PROSTATE ANATOMY

WHAT DO YOU WANT TO KNOW ?

Mohammed ALMoaiqel
King Abdulazizi Medical City
Riyadh
Saudi Arabia
Prostate gland is a pyramid organ,
20 gm weight approx. 3X4X2 cm
• Peripheral zone 70%
• Central zone 25%
• Transitional zone 5-10%
• Anterior fibromuscular
• Prostate CA in PZ
• BPH in TZ
• Chronic Prostatitis in PZ
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.
Rastinehad AR, Caplin DM, Ost MC, et al. Selective arterial prostatic embolization (SAPE) for refractory
hematuria of prostatic origin. Urology 2008; 71:181–184.
PROVISO F. C. Carnevale
CT ANGIOGRAPHY WITH MIP & VR
25-55 ispilateral oblique vies with
10-20 caudal angulation
Foley catheter
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
 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%
 Prostatic arteries Origin & types of
anastomosis
Anastomosis
• Internal pudendal arteries 43%
• Contralateral PAs 18%
• Ipsilateral Pas 13%
• Rectal arteries 14%
• Vesical arteries 11%
• Lateral accessory pudendal arteries 20%
Sandeep Bagla,
 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