Knowledge (XXG)

Urethral sphincters

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Females do have a more elaborate external sphincter muscle than males as it is made up of three parts: the sphincter urethrae, the urethrovaginal muscle, and the compressor urethrae. The urethrovaginal muscle fibers wrap around the vagina and urethra and contraction leads to constriction of both the
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Gupta S, Sharma R, Agarwal A, Parekh N, Finelli R, Shah R, Kandil H, Saleh R, Arafa M, Ko E, Simopoulou M, Zini A, Rajmil O, Kavoussi P, Singh K, Ambar RF, Elbardisi H, Sengupta P, Martinez M, Boitrelle F, Alves MG, Khalafalla K, Roychoudhury S, Busetto GM, Gosalvez J, Tadros N, Palani A, Rodriguez
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is a common problem related to the function of the urethral sphincter. Weak pelvic floor muscles, intrinsic sphincter damage, or damage to the surrounding nerves and tissue can make the urethral sphincter incompetent, and subsequently it will not close fully, leading to stress urinary incontinence.
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and external urethral sphincters function to prevent the release of urine. The internal urethral sphincter controls involuntary urine flow from the bladder to the urethra, whereas the external urethral sphincter controls voluntary urine flow from the bladder to the urethra. Any damage to these
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MG, Anagnostopoulou C, Micic S, Rocco L, Mostafa T, Alvarez JG, Jindal S, Sallam H, Rosas IM, Lewis S, AlSaid S, Altan M, Park HJ, Ramsay J, Parekattil S, Sabbaghian M, Tremellen K, Vogiatzi P, Gilani M, Evenson DP, Colpi GM (April 2022).
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and it wraps anteriorly around the urethra so when it contracts, it squeezes the urethra against the vagina. The external urethrae, like in males, wraps solely around the urethra.
82:: located at the bladder's inferior end and the urethra's proximal end at the junction of the urethra with the urinary bladder. The internal sphincter is a continuation of the 666: 23:
Dissection of prostate showing the fibers of the external sphincter surrounding the membranous urethra and partially cradling the inferior portion of the prostate.
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at Human Anatomy Online, SUNY Downstate Medical Center - "Muscles of the female urogenital diaphragm (deep perineal pouch) and structures located inferior to it."
121:) in males. It is a secondary sphincter to control the flow of urine through the urethra. Unlike the internal sphincter muscle, the external sphincter is made of 1216: 1470: 1129: 139: 106: 52: 1124: 135: 110: 48: 201: 638: 271: 196:
In women, childbirth, obesity, and age can all be risk factors, especially by weakening the pelvic floor muscles. In men, prostate surgery (
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and inserts into the intermeshing muscle fibers from the other side. It is controlled by the deep perineal branch of the
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can occur in men when the internal urethral sphincter fails to adequately contract during ejaculation.
1456: 1008: 185: 166: 150: 117:, at the bladder's distal inferior end in females, and inferior to the prostate (at the level of the 91: 1356: 1316: 1171: 873: 868: 804: 789: 232: 192: 114: 153:. In males, the internal urethral sphincter has the additional function of preventing the flow of 1435: 1156: 839: 431: 281: 237: 213: 118: 1547: 1465: 1151: 953: 768: 624: 549: 531: 490: 472: 414: 389: 366: 306: 267: 67: 216:
can happen when the urethra cannot hold the urine in as the bladder contracts uncontrollably.
