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Stress urinary incontinence is a common problem related to the function of the urethral sphincter. Weak pelvic floor muscles, intrinsic sphincter damage, or damage to the surrounding nerves and tissue can make the urethral sphincter incompetent, and subsequently it will not close fully, leading to stress urinary incontinence.
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]
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.
The external urethral sphincter is a striated muscle that allows voluntary control over urination. [5] The internal sphincter , formed by the involuntary smooth muscles lining the bladder neck and urethra, receives its nerve supply by the sympathetic division of the autonomic nervous system . [ 6 ]
A rhabdosphincter (from Greek rhabdos meaning "rod") is a sphincter consisting of striated muscle fibres. [1] The muscle is a part of the external urethral sphincter that continues superiorly as a trough-like extension running vertically across the anterior aspect of the prostate to reach the neck of the bladder. [2] [3]
have a damaged urinary sphincter. have an allergy to any of the material used in the procedure. take anticoagulant or antiplatelet drugs and cannot safely stop them in preparation for the procedure.
An artificial urinary sphincter (AUS) is an implanted device to treat moderate to severe stress urinary incontinence, most commonly in men. The AUS is designed to supplement the function of the natural urinary sphincter that restricts urine flow out of the bladder .
Further along the urethra is a sphincter of skeletal muscle, the sphincter of the membranous urethra (external urethral sphincter). The bladder's epithelium is termed transitional epithelium which contains a superficial layer of dome-like cells and multiple layers of stratified cuboidal cells underneath when evacuated.