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Introduction & History.
Introduction & History.
• The male urethra is a narrow fibromuscular
tube that conducts urine and semen from
the bladder and ejaculatory ducts,
respectively, to the exterior of the body (see
the image below). Although the male
urethra is a single structure, it is composed
of a heterogeneous series of segments:
prostatic, membranous, and spongy.
Introduction & History.
•
Embryology
Embryology
• The posterior male urethra forms from the
urogenital sinus
• The spongy urethra is formed after the
seventh week by tubularization of the
urethral folds along the urethral groove
under the influence of dihydrotestosterone.
• The most distal portion of the urethra is
likely formed by invagination of an
epithelial tag at the distal end of the genital
tubercle.
Parts
• The male urethra originates at the bladder
neck and terminates at the urethral meatus
on the glans penis.
• It is roughly 15-25 cm long in the adult.
• and forms an "S" curve when viewed from a
median sagittal plane in an upright, flaccid
position
•
Parts
• Divided into 3 segments on the basis of its
investing structures:
1. Prostatic urethra
2. Membranous urethra
3. Spongy (or penile) urethra.
• The urethra can be separated simply into anterior
and posterior urethra.
• The spongy urethra can be subdivided into fossa
navicularis, pendulous urethra, and bulbous
(bulbar) urethra.
• Finally, the bladder neck, or preprostatic urethra,
can be classified as a distinct part of the urethra
Parts
•
Parts
•
Prostatic urethra
Prostatic urethra
• portion of the urethra that traverses the
prostate.
• It originates in the region of the bladder
neck,
• 2.5 cm
• Terminates at the membranous urethra.
• Bordered superiorly by the bladder
• Supported inferiorly by the sphincter
urethrae externus muscle and the perineal
membrane (formerly called the urogenital
diaphragm).
Prostatic urethra
• The prostatic urethra is surrounded by an
inner circular layer and an outer
longitudinal layer of smooth muscle
• Proximal part is surrounded by the
involuntary internal sphincter.
• The posterior wall of the prostatic urethra
contains the seminal colliculus, or
verumontanum-opening of the paired
ejaculatory ducts and the prostatic utricle.
• Verumontanum is a crucial landmark in
urethroscopy and transurethral surgery.
Membranous urethra
Membranous urethra
• From the apex of the prostate to the bulb of
the penis.
• It is invested in the external urethral
sphincter muscle and the perineal
membrane.
• The external urethral sphincter muscle and
the perineal membrane fix the urethra firmly
to the ischial rami and inferior pubic rami,
rendering this portion of the urethra
susceptible to disruption with pelvic
fracture.
Penile/Spongy Urethra
• The spongy urethra is the region that spans
the corpus spongiosum of the penis
• It is divided into the pendulous urethra and
the bulbous (or bulbar) urethra.
• The pendulous urethra is invested in the
corpus spongiosum of the penis.
Arterial Supply
Arterial Supply
• The prostatic urethra is supplied by the inferior
vesical artery,
• The bulbourethral artery supplies the membranous
and bulbar urethra
• pendulous urethra is supplied by the deep penile
artery, a branch of the internal pudendal artery.
• The prostatic and membranous urethra drain to the
obturator and internal iliac nodes.
Venous Drainage
Venous Drainage
• Corresponds to arteries.
Lymphatic Drainage
• The prostatic and membranous urethra drain
to the obturator and internal iliac nodes.
• Lymphatic drainage from the spongy
urethra drains to the deep and superficial
inguinal nodes.
Microscopic Anatomy
Microscopic Anatomy
• The prostatic urethra is lined with
transitional cell epithelium (urothelium).
• The membranous urethra is lined with
stratified columnar and pseudostratified
epithelium.
• the penile urethra is lined with stratified
columnar and pseudostratified epithelium
with stratified squamous epithelium distally.
• In the glans keratinized stratified squamous
epithelium.
