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Male and female urinary bladders in lateral cross-section. In humans, the bladder is a hollow muscular organ situated at the base of the pelvis. In gross anatomy, the bladder can be divided into a broad fundus (base), a body, an apex, and a neck. [5]
The anatomy of the human urinary system differs between males and females at the level of the urinary bladder. In males, the urethra begins at the internal urethral orifice in the trigone of the bladder, continues through the external urethral orifice, and then becomes the prostatic, membranous, bulbar, and penile urethra.
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 trigone (also known as the vesical trigone) [1] is a smooth triangular region of the internal urinary bladder formed by the two ureteric orifices and the internal urethral orifice. The area is very sensitive to expansion and once stretched to a certain degree, stretch receptors in the urinary bladder signal the brain of its need to empty ...
The pelvic cavity also contains major arteries, veins, muscles, and nerves. These structures coexist in a crowded space, and disorders of one pelvic component may impact upon another; for example, constipation may overload the rectum and compress the urinary bladder, or childbirth might damage the pudendal nerves and later lead to anal weakness.
Diagrams to show the development of male and female generative organs from a common type. A.—Diagram of the primitive urogenital organs in the embryo previous to sexual distinction. 3. Ureter. 4. Urinary bladder. 5. Urachus. cl. Cloaca. cp. Elevation which becomes clitoris or penis. i. Lower part of the intestine. ls.
The urethra of an adult human female is 3-4 cm long. [4] The female urethra is located between the bladder neck to the external urethral orifice and is behind the symphysis pubis. [4] The urethral wall is composed of an inner epithelial lining, a sub-mucosa layer containing vascular supply, a thin fascial layer, and two layers of smooth muscle. [4]
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.