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vagina and the urethra. The origin of the compressor urethrae muscle is the right and left
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Knowledge (XXG) articles incorporating text from the 20th edition of Gray's Anatomy (1918)
1083: 1054: 860: 748: 122: 40: 1526: 1286: 1183: 1176: 1161: 1075: 958: 726: 676: 544: 510:"Male Stress Urinary Incontinence: A Review of Surgical Treatment Options and Outcomes" 509: 485: 452: 361: 336: 71: 337:"A Comprehensive Guide to Sperm Recovery in Infertile Men with Retrograde Ejaculation" 1536: 1416: 1246: 1070: 970: 965: 921: 721: 704: 619: 197: 87: 204:, etc) and radiation therapy can damage the sphincter and cause stress incontinence. 1003: 985: 908: 829: 779: 714: 709: 699: 591: 568:"Neurogenic Bladder: Symptoms, Diagnosis & Treatment - Urology Care Foundation" 173: 980: 975: 738: 644: 302: 158: 19: 172:
Congenital abnormalities of the female urethra can be surgically repaired with
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The urethral sphincter is considered an integral part of maintaining
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control. This is the primary muscle for prohibiting the release of
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Deep perineal fascia / superficial investing fascia (Gallaudet's)
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Maclean, Allan; Reid, Wendy (2011). "40". In Shaw, Robert (ed.).
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Jung, Junyang; Ahn, Hyo Kwang; Huh, Youngbuhm (September 2012).
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Understanding differences and disorders of sex development (DSD
453:"Clinical and Functional Anatomy of the Urethral Sphincter" 301:
Sam, Peter; Jiang, Jay; LaGrange, Chad (31 October 2022).
74:. Activity in the nerve fibers constricts the urethra. 1510: 1479: 1454: 1426: 1396: 1387: 1354: 1324: 1315: 1299: 1254: 1245: 1236: 1102: 1053: 1035: 994: 907: 859: 850: 767: 692: 683: 66:The external urethral sphincter originates at the 592:"Urinary Incontinence in Men | Michigan Medicine" 303:"Anatomy, Abdomen and Pelvis, Sphincter Urethrae" 276:; Access provided by the University of Pittsburgh 210:can involve a malfunctioning urethral sphincter. 329: 327: 59:. When either of these muscles contracts, the 1210: 660: 8: 140:External sphincter muscle of female urethra 1393: 1321: 1251: 1242: 1217: 1203: 1195: 856: 689: 667: 653: 645: 508:Trost, Landon; Elliott, Daniel S. (2012). 543: 525: 484: 360: 136:External sphincter muscle of male urethra 111:male external sphincter muscle of urethra 1517: 386:Atlas of Human Anatomy, Seventh Edition 254: 618:This article incorporates text in the 429: 279: 113:(sphincter urethrae): located in the 7: 80:internal sphincter muscle of urethra 16:Muscles keeping urine in the bladder 1466:Inferior fascia (Perineal membrane) 457:International Neurourology Journal 53:female external urethral sphincter 14: 1445:Deep fascia of the penis (Buck's) 341:The World Journal of Men's Health 47:. The two muscles are either the 1520: 612: 1336:Superficial