Prostate state under varicosis of the pelvis (experimental study)
- Authors: Tsukanov A.Y.1, Rudchenko N.V.1, Kuzovkin A.N.2, Ahmetov D.S.1, Alyabushev S.F.3
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Affiliations:
- Omsk State Medical University
- Clinical Medical and Sanitary Hospital №9
- City Clinical Emergency Hospital No. 2
- Issue: Vol 11, No 2 (2021)
- Pages: 97-104
- Section: Original articles
- URL: https://journals.rcsi.science/uroved/article/view/64917
- DOI: https://doi.org/10.17816/uroved64917
- ID: 64917
Cite item
Abstract
BACKGROUND: Chronic pelvic pain syndrome / chronic abacterial prostatitis is one of the most common diseases in urological practice. Despite its frequency the pathogenesis of the disease remains poorly understood. It is known that the morphological manifestation of chronic inflammation is sclerosis, in the development of which the venous congestion of the prostate is also important.
AIM: To evaluate the effect of chronic venous congestion of the pelvis on the prostate in a chronic experiment.
MATERIALS AND METHODS: An original model of persistent chronic varicose of the pelvis has been created. The experiment was carried out on 35 mature rabbits weighing 2.6–3.2 kg. Animals were divided into 3 groups. Control (n = 5) study of the normal anatomy of animals. In group 2 (n = 15), the creation of a model: ligation of the v. sacralis mediana, in combination with administration of progesterone solution. In group 3 (n = 15), false surgery and progesterone administration. Duplex scanning of the pelvic veins was performed at 1, 3 and 6 months, the diameter of the veins and the reflux after manual compression was assessed. After removing the animals from the experiment histological examination and morphometry of the prostate tissue were carried out. In prostate samples the concentration of hydroxyproline was investigated as a marker of connective tissue development.
RESULTS: Venous congestion of the pelvic organs in animals in the second group negatively affected the structure of the prostate gland. Histological examination of the samples showed infiltration of the prostate tissue, edema of the stroma, a sharp expansion of the veins at the beginning of the experiment, later noted the proliferation of connective tissue, compression of the acini and a decrease in the secretory activity of the prostate gland. The results of morphometry showed an increase in the area of the stromal component to a greater extent due to an increase in the volume of connective tissue. There was a tendency to an increase in the concentration of hydroxyproline in the prostate tissue in animals of the 2nd group with the achievement of maximum values by the 6th month of the experiment. In animals of the 3rd group no significant changes in the structure of the prostate gland were revealed.
CONCLUSIONS: The morphological manifestation of chronic venous hyperemia is infiltration of the prostate stroma and sclerogenesis.
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##article.viewOnOriginalSite##About the authors
Anton Y. Tsukanov
Omsk State Medical University
Author for correspondence.
Email: autt@mail.ru
ORCID iD: 0000-0002-3497-5856
SPIN-code: 9310-1220
Scopus Author ID: 57194497218
http://omsk-osma.ru/vracham-i-provizoram/centr-povysheniya-kvalifikacii-i-professional-noy-perepodgotovki-specialistov/kafedry-i-kursy-dpo/hirurgicheskih-bolezney-i-urologii-dpo/sotrudniki-kafedry
Dr. Sci. (Med.), Professor, Head of the Department of Surgical Diseases and Urology of Additional Professional Education
Russian Federation, 12, Lenina Street,Omsk, 644099Nickolay V. Rudchenko
Omsk State Medical University
Email: nrudrus@gmail.com
ORCID iD: 0000-0002-0121-3425
Postgraduate Student
Russian Federation, 12, Lenina Street,Omsk, 644099Alexandr N. Kuzovkin
Clinical Medical and Sanitary Hospital №9
Email: autt@mail.ru
Head of the pathological department
Russian Federation, OmskDaniyar S. Ahmetov
Omsk State Medical University
Email: dsahmetov@gmail.com
Postgraduate Student
Russian Federation, 12, Lenina Street,Omsk, 644099Stepan F. Alyabushev
City Clinical Emergency Hospital No. 2
Email: alyabushev1992@mail.ru
Urologist
Russian Federation, OmskReferences
- Nickel JC. Treatment of chronic prostatitis/chronic pelvic pain syndrome. Int J Antimicrob Agents. 2008;31(Suppl 1): S112–116. doi: 10.1016/j.ijantimicag.2007.07.028
- Krieger JN, Ross SO, Riley DE. Chronic prostatitis: epidemiology and role of infection. Urology. 2002;60(6):8–12; discussion 13. doi: 10.1016/s0090-4295(02)02294-x
- Kul’chavenya EV, Holtobin DP, Shevchenko SYu, et al. The frequency of the chronic prostatitis in the outpatient practice. Experimental and Clinical Urology. 2015;(1):16–19 (In Russ.)
