Patient's question:
I have recently often felt discomfort in my ears and between my legs, and I always have the sensation of incomplete urination. The strange thing is that every time I have sex with my wife, I have a lot of energy. Previously, I used to finish quickly, but now it takes a long time. I think it's not normal. The doctor at the hospital said I have an enlarged prostate.Doctor's answer:
Pathology and suspected pathology of benign prostatic hyperplasia (BPH):The prostate is divided into two layers: an inner layer and an outer layer. The inner layer consists of the mucosa and submucosal glands surrounding the urethra, while the outer layer is the prostate gland itself. The latter forms the main body of the prostate, and the two layers are separated by a fibrous membrane. BPH primarily occurs in the inner layer, specifically in the glandular stroma of the posterior urethra from the bladder neck to the verumontanum, which is now referred to as the transition zone. Microscopic examination clearly reveals this area.
Normal values of the prostate:
In healthy individuals, the prostate size is approximately 432 cm.
Prostatic fluid examination:
- pH: 6.3–6.5
- Red blood cells: fewer than 5 per high-power field (HPF)
- White blood cells: (Note: The original text is incomplete here; if additional details are provided, they can be translated accordingly.)