transverse perineal 1019:Extraglomerular mesangial cell 899:Intraglomerular mesangial cell 208:Neurogenic bladder dysfunction 1: 157:into the male bladder during 879:Glomerular basement membrane 243:Artificial urinary sphincter 130:Function and sex differences 35:used to control the exit of 1399:Superficial perineal fascia 233:Stress urinary incontinence 193:Stress urinary incontinence 144:In males and females, both 57:internal urethral sphincter 1574: 1327:Superficial perineal pouch 917:Proximal convoluted tubule 436:: CS1 maint: postscript ( 388:. Philadelphia: Elsevier. 286:: CS1 maint: postscript ( 133: 1277: 1112:Internal urethral orifice 1089:Median umbilical ligament 996:Juxtaglomerular apparatus 469:10.5213/inj.2012.16.3.102 423:; Access provided by the 384:Netter, Frank H. (2019). 305:. StatPearls Publishing. 1366:Deep transverse perineal 944:Distal convoluted tubule 639:Anatomy figure: 41:06-04 622:from the 20th edition of 425:University of Pittsburgh 90:, therefore it is under 820:Peritubular capillaries 1045:Ureteropelvic junction 949:Collecting duct system 732:medullary interstitium 220:Retrograde ejaculation 86:muscle and is made of 24: 1414:in scrotum and penis: 1009:Juxtaglomerular cells 572:www.urologyhealth.org 180:Clinical significance 22: 1457:Urogenital diaphragm 1428:Deep perineal fascia 167:inferior pubic ramus 151:urinary incontinence 149:muscles can lead to 1371:Urethral sphincters 1357:Deep perineal pouch 1317:Urogenital triangle 1172:Lacunae of Morgagni 1117:Urethral sphincters 527:10.1155/2012/287489 514:Advances in Urology 353:10.5534/wjmh.210069 115:deep perineal pouch 29:urethral sphincters 596:www.uofmhealth.org 238:Membranous urethra 186:urinary continence 119:membranous urethra 25: 1508: 1507: 1504: 1503: 1443: 1415: 1383: 1382: 1379: 1378: 1295: 1294: 1192: 1191: 1031: 1030: 1027: 1026: 954:Connecting tubule 413:. Basel: Karger. 409:Hiort, O (2014). 273:978-0-7020-3120-5 214:Urge incontinence 68:ischiopubic ramus 1565: 1525: 1524: 1516: 1484: 1482:Pelvic diaphragm 1459: 1441: 1429: 1413: 1401: 1394: 1359: 1346:Ischiocavernosus 1329: 1322: 1282:Ischioanal fossa 1257: 1252: 1243: 1219: 1212: 1205: 1196: 1066:Vesical arteries 889:Filtration slits 874:Bowman's capsule 857: 690: 669: 662: 655: 646: 616: 615: 606: 605: 603: 602: 588: 582: 581: 579: 578: 564: 558: 557: 547: 529: 505: 499: 498: 488: 448: 442: 441: 435: 427: 406: 400: 399: 381: 375: 374: 364: 331: 322: 321: 319: 317: 298: 292: 291: 285: 277: 259: 63:is sealed shut. 1573: 1572: 1568: 1567: 1566: 1564: 1563: 1562: 1533: 1532: 1531: 1519: 1511: 1509: 1500: 1496:Superior fascia 1491:Inferior fascia 1480: 1475: 1471:Superior fascia 1455: 1450: 1427: 1422: 1397: 1375: 1355: 1350: 1341:Bulbospongiosus 1325: 1311: 1291: 1273: 1255: 1232: 1223: 1193: 1188: 1167:navicular fossa 1098: 1084:Detrusor muscle 1049: 1023: 990: 937:Thick ascending 903: 861:Renal corpuscle 846: 763: 749:Cortical lobule 679: 675:Anatomy of the 673: 635: 613: 610: 609: 600: 598: 590: 589: 585: 576: 574: 566: 565: 561: 507: 506: 502: 450: 449: 445: 428: 421: 408: 407: 403: 396: 383: 382: 378: 333: 332: 