Exam 1- Proctological Health Basics

Where is the prostate located?

Base of the bladder

Surroudning the urethra

What tissue makes up the prostate?

Both fibromuscular and glandular

The prostate gland secretes what?

Seminal Fluid production

Prostatic fluid

-makes up 30% of semen volume

What does seminal fluid contain?

Enzymes

Proteins

Minerals

What is the purpose of seminal fluid?

Enhances sperm motility and longevity

How does the prostate gland protect the sperm?

-pH balance: neutralizes acidity of vaginal tract

Enzymes- break down semen clot formed after ejaculation

How does the prostate gland support fertilization?

Sperm activation

Provides essential nutrients like zinc and citric acid

The lower half of the anal canal is under what type of control?

Voluntary

Somatic sensory nerves

What half of the anal canal is sensitive to pain and under voluntary control?

Lower half

What half of the anal canal is under autonomic control?

Upper half

The internal sphincter is made of ________ muscle and is under __________ control

Smooth muscle

Involuntary autonomic control

The external sphincter is made of _________ muscle and is under _________control

Striated muscle

Voluntary

The lower half of the anal canal is supplied with ____________ nerves which make it sensitive to?

Somatic sensory nerves

Sensitive to painful stimuli

The upper half of the anal canal is under __________ control and is relatively _________________

Autonomic control

Insensitive to pain

What are the 3 most important questions to ask a patient involving the prostate?

Do you have any changes in URINATION, DEFECATION, SEXUAL FUNCTION

A DRE exam should be done over the age of_______ for most and over _____ for high risk

50 for most

40 for high risk

DRE is a part of the pelvic exam for older?

Females