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    Catheterisation - OSCE Guide

    The urethra is a fibrous and muscular tube which connects the urinary bladder to the external urethral meatus. Its length differs between the sexes, because it passes through the penis in males.

    In the human male, the urethra is on average 18 to 20 centimetres 7. The urethra is divided into four parts in men, named after the location: [8].

    There is inadequate data for the typical length of the male urethra; however, a study of men showed an average length of The meatus is located below the clitoris.

    It is placed behind the symphysis pubis , embedded in the anterior wall of the vagina, and its direction is obliquely downward and forward; it is slightly curved with the concavity directed forward.

    The proximal two-thirds of the urethra is lined by transitional epithelial cells , while the distal third is lined by stratified squamous epithelial cells.

    Between the superior and inferior fascia of the urogenital diaphragm , the female urethra is surrounded by the urethral sphincter.

    The cells lining the urethra the epithelium start off as transitional cells as it exits the bladder, which are variable layers of flat to cuboidal cells that change shape depending on whether they are compressed by the contents of the urethra.

    There are small mucus -secreting urethral glands, as well as bulbo-urethral glands of Cowper, that secret mucous acting to lubricate the urethra.

    The urethra consists of three coats: muscular, erectile, and mucous, the muscular layer being a continuation of that of the bladder.

    Somatic conscious innervation of the external urethral sphincter is supplied by the pudendal nerve. In the developing embryo , at the hind end lies a cloaca.

    This, over the fourth to the seventh week, divides into a urogenital sinus and the beginnings of the anal canal , with a wall forming between these two inpouchings called the urorectal septum.

    After the third month, urethra also contributes to the development of associated structures depending on the biological sex of the embryo.

    In the male, the epithelium multiples to form the prostate. In the female, the upper part of the urethra forms the urethra and paraurethral glands.

    The urethra is the vessel through which urine passes after leaving the bladder. During urination, the smooth muscle lining the urethra relaxes in concert with bladder contraction s to forcefully expel the urine in a pressurized stream.

    Following this, the urethra re-establishes muscle tone by contracting the smooth muscle layer, and the bladder returns to a relaxed, quiescent state.

    Urethral smooth muscle cells are mechanically coupled to each other to coordinate mechanical force and electrical signaling in an organized, unitary fashion.

    The male urethra is the conduit for semen during sexual intercourse. Infection of the urethra is urethritis , which often causes purulent urethral discharge.

    Cancer can also develop in the lining of the urethra. If a malignancy is found, a biopsy will be taken, and a CT scan will be performed of other body parts a CT scan of the chest, abdomen and pelvis to look for additional metastatic lesions.

    Passage of kidney stones through the urethra can be painful. Damage to the urethra, such as by kidney stones, chronic infection, cancer, or from catheterisation, can lead to narrowing, called a urethral stricture.

    Injuries to the urethra e. Foreign bodies in the urethra are uncommon, but there have been medical case reports of self-inflicted injuries, a result of insertion of foreign bodies into the urethra such as an electrical wire.

    Hypospadias and epispadias are forms of abnormal development of the urethra in the male, where the meatus is not located at the distal end of the penis it occurs lower than normal with hypospadias, and higher with epispadias.

    In a severe chordee , the urethra can develop between the penis and the scrotum. A tube called a catheter can be inserted through the urethra to drain urine from the bladder, called an indwelling urinary catheter ; or, to bypass the urethra, a catheter may be directly inserted through the abdominal wall into the bladder, called a suprapubic catheter.

    The word "urethra" comes from the Ancient Greek stem "uro" relating to urination, with the structure described as early as the time of Hippocrates.

    Thereafter, terms "ureter" and "urethra" were variably used to refer to each other thereafter for more than a millennia.

    Kidney stones have been identified and recorded about as long as written historical records exist. Diagram which depicts the membranous urethra and the spongy urethra of a male.

    From Wikipedia, the free encyclopedia. Tube that connects the urinary bladder to the external urethral orifice. Not to be confused with ureter. The urethra transports urine from the bladder to the outside of the body.

    This image shows a a female urethra and b a male urethra. Further information: Development of the urinary system. See also: Urination.

    This section needs expansion. You can help by adding to it. July Reproductive Physiology of Marsupials. Cambridge University Press.

    Wake 15 September Hyman's Comparative Vertebrate Anatomy. University of Chicago Press. Retrieved 6 May Legato, John P. Bilezikian editors Principles of Gender-specific Medicine.

    Gulf Professional Publishing. Reviews in Urology. International Neurourology Journal. April Journal of Anatomy. I want to access and view sexually explicit material for my personal use in my private environment.

    I will not exhibit or perform these images or videos to minors or to anyone else who might be offended by them or may be precluded by law in my local jurisdiction from viewing such content.

    I will not redistribute any material from this site. I understand this is a fantasy site. I have carefully read the above and agree to all of them.

    I am not a member of law enforcement. This site creates a series of fantasies played by fully consenting actors.

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