Regional anatomy of the prostate: Are we providing the most clinically relevant material during anatomy courses

Abstract

INTRODUCTIONProstate pathology is inevitable for the aging male (50% by 60, 90% by 80). Despite this, students are not traditionally required to dissect the prostate and the intimately associated structures. The objective of this study was to investigate clinically relevant prostate anatomy in a dissection course.METHODSLiterature search of contemporary anatomy textbooks, atlases, websites, and specialty journals was conducted regarding the prostate and associated anatomy. Urology surgeons were consulted for relevant anatomy. Dissection of the prostate region on embalmed male cadavers was conducted.RESULTSLiterature search revealed a difference in emphasized clinically relevant structures between urologists (specialty journals) and anatomy texts/atlases. Cadaver dissection revealed successful identification of clinically relevant structures.DISCUSSIONProstate signs and symptoms are clinically significant and prevalent in the population. Surgery is a common treatment of benign and malignant prostatic hypertrophy. Dr. P.C. Walsh recognized the benefit of detailed anatomical knowledge while developing a neurovascular preserving technique, which reduced postoperative symptoms and side effects.CONCLUSIONThis study suggests that contemporary anatomy texts and atlases could add further emphasis to clinically relevant structures of the prostatic region.