Any comments on the following. Thanks, Sandar

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2810400&dopt=Abstract

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[Anatomic observation of the prostate for clinical application of
local drug injection through the rectum for chronic prostatitis]

[Article in Chinese]

Cheng JP, Dai JX, Liu YQ, Hong HW, Zhang XL, Zhang MR, Ye QY.

Guangzhou Institute of Dermatosis, Guangzhou 510095, China.

OBJECTIVE: To provide anatomic evidences for local drug injection
through the rectum for treating chronic prostatitis and observe the
therapeutic effect of this treatment. METHODS: Anatomic observation of
the median sagittal plane of 16 male pelvic specimens was conducted,
with special attention to the structures between the prostate and the
rectum. The distance from the posterior wall of the prostate to the
anterior wall of the rectum, the scope that allowed the entry of the
puncture needle, the appropriate puncture depth, and the distance from
the anus to the safe were carefully measured. Analysis of the clinical
record was performed in 51 chronic prostatitis cases treated with
local injection of prednisolone, antibiotic and lidocaine through the
rectum. RESULTS: Only some fat tissues and venous plexus were found
between the prostate and the anterior wall of the rectum, and the
distance from posterior wall of the prostate to the anterior wall of
the rectum averaged 5.773+/-0.710 mm. The scope for possible puncture
was 15.408 8+/-1.438 2 mm with a depth of 15.703 1+/-0.944 1 mm. The
maximum and minimum distances from the anus to the puncture were
47.594+/-2.432 mm and 35.781+/-1.850 mm, respectively. Among the 51
cases investigated, the total cure rate was 84.31%, and improvement
was achieved in 13.73% of the case, with only one case (2%) failed to
respond to the treatment. CONCLUSION: Local drug injection through the
rectum can be ideal for the treatment of prostatitis for its safety
and effectiveness.

PMID: 12810400 [PubMed - in process]
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