29/06/2011

URETHRA

 Urethra
Preprostatic
  • Intramural


Prostatic
  • widest
  • most dilatable
  • spindle shaped
  • cross section-----horse shoe shaped
  • urethral crest/veru montanum
  • On either side of the crest is a slightly depressed fossa, the prostatic sinus; the floor of which is perforated by numerous apertures, the orifices of the prostatic ducts from the lateral lobes of the prostate;
  • At the forepart of the urethral crest, below its summit, is a median elevation, the colliculus seminalis


Membranous
  • pases through external urethral sphincter
  • narrowest part (except external orifice)
  • surrounded by fibres of sphincter uethrae
  • shortest
  • least dilatable
  • ducts of bulbo-urethral glands enter here


Spongy
(penile + bulbar)
  • Longest
  • in corpus spongiosum
  • ducts from urethral/littrre’s glands
  • 2 parts

                            1.        bulbous
                            2.       pendulous
external urethral orifice
5mm

Type of epithelium lining
Preprostatic
transitional epithelium
Prostatic
transitional epithelium
Membranous
pseudo stratified columnar
Spongy
(penile + bulbar)
proximally---pseudostratified columnar
distally ----stratified squamous
external urethral orifice
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LYMPHATIC DRAINAGE of URETHRA

Posterior urethra
§      Proximal 2/3rd  of female urethra
§      Prostatic  & membranous parts of male urethra

    ·         External iliac
    ·           Obturator(along internal pudendal a.)
    ·         Internal iliac(Hypogastric)
    ·         Presacral
Anterior urethra
§        Distal 1/3rd of female urethra  
§       Bulbous & penile /spongy/distal urethra in males
superficial inguinal LN à deep inguinal LN à external iliac LNàLateral aortic
Whole of female urethra drains mainly into------------- internal iliac nodes

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