When you mention prostate disease, people immediately think of men’s prostatitis or prostate hyperplasia, because the efficacy of Western medicine on the above disease is very unsatisfactory, so it has become a hot spot for many media advertisements for the treatment of this disease, for those various medical institutions or drug manufacturers to bring a rolling source of money. If you say that women also have prostate disease, not to mention patients, even many physicians and nursing staff engaged in gynecology and urology will also be incredulous. In fact, women not only suffer from prostate disease, and the incidence is also very high, but many health care professionals do not recognize this type of disease, and can not talk about the correct diagnosis and treatment. The actual fact is that there is no prostate gland in women, but there is also tissue similar to the prostate gland, only degenerated. During early embryonic development, there are glands around the outlet of the bladder in women that are similar in structure to the male prostate and are derived from the same type of embryonic tissue as the male prostate. German obstetrician and gynecologist E. Grafenberg discovered it in 1944 and in a study published in 1950, clearly stated that “there is an area in the female vagina that arouses abnormal sexual desire and that, if stimulated, can produce an ejaculation-like response.” In honor of this discovery, the first letter of his last name was used to name this sensitive area, the G-spot, which varies in size from about 2-3 cm to a smaller size reported in menopausal women and is composed of prostate-like glandular tissue (also known as the paraurethral glands) similar in structure to the male prostate. These glands drain secretions containing prostatic acid phosphatase into the urethra through tiny ducts that open into the urethra. The G-spot is an area that is very sensitive to sexual stimulation and can enhance sexual pleasure. If the G-spot is stimulated to a certain extent, it will bulge in a wrinkled manner and become curved. If stimulation is continued, the bulging tissue will discharge a clear fluid like a bead of sweat, which flows into the urethra through a small hole. The medical term for the tissue around the female bladder that resembles the male prostate is “prostate-like tissue”. The prostate-like tissue of women is similar to that of the male prostate and can be infected by itself. The main clinical manifestations are symptoms such as urinary urgency, frequency, painful urination or hematuria, which are often misdiagnosed as simple inflammation of the urinary tract. Anyone who is not cured by systematic antibiotic treatment should be seen in the urology department, where deformed changes in the external urethra can often be found, and then surgical treatment should be given, otherwise, Chinese medicine must be given. Knowledge about this disease, the author in this edition and Chinese medicine edition has a special topic. (2) female “prostate hyperplasia”: also known as bladder neck fibrosis, can be seen in middle-aged and elderly women, who often appear to urinate dripping, thin urine stream, urination effort, should be suspected of “prostate disease” exists, is due to the prostate-like tissue hyperplasia, blocking the bladder outlet, causing voiding. This is due to prostate like tissue enlargement that blocks the bladder outlet and causes difficulty in urination, which is similar to that of older men. The actual fact is that the woman’s physiological structure can easily induce urinary tract infection, therefore, it is often misdiagnosed as urinary tract infection and delay the diagnosis of this disease. In women, the prostate-like tissue is after all too small, and if the doctor performs an anal finger examination, he or she will not feel the enlarged prostate, so rectal examination cannot determine this. It is a good idea to use cystoscopy. If a middle-aged or older woman has had a urinary tract infection for many years and has few abnormalities in her urinalysis, or has complaints of poor urination, or has had acute urinary retention, she should suspect female prostate disease, and cystoscopy can be routinely performed to help identify this disease. The treatment is much simpler than for men, and satisfactory results can be obtained by simply giving urethral dilatation. Antibiotic therapy is often not ideal. If the above treatment is not effective and in severe cases of “female prostatic hyperplasia”, a transurethral or transcystic wedge resection of the bladder neck to remove the hyperplastic glandular tissue can significantly improve urinary symptoms. If you don’t get a clear diagnosis and effective treatment, this can lead to serious consequences such as chronic kidney failure.