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In females, the bladder sits inferior to the uterus and anterior to the vagina; thus its maximum capacity is lower than in males. It is separated from the uterus by the vesico-uterine pouch. In infants and young children the urinary bladder is in the abdomen even when empty. [18]
In males, the internal urethral sphincter has the additional function of preventing the flow of semen into the male bladder during ejaculation. [3] Females do have a more elaborate external sphincter muscle than males as it is made up of three parts: the sphincter urethrae, the urethrovaginal muscle, and the compressor urethrae.
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. Urine exits the male ...
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]
In human males, the base of the bladder lies between the rectum and the pubic symphysis. It is superior to the prostate, and separated from the rectum by the rectovesical excavation. In females, the bladder sits inferior to the uterus and anterior to the vagina. It is separated from the uterus by the vesicouterine excavation.
The micturition reflex normally produces a series of contractions of the urinary bladder. The flow of urine through the urethra has an overall excitatory role in micturition, which helps sustain voiding until the bladder is empty. [17] Many men, and some women, may sometimes briefly shiver after or during urination. [18]
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]
Female urology is a branch of urology dealing with overactive bladder, pelvic organ prolapse, and urinary incontinence. Many of these physicians also practice neurourology and reconstructive urology as mentioned above. Female urologists (many of whom are men) complete a 1–3-year fellowship after completion of a 5–6-year urology residency. [21]