English Українська
  • Main
  • Useful links
  • Information for Contributors
  • About
  • Editorial board

  • Article
    B. V. Hrytsuliak, V. B. Hrytsuliak, N. V. Bielova, О. Ia. Hlodan, I. Y. Ivasiuk, T. V. Mykytyn

    STRUCTURAL AND FUNCTIONAL CHANGES IN THE PROSTATE GLAND IN DIABETES MELLITUS


    About the author: B. V. Hrytsuliak, V. B. Hrytsuliak, N. V. Bielova, О. Ia. Hlodan, I. Y. Ivasiuk, T. V. Mykytyn
    Heading CLINICAL MEDICINE
    Type of article Scentific article
    Annotation Ultrasound scanning, colour ultrasound angiography, histology, morphometrics, and statistics were used to study the features of hemodynamics and the structural and functional state of the prostate gland in adult men with a history of insulin-dependent diabetes mellitus. Under these conditions, it was found for the first time that the peak arterial velocity in the central zone decreases to 6.20±0.38 cm/sec against 18.30±3.20 cm/sec in control and the peripheral area – to 2.70±0.01 cm/sec against 5.30±0.03 cm/sec. It was found that due to the proliferation of connective tissue in the prostate gland, its volume increases to 29.5±1.0 cm3, and weight – up to 27.4±1.5 g against 22.4±1.6 cm3 and 21.5±1.2 g, respectively, in men of the control group. The ratio between glandular parenchyma and muscular-elastic structure is 56 % and 44 % versus 69.8 % and 30.2 % in control, respectively. Histologically, prostate biopsy samples contained atrophic changes with a decrease in the lumen of the terminal glands, flattening of secretory epithelial cells, and proliferation of collagen fibres of the stroma. The testosterone concentration decreases to 380.0±12.0 ng/dL against 650.0±10.0 ng/dL in men of the control group.
    Tags insulin-dependent diabetes mellitus, prostate gland, structural and functional changes
    Bibliography
    • Ametov AS, Kurochkin IO, Ametov AS, Kurochkin IO, Zubkov AA. Sakharnyy diabet i serdechno-sosudistyye zabolevaniya. RMJ. 2014;13:954. [in Russian]
    • Bazalytska SV. Choloviche bezpliddya v Ukrayini: osoblyvosti patohenezu ta morfohenezu. Kyiv:Fourth Wave LLC; 2016. 262 s. [in Ukrainian]
    • Blyshchak NB. Diabetychni angiopatiyi. Klinichna anatomiya ta operatyvna khirurgiya. 2012;11(2):74–77. doi: 10.24061/1727–0847.11.2.2012.18. [in Ukrainian]
    • Hrytsuliak BV, Hrytsuliak VB, Dolynko NP, Ivasiuk IY, Polyvkan MI, Spaska AM, Khallo OYe. Klinichna anatomiia prostaty. Ivano-Frankivsk: Yaryna;2016. 104 s. [in Ukrainian]
    • Dedov II, Shestakova MV. Sakharnyy diabet 1 tipa: realii i perspektivy. Moscow:Publishing Medical Information Agency;2016. 502 р. [in Russian]
    • Zubkov AA. Sakharnyy diabet i serdechno-sosudistyye zabolevaniya. RMJ. 2014;13:954. [in Russian]
    • Pertseva NO, Chub DI, Gurzhiy OV. Hlikozylyovanyy hemohlobin yak faktor prohnozu prohresuvannya diabetychnoyi nefropatiyi u khvorykh na tsukrovyy diabet 1 typu. Medychni perspektyvy. 2017;22(4):32–9. doi: 10.26641/2307–0404.2017.4.117665. [in Ukrainian]
    • Pertseva NO, Chub DI, Gurzhiy OV. Pokaznyky dobovoho monitorynhu arterialʹnoho tysku ta stan lipidnoho profilyu u khvorykh z tsukrovym diabetom 1 ta 2 typu v zalezhnosti vid shvydkosti klubochkovoyi filʹtratsiyi. Svit medytsyny ta biolohiyi. 2018;3(65):103–10. doi: 10.26724/2079–8334–2018–3-65–103–110. [in Ukrainian]
    • Shepitko VI, Lysachenko OD, BorutaNV, Pelypenko LB. Spetsialna histolohiya ta embriolohiya vnutrishnikh orhaniv u hrafolohichnykh strukturakh ta mikrofotohrafiyakh: [navchalnyi posibnyk]. Poltava; 2018. 108 s. [in Ukrainian]
    • American Diabetes Association Standards of Medical Care in Diabetes. Diabetes Care. 2017 Jan;40(1):142. doi: 10.2337/dc17–S001
    • Reutens AT. Epidemiology of diabetic kidney disease. Med Clin North Am. 2013 Jan;97(1):1–18. doi: 10.1016/j.mcna.2012.10.001.
    • Ritz E. Clinical manifestation and natural history of diabetic kidney disease. Med Clin North Am. 2013 Jan;97(1):19–29. doi: 10.1016/j.mcna.2012.10.008.
    • Sarychev LP, Starchenko II, Savchenko RB, Sarychev RB, Pustovoit GL. Оptimization of treatment tactics in patients with benign prostatic hyperplasia according to morphological changes of the urinary bladder wall. World of Medicine and Biology. 2021; 2 (76):132–35. doi: 10.26724/2079-8334-2021-2-76-132-135
    • Sherstiuk OO, Hryn VH, Vynnyk NI, Piliuhin AV, Koptev MМ. Stereomorphology of the glandular parenchyma of the inferoposterolateral area of human prostate gland [Stereomorfologia miąższu powierzchni dolno-tylno-bocznej ludzkiego gruczołu krokowego]. Wiadomosci Lekarskie. 2018;1(71):184–87.
    Publication of the article «World of Medicine and Biology» №2(80), 2022 year, 051-055 pages, index UDK 616.65+616.379-00864
    DOI 10.26724/2079-8334-2022-2-80-51-55