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Diagnostic Ultrasound - Abdomen and Pelvis

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Prostate<br />

Anatomy: <strong>Pelvis</strong><br />

ZONAL ANATOMY OF THE PROSTATE<br />

Urinary bladder<br />

Preprostatic sphincter<br />

Central zone<br />

Periurethral gl<strong>and</strong>s<br />

Proximal prostatic urethra<br />

Transition zone<br />

Peripheral zone<br />

Distal prostatic urethra<br />

Verumontanum<br />

Seminal vesicles<br />

Urinary bladder<br />

Central zone<br />

Ejaculatory duct<br />

Transition zone<br />

Anterior fibromuscular stroma<br />

Peripheral zone<br />

(Top) Graphic illustrates the zonal anatomy of the prostate in the coronal plane. The proximal 1/2 of the prostatic urethra is surrounded<br />

by preprostatic sphincter, which extends inferiorly to the level of the verumontanum <strong>and</strong> encloses the periurethral gl<strong>and</strong>s. The<br />

transition zone is a downward extension of the periurethral gl<strong>and</strong>s around the verumontanum. (Bottom) Graphic illustrates the zonal<br />

anatomy of the prostate in the sagittal plane. The outer prostate is composed of the central zone <strong>and</strong> peripheral zone. The central zone<br />

surrounds the proximal urethra posterosuperiorly, enclosing both the periurethral gl<strong>and</strong>s <strong>and</strong> the transition zone. It forms most of the<br />

prostatic base. The peripheral zone surrounds both the central zone <strong>and</strong> the distal prostatic urethra.<br />

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