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The Urethra: Normal Anatomy, Radiology, Disease, and Injury

  • Chapter
Radiology of the Lower Urinary Tract

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

The male urethra is divided anatomically and radiologically into the anterior and posterior urethra. The anterior urethra extends from the inferior fascia of the urogenital diaphragm to the external meatus. The anterior urethra consists of the penile urethra, from the external meatus to the penoscrotal junction below and the suspensory ligament above, and the bulbous urethra, from the penoscrotal junction to the inferior aspect of the urogenital diaphragm. The posterior urethra consists of the membranous urethra within the urogenital diaphragm and is approximately 1–1.5 cm long. It extends from the inferior fascia of the urogenital diaphragm to the inferior aspect of the verumontanum. The prostatic urethra extends from the inferior aspect of the verumontanum to the bladder neck and passes through the prostate gland a little anterior to the middle of the prostate. The urogenital diaphragm, which divides the urethra into the anterior and posterior urethra, is a triangular ligament extending horizontally from the inferior rami of the pubic arch, posteriorly attaching to the tendinous plate of the perineum and continuous with the anal fascia.

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References

  • Bejany DE, Lockhart LL, Politano BA (1991) Ilial segment for ureteral substitution or for improvement of ureteral function. J Urol 46: 302 - 305

    Google Scholar 

  • Blandy JP (1976) Urethroplasty in males. In: Hendry WF (ed) Recent advances in urology, no. 2, sect. 10. Churchill Livinstone, New York, p 208

    Google Scholar 

  • Burhenne HJ, Chisholm RJ, Quenville NF (1984) Prostatic hyperplasia: radiological intervention. Radiology 152: 655 - 657

    PubMed  CAS  Google Scholar 

  • Camarr AE (1972) Traumatic cord bladder treatment without diversion. In: Scott R (ed) Current controversies in urologie management. W.B. Saunders, Philadelphia, p 179

    Google Scholar 

  • Carter HB, Brem RF, Tempany CM, Yang A, Epstein JI, Walsh PJ, Zerhounie A (1991) None papable prostate cancer: detection with MR imaging. Radiology 178: 523 - 526

    PubMed  CAS  Google Scholar 

  • Castañeda F, Hulbert JC, Letourneau JG, Hunter DW, Castaneda-Zuniga WR, Amplatz K (1990) Perineal abscess after prostatic urethroplasty with balloon catheter: report of a case. Radiology 174: 49 - 50

    PubMed  Google Scholar 

  • Colapinto V, McCallum RW (1977) Injury to the male posterior urethra in fractured pelvis: a new classification. J Urol 118: 575

    PubMed  CAS  Google Scholar 

  • Colapinto V, McCallum RW (1979) The role of urethrography in urethral disease, part II: Indication for transsphincter urethroplasty in patients with primary bulb strictures. J Urol 122: 612

    Google Scholar 

  • Dixon FJ, Moore RW (1953) In: Atlas of tumour pathology, fasc. 32. Armed Forces Institute of Pathology, Washington, DC, p 143

    Google Scholar 

  • Donald JJ, Rickards D, Milroy EJG (1991) Stricture disease: radiology of urethral stents. Radiology 180: 447 - 450

    PubMed  CAS  Google Scholar 

  • Elbadawi A, Schenk EA (1974) A new theory of the innervation of bladder incontinence, part 4. Innervation of the vesicourethral junction and external urethral sphincter. J Urol 111: 613

    Google Scholar 

  • Faysal MH (1980) Urethrectomy in men with transitional cell carcinoma of bladder. Urology 16: 23 - 26

    Article  PubMed  CAS  Google Scholar 

  • Fisk NM, Dhillon HK, Ellis CE, Nicolini U, Tannirandorn Y, Rodeck CH (1990) Antenatal diagnosis of megalourethra in a fetus with prune belly syndrome. JCU 18: 124 - 128

