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The male urethra

The urethra, from its origin in the bladder to its end at the apex of the penis, initially crosses the prostate, then exhibits a concave curve facing upwards and towards the pubic symphysis passing through the uro-genital diaphragm, which contains the external urethral or voluntary sphincter. It then penetrates the corpus spongiosum and finally runs along the entire length of the penis, this time forming a concave curve facing downwards and backwards.
Proceeding from the exterior towards the urethral lumen, the histological structure is constructed of a connective band created by a tunicae muscolaris in the proximal segment, by vascular lacunae (corpus spongiosum) in the distal part and by a mucous membrane.
The urethral mucous membrane is constructed of a multi-layered simple epithelium with multiple glands.
The blood vessels and nerves of the urethra originate predominantly from the collateral and terminal branches of the pudendal artery, veins and nerves. They are responsible for vascularisation and motor and sensory innervation of the organ.


Schematic drawing of the male urethra: bladder and urethra in yellow, corpus spongiosum in pink

The urethra is a tubular structure that serves to bring to the exterior the urine contained in the bladder and seminal fluid from the prostate gland and seminal vescicles, which contains spermatozoa. The urethra originates in the bladder, at the inferior and anterior level, called bladder neck. After crossing the pelvic floor and the perineum, it runs along the entire length of the penis, ending at the apex of the gland. The length of the male urethra varies according to age and from person to person. In adult men, the length of the urethra, about 16-18 cm, varies also according to penile length. The male urethra can be subdivided into various tracts.


Schematic drawing of the male urethra: bladder and urethra in yellow, corpus spongiosum in pink Bulbar urethral stricture of unknown etiology febbre
Anatomy Etiology Symptoms
Uretrocistoscopia anastomosi4
Diagnosis Therapy