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The muscle helps maintain continence of urine along with the internal urethral sphincter which is under control of the autonomic nervous system.The external sphincter muscle prevents urine leakage as the muscle is tonically contracted via somatic fibers that originate in Onuf's nucleus and pass through sacral spinal nerves S2-S4 then the pudendal nerve to synapse on the muscle.
The internal sphincter is a continuation of the detrusor muscle and is made of smooth muscle, therefore it is under involuntary or autonomic control. This is the primary muscle for prohibiting urination. The female or male external sphincter muscle of urethra (sphincter urethrae): located in the deep perineal pouch, at the bladder's distal ...
Between 2004 and 2005 there was a personal experience in the similar technique by group of surgeons. That technique included coring out the intersphinteric fistula tract from the external opening to the external sphincter, excision of the intersphincteric fistula tract and suture of the internal sphincter defect through the intersphincteric plane.
A rhabdosphincter (from Greek rhabdos meaning "rod") is a sphincter consisting of striated muscle fibres. [1] The muscle is a part of the external urethral sphincter that continues superiorly as a trough-like extension running vertically across the anterior aspect of the prostate to reach the neck of the bladder. [2] [3]
Primary sphincter repair is inadequate in most women with obstetric ruptures following vaginal delivery. Residual sphincter defects remain in most and around 50% remain incontinent. If there is a residual sphincter defect following the operation (as demonstrated by endoanal ultrasonography), then the procedure may be repeated. [4] [5]
Urinary incontinence – most commonly stress incontinence – due to injury of the external sphincter system, may be prevented by taking the verumontanum of the prostate as a distal limiting boundary during TURP. Initial management includes lifestyle changes, bladder training, pelvic floor muscle training, and using incontinence pads.
The sutures are pulled up under tension and tied. The retracted ends of external sphincter muscle are now brought closer to the anterior midline of the anus. The ends of the sphincter are sutured together to perineal body. Two sutures are placed in the rectal fascia to lessen the tension on the sphincter ends.
At the root of the penis (the proximal end of the corpus spongiosum) lies the external sphincter muscle. This is a small sphincter of striated muscle tissue and is in healthy males, under voluntary control. Relaxing the urethral sphincter allows the urine in the upper urethra to enter the penis properly and thus empty the urinary bladder.