    PubMed  CAS  Google Scholar 

  • Fitts FB Jr, Herbert SG, Mellins HZ (1977) Criteria for examination of the urethra during excretory urology. Radiology 125: 47

    PubMed  Google Scholar 

  • Fornage BD, Toubas O (1989) Transrectal sonographic monitoring of balloon dilatation of the prostatic urethra. J Ultrasound Med 8: 53 - 55

    PubMed  CAS  Google Scholar 

  • Franks LM (1954) Benign nodular hyperplasia of the prostate: review. Ann R Coll Surg Engl 14: 92

    Google Scholar 

  • Gibson GR (1974) Urological management and complications of fractured pelvis and ruptured urethra. J Urol 111: 353

    PubMed  CAS  Google Scholar 

  • Gosling JA, Dixon JS, Crutchley HOD, Thompson SA (1981) A comparative study of the human external sphincter and periurethral levator ani muscle. Br J Urol 53: 35

    Article  PubMed  CAS  Google Scholar 

  • Grebstald H (1973) Tumors of the urethra in men and women. Cancer 32: 1236

    Article  Google Scholar 

  • Guttman L, Frankel H (1966) The value of intermittent catheterisation in the early management of traumatic paraplegia and tetraplegia. Paraplegia 4: 63

    Article  Google Scholar 

  • Hildsworth FW (1963) Injury to the genito-urinary tract associated with fractures of the pelvis. Proc R Soc Med 56: 1044

    Google Scholar 

  • Ho KL, Hayden MT (1979) Sarcoidosis of urethra simulating carcinoma. Urology 13: 197 - 199

    Article  PubMed  CAS  Google Scholar 

  • Hricak H, Secaf E, Buckley DW, Brown JJ, Tanagho EA, McAninch JW (1991) Female urethra: MR imaging. Radiology 178: 527-536

    Google Scholar 

  • Jaramillo D, Lebowitz RL, Hendren WH (1990) Cloacal malformation: radiologic findings and imaging recommendations. Radiology 177: 441 - 448

    PubMed  CAS  Google Scholar 

  • Kirshy DM, Pollack AH, Becker JA, Horowitz M (1991) Autourethrography. Radiology 180: 443 - 445

    PubMed  CAS  Google Scholar 

  • Kisner CD (1958) Injuries of the urethra with special reference to those occurring in fractures of the pelvis. S

    Google Scholar 

  • Kleeman FJ (1970) The physiology of the internal urinary sphincter. J Urol 104: 549

    PubMed  CAS  Google Scholar 

  • Kotecha N, Gentile RL (1974) Carcinoma of prostate with urethral metastasis. Urology 3: 85 - 86

    Article  PubMed  CAS  Google Scholar 

  • Lang EK, Davis JJ (1959) Positive pressure urethrography: a roentgenographic diagnostic method for urethral diverticula in the female. Radiology 72: 401 - 405

    PubMed  CAS  Google Scholar 

  • Lapides J, Koyanagi T, Diokno AC (1971) Cutaneous vesicotomy: 10 year survey. J Urol 105: 76

    PubMed  CAS  Google Scholar 

  • Martin SA, Santa Cruz DJ (1981) Adenomatoid metaplasia of prostatic urethra. Am J Clin Pathol 75: 185 - 189

    PubMed  CAS  Google Scholar 

  • McCague EJ, Semans JH (1944) The management of traumatic rupture of the urethra and bladder complicating fracture of the pelvis. J Urol 52: 36

    Google Scholar 

  • McCallum RW (1974) The radiologic assessment of the lower urinary tract in paraplegics - a new method. J Can Assoc Radiol 25: 34

    PubMed  CAS  Google Scholar 

  • McCallum RW (1979) The adult male urethra: normal anatomy, pathology and method of urethrography. Radiol Clin North Am 17: 227

    PubMed  CAS  Google Scholar 

  • McCallum RW, Colapinto V (1976) Urological radiology of the adult male lower urinary tract. Charles C. Thomas, Springfield, 111.

