Internal urethral sphincter

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Internal urethral sphincter
Gray407.png
Coronal section of anterior part of pelvis, through the pubic arch. Seen from in front. (Region visible, but muscle not labeled.)
Illu bladder.jpg
Urinary bladder (Region visible, but muscle not labeled.)
Details
OriginThe inferior ramus of the pubic bone
InsertionPerineal raphe
NerveSympathetic fibers from T10-L2 through the inferior hypogastric plexus then vesical nervous plexus
ActionsConstricts proximal urethra, maintains urinary continence
Identifiers
LatinMusculus sphincter urethrae internus
TAA09.2.03.009
A09.4.02.013
FMA45769
Anatomical terms of muscle

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,[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.

Function[edit]

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.[4] 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.[5]

Spasms of the internal urethral sphincter are associated with penile erection.[6] 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.

See also[edit]

References[edit]

This article incorporates text in the public domain from page 429-431 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): 102–106. doi:10.5213/inj.2012.16.3.102. PMC 3469827. PMID 23094214.
  2. ^ Sam P, LaGrange CA (February 2019). "Anatomy, Abdomen and Pelvis, Sphincter Urethrae". StatPearls [Internet]. PMID 29494045.
  3. ^ Dorschner W, Stolzenburg JU, Neuhaus J (2001). "Structure and function of the bladder neck". Advances in Anatomy, Embryology, and Cell Biology. 159: III–XII, 1–109. PMID 11417142., page 29, Preview Amazon.
  4. ^ Shah AP, Mevcha A, Wilby D, Alatsatianos A, Hardman JC, Jacques S, Wilton JC (November 2014). "Continence and micturition: An anatomical basis". Clin. Anat. 27 (8): 1275–1283. doi:10.1002/ca.22388. PMID 24615792.
  5. ^ Moore, Keith L.; Dalley, Arthur F.; Agur, A. M. R. (2013-02-13). Clinically Oriented Anatomy. Lippincott Williams & Wilkins. p. 366. ISBN 9781451119459.
  6. ^ 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): 39–56. PMID 19990023.