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Internal urethral sphincter

Urethral sphincter muscle which constricts the internal urethral orifice

Internal urethral sphincter

Summary

Urethral sphincter muscle which constricts the internal urethral orifice

FieldValue
NameInternal urethral sphincter
Latinmusculus sphincter urethrae internus
ImageIllu bladder.jpg
CaptionThe urinary bladder, with the position of the sphincter shown as the internal urethral orifice
OriginThe inferior ramus of the pubic bone
InsertionPerineal raphe
NerveSympathetic fibers from T10-L2 through the inferior hypogastric plexus then vesical nervous plexus
ActionConstricts proximal urethra, maintains urinary continence

The internal urethral sphincter is a urethral sphincter muscle which constricts the internal urethral orifice. It is located at the junction of the urethra with the urinary bladder and is continuous with the detrusor muscle, but anatomically and functionally fully independent from it. It is composed of smooth muscle, so it is under the control of the autonomic nervous system, specifically the sympathetic nervous system.

Function

The sphincter in a female, and its action to prevent urination

This is the primary muscle for maintaining continence of urine, a function shared with the external urethral sphincter which is under voluntary control. It prevents urine leakage as the muscle is tonically contracted via sympathetic fibers traveling through the inferior hypogastric plexus and vesical nervous plexus. Specifically, it is controlled by the hypogastric nerve, predominantly via the alpha-1 adrenergic receptor.

During urination, the preganglionic neurons of this sympathetic pathway are inhibited via signals arising in the pontine micturition center and traveling through the descending reticulospinal tracts, allowing the muscle to relax. During ejaculation, the muscle contracts to prevent reflux of semen into the urinary bladder, a phenomenon called retrograde ejaculation.

Spasms of the internal urethral sphincter are associated with penile erection. Because the internal urethral sphincter is under involuntary control, it is believed to play a role in paruresis, in which a person who perceives oneself to be under observation is unable to urinate.

References

References

  1. (September 2012). "Clinical and Functional Anatomy of the Urethral Sphincter". International Neurourology Journal.
  2. (February 2019). "Anatomy, Abdomen and Pelvis, Sphincter Urethrae". StatPearls [Internet].
  3. (2001). "Structure and Function of the Bladder Neck".
  4. (November 2014). "Continence and micturition: An anatomical basis". Clinical Anatomy.
  5. (2004). "Neurophysiology of Stress Urinary Incontinence". Reviews in Urology.
  6. (2013-02-13). "Clinically Oriented Anatomy". Lippincott Williams & Wilkins.
  7. (April 2022). "A Comprehensive Guide to Sperm Recovery in Infertile Men with Retrograde Ejaculation". The World Journal of Men's Health.
  8. J. B. Macalpine. (November 1934). "The Musculature of the Bladder-neck of the Male in Health and Disease". Proceedings of the Royal Society of Medicine.
Wikipedia Source

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