    Google Scholar 

  • McCallum RW, Colapinto V (1979) The role of urethrography in urethral disease, part I: Accurate radiological localization of the membranous urethra and distal sphincter in normal males. J Urol 122: 607

    Google Scholar 

  • McCallum RW, Rogers J, Alexander M (1985) Iatrogenic urethral injury. J Can Assoc Radiol 36: 122

    PubMed  CAS  Google Scholar 

  • Mclnerney PD, Banner TF, Harris SAB, Stephenson TB (1991) Permanent urethral stents for detrusor sphincter dyssynergia. Br J Urol 67: 291 - 294

    Article  Google Scholar 

  • McNeal JE (1972) The prostate and prostatic urethra: a morphological synthesis. J Urol 107: 1008

    PubMed  CAS  Google Scholar 

  • Milroy EJG, Cooper JE, Wallsten H et al. (1988) A new treatment for urethral strictures. Lancet 1: 1424 - 1427

    Article  PubMed  CAS  Google Scholar 

  • Mitchell JP (1968) Injuries to the urethra. Br J Urol 40: 649

    Article  PubMed  CAS  Google Scholar 

  • Morales O, Romanus R (1955) Urethrography in the Male. J Urol 73: 162

    PubMed  CAS  Google Scholar 

  • Morehouse DD, Belitsky P, MacKinnon K (1972) Rupture of the posterior urethra. J Urol 107: 255

    PubMed  CAS  Google Scholar 

  • Mostofi FK, Price EB (1973) Tumors of the male genital system. Armed Forces Institute of Pathology, Washington, DC, p 195

    Google Scholar 

  • Myers RP, DeWeerd JH (1972) Incidence of stricture following primary realignment of the disrupted proximal urethra. J Urol 107: 765

    Google Scholar 

  • Occhipinti K, Kutcher R, Gentile RL (1992) Prolapsing inverted papilloma of the prostatic urethra: diagnosis by transrectal sonography. AJR 159: 93 - 94

    PubMed  CAS  Google Scholar 

  • Petrovic SD (1956) A clinical study of urethral injuries. J Urol 75: 81

    Google Scholar 

  • Pinot JJ, Hermanowicz M, Bonnet JL et al. (1983) Dilatation of the urethra by inflatable balloon catheter. Presse Med 12: 163 - 164

    PubMed  CAS  Google Scholar 

  • Pollack HM (ed) (1990) Clinical urography. W.B. Saunders, Philadelphia

    Google Scholar 

  • Pollack HM, DeBenedictis TJ, Marmar JL et al. (1978) Urethrographic manifestations of veneral warts (condyloma acuminata). Radiology 126: 643

    PubMed  CAS  Google Scholar 

  • Quinn SF, Dyer R, Smathers R et al. (1985) Balloon dilatation of the prostatic urethra. Radiology 157: 57 - 58

    PubMed  CAS  Google Scholar 

  • Ray B, Guinan PD (1979) Primary carcinoma of the urethra. In: Jawadpour N (ed) Principles and management of urologic cancer. Williams & Wilkins, Baltimore, p 461

    Google Scholar 

  • Ray B, Canto AR, Whitmore WF (1977) Experience with primary carcinoma of the male urethra. J Urol 117: 591 - 594

    PubMed  CAS  Google Scholar 

  • Raz S (1978) Pathophysiology of male incontinence. Urol Clinic North Am 5: 295

    CAS  Google Scholar 

  • Rimon U, Hertz M, Jonas P (1992) Diverticular of the male urethra: a review of 61 cases. Urol Radiol 14: 49 - 55

    Article  PubMed  CAS  Google Scholar 

  • Russinovich NAE, Lloyd LK, Griggs WP et al. (1980) Balloon dilatation of urethra strictures. Urol Radiol 2: 33 - 37

