External sphincter muscle of male urethra

The external sphincter muscle of male urethra, also sphincter urethrae membranaceae, sphincter urethrae externus, surrounds the whole length of the membranous urethra, and is enclosed in the fascia of the urogenital diaphragm.

Sphincter urethrae membranaceae muscle
The male urethra laid open on its anterior (upper) surface. (Region visible, but muscle not labeled.)
Coronal section of anterior part of pelvis, through the pubic arch. Seen from in front. (Region visible, but muscle not labeled.)
Details
OriginJunction of the inferior rami of the pubis and ischium to the extent of 1.25 to 2 cm.
InsertionIschiopubic rami
NerveSomatic fibers from S2-S4 through Pudendal nerve
ActionsConstricts urethra, maintains urinary continence
Identifiers
Latinmusculus sphincter urethrae externus urethrae masculinae, musculus sphincter urethrae membranaceae
TA98A09.4.02.016M
TA22421
FMA19733
Anatomical terms of muscle

Its external fibers arise from the junction of the inferior pubic ramus and ischium to the extent of 1.25 to 2 cm., and from the neighboring fascia.

They arch across the front of the urethra and bulbourethral glands, pass around the urethra, and behind it unite with the muscle of the opposite side, by means of a tendinous raphe.

Its innermost fibers form a continuous circular investment for the membranous urethra.

Function

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.[1][2]

Voiding urine begins with voluntary relaxation of the external urethral sphincter. This is facilitated by inhibition of the somatic neurons in Onuf's nucleus via signals arising in the pontine micturition center and traveling through the descending reticulospinal tracts. During ejaculation, the external sphincter opens and the internal sphincter closes.[3]

Additional images

See also

References

This article incorporates text in the public domain from page 429 of the 20th edition of Gray's Anatomy (1918)

  1. Jung J, Ahn HK, and Huh Y (September 2012). "Clinical and Functional Anatomy of the Urethral Sphincter". Int Neurourol J. 16 (3): 102โ€“106. doi:10.5213/inj.2012.16.3.102. PMC 3469827. PMID 23094214.
  2. Shah AP, Mevcha A, Wilby D, Alatsatianos A, Hardman JC, Jacques S, Wilton JC (November 2014). "Continence and micturition: An anatomical basis" (PDF). Clin. Anat. 27 (8): 1275โ€“1283. doi:10.1002/ca.22388. PMID 24615792. S2CID 21875132.
  3. 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. 28 (1): 39โ€“56. doi:10.1177/003591573402800112. PMC 2205523. PMID 19990023.
  • Anatomy figure: 41:06-04 at Human Anatomy Online, SUNY Downstate Medical Center - "Muscles of the female urogenital diaphragm (deep perineal pouch) and structures located inferior to it."


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