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They then pass down along the sides of the pelvis and finally curve forward and enter the bladder from its left and right sides at the back of the bladder. [2] The ureters are 1.5–6 mm (0.06–0.24 in) in diameter [ 1 ] and surrounded by a layer of smooth muscle for 1–2 cm (0.4–0.8 in) near their ends just before they enter the bladder.
The bladder receives both sensory and motor supply from sympathetic and the parasympathetic nervous systems. [11] The motor supply from both sympathetic fibers, most of which arise from the superior and inferior hypogastric plexuses and nerves, and from parasympathetic fibers, which come from the pelvic splanchnic nerves. [12]
It is located at the junction of the urethra with the urinary bladder and is continuous with the detrusor muscle, [1] [2] but anatomically and functionally fully independent from it. [3] It is composed of smooth muscle, so it is under the control of the autonomic nervous system, specifically the sympathetic nervous system.
The internal sphincter, formed by the involuntary smooth muscles lining the bladder neck and urethra, receives its nerve supply by the sympathetic division of the autonomic nervous system. [6] The internal sphincter is present both in males and females. [7] [8] [9]
The pudendal nerve is the main nerve of the perineum. [1]: 274 It is a mixed (motor and sensory) nerve and also conveys sympathetic autonomic fibers.It carries sensation from the external genitalia of both sexes and the skin around the anus and perineum, as well as the motor supply to various pelvic muscles, including the male or female external urethral sphincter and the external anal sphincter.
The female or male external sphincter muscle of urethra (sphincter urethrae): located in the deep perineal pouch, at the bladder's distal inferior end in females, and inferior to the prostate (at the level of the membranous urethra) in males. It is a secondary sphincter to control the flow of urine through the urethra.
The bladder also contains β 3 adrenergic receptors, and pharmacological agonists of this receptor are used to treat overactive bladder. The mucosa of the urinary bladder may herniate through the detrusor muscle. [6] This is most often an acquired condition due to high pressure in the urinary bladder, damage, or existing connective tissue ...
The nerves composing it are numerous, and contain a large proportion of spinal nerve fibers. They accompany the vesicle arteries , and are distributed to the sides and fundus of the bladder . Numerous filaments also pass to the seminal vesicles and vas deferens ; those accompanying the vas deferens join, on the spermatic cord , with branches ...