325: 315: 313: 300: 299: 295: 278: 274: 261: 260: 256: 251: 229: 182: 142: 134:Main articles: 132: 123:skeletal muscle 41:urinary bladder 17: 12: 11: 5: 1571: 1569: 1561: 1560: 1555: 1553:Urinary system 1550: 1545: 1535: 1534: 1530: 1529: 1506: 1505: 1502: 1501: 1499: 1498: 1493: 1487: 1485: 1477: 1476: 1474: 1473: 1468: 1462: 1460: 1452: 1451: 1449: 1448: 1438: 1432: 1430: 1424: 1423: 1421: 1420: 1410: 1408:Colles' fascia 1404: 1402: 1391: 1385: 1384: 1381: 1380: 1377: 1376: 1374: 1373: 1368: 1362: 1360: 1352: 1351: 1349: 1348: 1343: 1338: 1332: 1330: 1319: 1313: 1312: 1310: 1309: 1303: 1301: 1297: 1296: 1293: 1292: 1290: 1289: 1287:Pudendal canal 1284: 1278: 1275: 1274: 1272: 1271: 1266: 1260: 1258: 1249: 1240: 1234: 1233: 1224: 1222: 1221: 1214: 1207: 1199: 1190: 1189: 1187: 1186: 1184:Urinary meatus 1181: 1180: 1179: 1177:urethral gland 1174: 1169: 1164: 1159: 1154: 1149: 1141: 1140: 1139: 1134: 1133: 1132: 1127: 1114: 1108: 1106: 1100: 1099: 1097: 1096: 1091: 1086: 1081: 1080: 1079: 1076:Vaginal artery 1073: 1068: 1059: 1057: 1051: 1050: 1048: 1047: 1041: 1039: 1033: 1032: 1029: 1028: 1025: 1024: 1022: 1021: 1016: 1011: 1006: 1000: 998: 992: 991: 989: 988: 983: 978: 973: 968: 963: 962: 961: 959:Papillary duct 956: 946: 941: 940: 939: 934: 932:Thin ascending 929: 919: 913: 911: 905: 904: 902: 901: 896: 891: 886: 881: 876: 871: 865: 863: 854: 848: 847: 845: 844: 843: 842: 837: 832: 827: 822: 817: 809: 808: 807: 802: 797: 792: 787: 782: 773: 771: 765: 764: 762: 761: 756: 751: 746: 741: 736: 735: 734: 729: 719: 718: 717: 707: 702: 696: 694: 687: 681: 680: 677:urinary system 674: 672: 671: 664: 657: 649: 643: 642: 634: 633:External links 631: 625:Gray's Anatomy 608: 607: 583: 559: 500: 463:(3): 102–106. 443: 419: 401: 394: 376: 347:(2): 208–216. 323: 293: 272: 253: 252: 250: 247: 246: 245: 240: 235: 228: 225: 224: 223: 217: 211: 205: 181: 178: 131: 128: 127: 126: 103: 72:pudendal nerve 15: 13: 10: 9: 6: 4: 3: 2: 1570: 1559: 1556: 1554: 1551: 1549: 1546: 1544: 1541: 1540: 1538: 1528: 1523: 1518: 1514: 1497: 1494: 1492: 1489: 1488: 1486: 1483: 1478: 1472: 1469: 1467: 1464: 1463: 1461: 1458: 1453: 1446: 1439: 1437: 1434: 1433: 1431: 1425: 1418: 1417:Dartos fascia 1411: 1409: 1406: 1405: 1403: 1400: 1395: 1392: 1390: 1386: 1372: 1369: 1367: 1364: 1363: 1361: 1358: 1353: 1347: 1344: 1342: 1339: 1337: 1334: 1333: 1331: 1328: 1323: 1320: 1318: 1314: 1308: 1307:Perineal body 1305: 1304: 1302: 1298: 1288: 1285: 1283: 1280: 1279: 1276: 1270: 1267: 1265: 1262: 1261: 1259: 1256:Sphincter ani 1253: 1250: 1248: 1247:Anal triangle 1244: 1241: 1239: 1235: 1231: 1227: 1220: 1215: 1213: 1208: 1206: 1201: 1200: 1197: 1185: 1182: 1178: 1175: 1173: 1170: 1168: 1165: 1163: 1160: 1158: 1155: 1153: 1150: 1148: 1147:pre-prostatic 1145: 1144: 1143:Male urethra 1142: 1138: 1135: 1131: 1128: 1126: 1123: 1122: 1120: 1119: 1118: 1115: 1113: 1110: 1109: 1107: 1105: 1101: 1095: 1092: 1090: 1087: 1085: 1082: 1077: 1074: 1072: 1071:Vesical veins 1069: 1067: 1064: 1063: 1061: 1060: 1058: 1056: 1052: 1046: 1043: 1042: 1040: 1038: 1034: 1020: 1017: 1015: 1012: 1010: 1007: 1005: 1002: 1001: 999: 997: 993: 