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Anatomy Urethra.pptx

  • 1. Tips on using my ppt. 1. You can freely download, edit, modify and put your name etc. 2. Don’t be concerned about number of slides. Half the slides are blanks except for the title. 3. First show the blank slides (eg. Aetiology ) > Ask students what they already know about ethology of today's topic. > Then show next slide which enumerates aetiologies. 4. At the end rerun the show – show blank> ask questions > show next slide. 5. This will be an ACTIVE LEARNING SESSION x three revisions. 6. Good for self study also. 7. See notes for bibliography.
  • 3. Introduction & History. • The male urethra is a narrow fibromuscular tube that conducts urine and semen from the bladder and ejaculatory ducts, respectively, to the exterior of the body (see the image below). Although the male urethra is a single structure, it is composed of a heterogeneous series of segments: prostatic, membranous, and spongy.
  • 6. Embryology • The posterior male urethra forms from the urogenital sinus • The spongy urethra is formed after the seventh week by tubularization of the urethral folds along the urethral groove under the influence of dihydrotestosterone. • The most distal portion of the urethra is likely formed by invagination of an epithelial tag at the distal end of the genital tubercle.
  • 7. Parts • The male urethra originates at the bladder neck and terminates at the urethral meatus on the glans penis. • It is roughly 15-25 cm long in the adult. • and forms an "S" curve when viewed from a median sagittal plane in an upright, flaccid position •
  • 8. Parts • Divided into 3 segments on the basis of its investing structures: 1. Prostatic urethra 2. Membranous urethra 3. Spongy (or penile) urethra. • The urethra can be separated simply into anterior and posterior urethra. • The spongy urethra can be subdivided into fossa navicularis, pendulous urethra, and bulbous (bulbar) urethra. • Finally, the bladder neck, or preprostatic urethra, can be classified as a distinct part of the urethra
  • 12. Prostatic urethra • portion of the urethra that traverses the prostate. • It originates in the region of the bladder neck, • 2.5 cm • Terminates at the membranous urethra. • Bordered superiorly by the bladder • Supported inferiorly by the sphincter urethrae externus muscle and the perineal membrane (formerly called the urogenital diaphragm).
  • 13. Prostatic urethra • The prostatic urethra is surrounded by an inner circular layer and an outer longitudinal layer of smooth muscle • Proximal part is surrounded by the involuntary internal sphincter. • The posterior wall of the prostatic urethra contains the seminal colliculus, or verumontanum-opening of the paired ejaculatory ducts and the prostatic utricle. • Verumontanum is a crucial landmark in urethroscopy and transurethral surgery.
  • 15. Membranous urethra • From the apex of the prostate to the bulb of the penis. • It is invested in the external urethral sphincter muscle and the perineal membrane. • The external urethral sphincter muscle and the perineal membrane fix the urethra firmly to the ischial rami and inferior pubic rami, rendering this portion of the urethra susceptible to disruption with pelvic fracture.
  • 16. Penile/Spongy Urethra • The spongy urethra is the region that spans the corpus spongiosum of the penis • It is divided into the pendulous urethra and the bulbous (or bulbar) urethra. • The pendulous urethra is invested in the corpus spongiosum of the penis.
  • 18. Arterial Supply • The prostatic urethra is supplied by the inferior vesical artery, • The bulbourethral artery supplies the membranous and bulbar urethra • pendulous urethra is supplied by the deep penile artery, a branch of the internal pudendal artery. • The prostatic and membranous urethra drain to the obturator and internal iliac nodes.
  • 21. Lymphatic Drainage • The prostatic and membranous urethra drain to the obturator and internal iliac nodes. • Lymphatic drainage from the spongy urethra drains to the deep and superficial inguinal nodes.
  • 23. Microscopic Anatomy • The prostatic urethra is lined with transitional cell epithelium (urothelium). • The membranous urethra is lined with stratified columnar and pseudostratified epithelium. • the penile urethra is lined with stratified columnar and pseudostratified epithelium with stratified squamous epithelium distally. • In the glans keratinized stratified squamous epithelium.
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Editor's Notes

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