and was diagnosted in 70% of the examined women (n = 18). The distribution of prostatic tissue in the region of the posterior urethral wall, with tissue volume 2.13 ± 0.02 cm3, and the serum PSA level of 0.309 ± 0.013 ng / ml, was diagnosed in 15% of women (n = 9). The location of the prostate gland throughout the length of the female urethra, diffuse type, with a tissue volume of 4.49 ± 0.60 cc and a PSA level of 0.299 ± 0.295 ng / ml was detected in 9% of cases (n = 6). The fourth type of female prostate gland - with a lack of visualization, but with the definition of PSA, with a stingy value of 0.016 ± 0.014 ng /ml occurred in 6% of the examined women (n = 3).

Conclusions. The diagnostic ultrasound method with Doppler allows you to clearly visualize in detail the various types of localization of the female prostate gland (front, back, diffuse), and also to constrain the absence of this anatomical structure in comparison with the level of serum PSA.