- Schaeffer AJ, Weidner W, Barbalias GA, et al. Summary consensus statement: diagnosis and management of chronic prostatitis/chronic pelvic pain syndrome. Eur Urol Suppl. 2003;2(2):1–4. doi: 10.1016/s0090-4295(02)01979-9
- Barinov AN, Sergienko DA. Fenomen tazovoj boli glazami nevrologa. Nervnye bolezni. 2015;(2):20–27. (In Russ.)
- Lokshin KL. Prostatitis: what’s new in basic science and clinical studies? Vestnik Urologii. 2017;5(4):69–78. (In Russ.) doi: 10.21886/2308-6424-2017-5-4-69-78
- Ku J, Kim S, Paick J. Quality of life and psychological factors in chronic prostatitis/сhronic pelvic pain syndrome. Urology. 2005;66(4):693–701. doi: 10.1016/j.urology.2005.04.050
- Zhao Z, Xuan X, Zhang J, et al. A prospective study on association of prostatic calcifications with sexual dysfunction in men with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). J Sex Med. 2014;11(10):2528–2536. doi: 10.1111/jsm.12534
- Lee G. Chronic. Prostatitis: a possible cause of hematospermia. World J Mens Health. 2015;33(2):103–108. doi: 10.5534/wjmh.2015.33.2.103
- Kogan MI, Belousov II, Bolotskov AS. Arterial blood flow in the prostate in the syndrome of chronic pelvic pain/chronic prostatitis. Urologiia. 2011;(3):22–28. (In Russ.)
- Neymark AI, Lomshakov AA. Сolor ultrasonic angiography in evaluation of the results of treatment of chronic prostatitis. Urologiia. 2000;(6):21–23 (In Russ.)
- Tsukanov YuT, Tsukanov AYu, Levdansky EG. Lesion of pelvic organs in secondary varicose veins of the small pelvis. Аngiology and Vascular Surgery. 2015;(2):94–100. (In Russ.)
- Kiptilov AV, Neymark AI, Lapij GA. Features of arterial hemodynamics of the prostate in patients with chronic abacterial prostatitis working in the chemical industry. Fundamental research. 2014; (3–4):519–523. (In Russ.)
- Thurmond P, Yang JH, Li Y, et al. Structural modifications of the prostate in hypoxia, oxidative stress, and chronic ischemia. Korean J Urol. 2015;56(3):187–196. doi: 10.4111/kju.2015.56.3.187
- Patent. Rus № 2612832, 13.03.2017. Tsukanov YuT, Tsukanov AYu, Rudchenko NV, et al. A way to create a persistent pelvis varicose in laboratory animals. (In Russ.) Available from: https: // yandex.ru/patents/doc/RU2612832C1_20170313
- Tsukanov AYu, Rudchenko NV, Ahmetov DS, Alyabushev SF. Model of pelvic varicose veins in a chronic experiment. Experimental and Clinical Urology. 2019;(1):28–31. (In Russ.) doi: 10.29188/2222-8543-2019-11-1-28-31
- Chen R, Yu Y, Dong X. Progesterone receptor in the prostate: A potential suppressor for benign prostatic hyperplasia and prostate cancer. J Steroid Biochem Mol Biol. 2017;166:91–96. doi: 10.1016/j.jsbmb.2016.04.008
- Yu Y, Liu L, Xie N, et al. Expression and function of the progesterone receptor in human prostate stroma provide novel insights to cell proliferation control. J Clin Endocrinol Metab. 2013;98(7):2887–2896. doi: 10.1210/jc.2012-4000
- Vasil’ev YuV, Malyshev VV, Martynovich HH. Tazovaja kongestija: patogeneticheskoe znachenie pri urogenital’nyh zabolevanijah muzhchin. Irkutsk, IP Makarov; 2004. 264 c. (In Russ.)