    Article  PubMed  CAS  Google Scholar 

  • Sandler CM, Phillips TM, Harris JD, Toombs BD (1981) Radiology of the bladder and urethra in blunt pelvic trauma. Radiol Clin North Am 19: 195

    PubMed  CAS  Google Scholar 

  • Scales FE, Katzen BT, van Breden A et al. (1985) Impassable urethral strictures: percutaneous transvesical catheterization and balloon dilatation. Radiology 157: 59 - 61

    PubMed  CAS  Google Scholar 

  • Schellhammer PF, Whitmore WF (1976) Transitional cell carcinoma of the urethra in men having cystectomy for bladder cancer. J Urol 115: 56 - 60

    PubMed  CAS  Google Scholar 

  • Schinella R, Thurm J, Feiner H (1974) Papillary pseudotumor of the prostatic urethra: proliferative papillary urethritis. J Urol 111: 38 - 40

    PubMed  CAS  Google Scholar 

  • Shapeero LG, Friedland GW, Perkash I (1983) Transrectal sonographic voiding cystourethrography: studies in neuromuscular bladder dysfunction. AJR 141: 83

    PubMed  CAS  Google Scholar 

  • Shokeir AA, Gaballah MA, Ashamallah AA, Ghoneim MA (1991) Optimisation of replacement of ureter by ilium. J Urol 146: 306 - 310

    PubMed  CAS  Google Scholar 

  • Tanagho EA, Schmidt RA, Gomes de Araujo C (1982) The urinary striated sphincter: what is its nerve supply? Invest Urol 20: 415

    CAS  Google Scholar 

  • Tines SC, Bigongiari LR (1982) Carcinoma in diverticulum of the female urethra. AJR 138: 582

    PubMed  CAS  Google Scholar 

  • Trafford HS (1955) Traumatic rupture of the posterior urethra with review of 32 civilian cases. Br J Urol 27: 165

    Article  PubMed  CAS  Google Scholar 

  • Turner-Warwick RT, Whiteside CG (1970) Investigation and management of bladder neck dysfunction. Mod Trends Urol 3: 295

    Google Scholar 

  • Walker AN, Mills SE, Fechner RE, Perry JM (1982) “Endometrial” adenocarcinoma of the prostatic urethra arising in a villous polyp. Arch Pathol Lab Med 106:624-627

    Google Scholar 

  • Walzer Y, Bear RA, Colapinto V, McCallum RW, Lang A (1983) Localized amyloidosis of the urethra. Urology 21: 406 – 407

    Article  PubMed  CAS  Google Scholar 

  • Wasserman NF, Reddy PK, Zhang G, Berg BA (1990) Experimental treatment of benign prostatic hyperplasia with transurethral balloon dilatation of the prostate: preliminary study in 73 humans. Radiology 177: 485 – 494

    PubMed  CAS  Google Scholar 

  • Wilkinson FOW (1961) Rupture of the posterior urethra with a review of 12 cases. Lancet 1: 1125

    Article  PubMed  CAS  Google Scholar 

  • Williams G, Ashken MH (1980) Urethral carcinoma following urethroplasty. J R Soc Med 73: 370 – 371

    PubMed  CAS  Google Scholar 

  • Yoder RC, Papanicolaou N (1992) Imaging of the urethra in men and women. Urol Radiol 14: 24 – 28

    Article  PubMed  CAS  Google Scholar 

  • Zulian RAS, Brito RR, Broges GJ (1982) Transurethral resection of pedunculated congenital polyps of the posterior urethra. Br J Urol 54: 45 – 48

    Article  PubMed  CAS  Google Scholar 

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© 1994 Springer-Verlag Berlin Heidelberg

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McCallum, R.W. (1994). The Urethra: Normal Anatomy, Radiology, Disease, and Injury. In: Lang, E.K. (eds) Radiology of the Lower Urinary Tract. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84431-7_18

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  • DOI: https://doi.org/10.1007/978-3-642-84431-7_18

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-84433-1

  • Online ISBN: 978-3-642-84431-7

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