987: 984: 982: 979: 977: 974: 972: 971:Renal papilla 969: 967: 966:Tubular fluid 964: 960: 957: 955: 952: 951: 950: 947: 945: 942: 938: 935: 933: 930: 928: 925: 924: 923: 922:Loop of Henle 920: 918: 915: 914: 912: 910: 906: 900: 897: 895: 892: 890: 887: 885: 882: 880: 877: 875: 872: 870: 867: 866: 864: 862: 858: 855: 853: 849: 841: 838: 836: 833: 831: 828: 826: 823: 821: 818: 816: 813: 812: 810: 806: 803: 801: 798: 796: 793: 791: 788: 786: 783: 781: 778: 777: 775: 774: 772: 770: 766: 760: 757: 755: 754:Medullary ray 752: 750: 747: 745: 742: 740: 737: 733: 730: 728: 725: 724: 723: 720: 716: 713: 712: 711: 708: 706: 703: 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Retrieved 296: 263: 257: 183: 174:vaginoplasty 171: 163: 143: 65: 43:through the 28: 26: 981:Major calyx 976:Minor calyx 769:Circulation 264:Gynaecology 159:ejaculation 92:involuntary 1537:Categories 927:Descending 869:Glomerulus 835:interlobar 825:Vasa recta 815:Renal vein 790:interlobar 601:2020-04-14 577:2020-04-14 520:: 287489. 249:References 1442:in penis: 1152:prostatic 1121:External 1014:Mesangium 894:Mesangium 785:segmental 776:Arteries 536:1687-6369 477:2093-4777 432:cite book 282:cite book 96:autonomic 1548:Perineum 1269:Internal 1264:External 1238:Perineum 1230:perineum 1137:Internal 1078:(female) 884:Podocyte 840:efferent 805:afferent 727:pyramids 554:22649446 495:23094214 371:34169680 311:29494045 227:See also 146:internal 84:detrusor 55:and the 31:are two 1558:Urethra 1527:Anatomy 1226:Muscles 1104:Urethra 1094:Trigone 1055:Bladder 1037:Ureters 852:Nephron 830:arcuate 795:arcuate 759:Nephron 722:Medulla 705:Capsule 685:Kidneys 545:3356867 486:3469827 362:8987146 316:3 April 61:urethra 45:urethra 39:in the 33:muscles 1513:Portal 1389:Fascia 1300:Middle 1162:spongy 1130:female 811:Veins 715:column 710:Cortex 700:Fascia 693:Layers 628:(1918) 552:  542:  534:  493:  483:  475:  417:  392:  369:  359:  309:  270:  107:female 739:Sinus 155:semen 100:urine 37:urine 1125:male 744:Lobe 550:PMID 532:ISSN 518:2012 491:PMID 473:ISSN 438:link 415:ISBN 390:ISBN 367:PMID 318:2023 307:PMID 288:link 268:ISBN 202:TURP 138:and 105:The 78:The 49:male 27:The 1228:of 540:PMC 522:doi 481:PMC 465:doi 357:PMC 349:doi 109:or 94:or 51:or 1539:: 594:. 570:. 548:. 538:. 530:. 516:. 512:. 489:. 479:. 471:. 461:16 459:. 455:. 434:}} 430:{{ 365:. 355:. 345:40 343:. 339:. 326:^ 284:}} 280:{{ 200:, 176:. 161:. 1515:: 1447:) 1440:( 1419:) 1412:( 1218:e 1211:t 1204:v 668:e 661:t 654:v 604:. 580:. 556:. 524:: 497:. 467:: 440:) 398:. 373:. 351:: 320:. 290:) 102:.

Index


muscles
urine
urinary bladder
urethra
male
female external urethral sphincter
internal urethral sphincter
urethra
ischiopubic ramus
pudendal nerve
internal sphincter muscle of urethra
detrusor
smooth muscle
involuntary
autonomic
urine
female
male external sphincter muscle of urethra
deep perineal pouch
membranous urethra
skeletal muscle
External sphincter muscle of male urethra
External sphincter muscle of female urethra
internal
urinary incontinence
semen
ejaculation
inferior pubic ramus
vaginoplasty

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