Structure and Function of the Bladder Neck

113 Pages·2001·7.936 MB·English

by  Wolfgang Dorschner MD, Jens-Uwe Stolzenburg MD, Jochen Neuhaus PhD (auth.)

Advances in Anatomy
Embryology and Cell Biology
Vol. 159
Editors
F. Beck, Melbourne B.Christ, Freiburg
W. Kriz, Heidelberg W. Kummer, GieBen
E. Marani, Leiden R. Putz, Munchen
Y. Sano, Kyoto T.H. Schiebler, Wurzburg
G. C. Schoenwolf, Salt Lake City
K. Zilles, Dusseldorf
Springer-Verlag Berlin Heidelberg GmbH
w.
Dorschner J.-U. Stolzenburg
J. Neuhaus
Structure and
Function of
the Bladder Neck
With 36 Figures and 1 Table
anda CD-Rom
t
Springer
WOLFGANG DORSCHNER, MD
JENS-UWE STOLZENBURG, MD
JOCHEN NEUHAUS, PhD
Klinik und Poliklinik fUr Urologie
Universitătsklinikum Leipzig AOR
Stephanstrasse Il
04103 Leipzig, Germany
e-mails:
[email protected]
[email protected]
[email protected]
ISSN 0301-5556
Library of Congress-Cataloging-in-Publication-Data
Dorschner, W. (Wolfgang), 1942-
Structure and function of the bladder neck / W. Dorschner, J.-U. Stolzenburg,
J. Neuhaus. p.cm. - (Advances in anatomy, embryology, and cell biology,
VoI. 159)
Includes bibliographical references and index.
Additional material to this book can be downloaded from http://extras.springer.com
ISBN 978-3-540-67998-1 ISBN 978-3-642-56879-4 (eBook)
DOI 10.1004/978-3-642-56879-4
1. B1adder-Histology. 1. Stolzenburg, J.-U. (Jens-Uwe), 1964- II. Neuhaus,
J. (Jochen), 1958- III. Title. IV. Series
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"Anyphysician,whetherheusesremediesorhishands,isnoth
ingwithouttheexactknowledgeoftheexternalandinternalparts
ofman. Itisbyno meanssufficientto acquainthimselfsuperfi
ciallywith theform, locationand interplayofthevariousforms
of the unfathomable organism. Therefore, the physician who
takestherevisionofthisknowledgeseriouslyshouldpractisethis
visualinstructiondaily,shouldconstantlyseekwaysofrenewing
his perception ofthe interrelations in this living miracle. Ifhe
were aware ofthe advantage gained, he would, as he probably
lacks the timeforsuchworkhimself,employananatomistwho,
working under his guidance quietly in the background in the
presence ofall the'interwoven intricaciesoflife',wouldbeable
togiveanimmediateanswertothemostcomplicatedquestions.
Themoreoneacknowledgesthis,themoreactively,ardentlyand
passionatelywilldoctorsstudythehumananatomy..."
Goethe("WilhelmMeister'sTravels", BookIII, Chapter3)
v
Acknowledgements
TheauthorsareverygratefultoMrs.DettmerandMrs.Hiekefor
technical assistance. They would like to thank Mr. Mondry for
computer-relatedhelp.
VII
Contents
Introduction . . . . . . . . ......
2 MaterialsandMethods. 5
3 MusculusDetrusorVesicae 7
3.1 MusculusDetrusorVesicae 7
3.2 MusculusPubovesicalis .. 10
3.3 MusculusVesicoprostaticus
andMusculusVesicovaginalis. 10
3.4 Summary ............. 14
4 TheMusculatureoftheTrigonumVesicae 17
4.1 MusculusInteruretericus ... 18
4.2 MusculusSphincterVesicae
(VesicalorInternalSphincter) 18
4.3 TrigonumVesicae. 27
4.4 Summary .......... 29
5 DiaphragmaUrogenitale 31
5.1 Summary .......... 36
6 MusculusSphincterUrethrae
(UrethralorExternalSphincter) 41
6.1 Summary ............ 50
7 MusculusDilatatorUrethrae 51
7.1 Summary ......... 58
8 MusculusEjaculatorius 59
8.1 Summary ......... 69
9 ChangesoftheMusclesoftheLowerUrinaryTract
withAge 71
9.1 Summary ......................... 72
IX
10 Three-DimensionalModeloftheAnatomy
oftheLowerUrinaryTract . . . . . . . . . . .. 73
11 FundamentalsoftheNeuroanatomy
oftheLowerUrinaryTract 77
ILl AutonomousInnervation
oftheLowerUrinaryTract 77
11.2 TheVoluntaryInnervation
oftheMusculusSphincterUrethrae 78
11.3 TheSensoryInnervationoftheUrinaryBladder
andtheUrethra ........... 79
11.4 SpinalandSupraspinalInfluence
ontheUrinaryReflexes 81
11.5 Summary .............. 82
12 Discussion(FunctionalInterpretation
oftheAnatomicalFindings) 83
12.1 Continence 83
12.2 Micturition 84
12.3 Ejaculation 86
13 FurtherStudiesandNewApproaches. 89
13.1 Summary ......... . . . . . . . . 90
14 TerminologiaAnatomica
oftheLowerUrinaryTract ...... 93
15 Summary . 97
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
SubjectIndex . . . . . . . . . . . . . . . III
x
Abbreviations (English in Brackets)
bn bladderneck(neckofbladder)
Bp bulbuspenis(bulbofpenis)
Bv bulbivestibuli(bulbofvestibuli)
Cc corpuscavernosumpenis
Cs colliculusseminalis(seminalcolliculus)
Ct centrumtendineum
Cu cristaurethralis(urethralcrest)
De ductusejaculatorius(ejaculatoryduct)
Gb glandulabulbourethralis(bulbo-urethralgland
orCowper'sgland)
Mb musculusbulbospongiosus(bulbospongiosus)
Md musculusdilatatorurethrae(dilatorurethrae)
Mdv musculusdetrusorvesicae(detrusor)
Me musculusejaculatorius(ejaculatorius)
Mi musculus interuretericus(interuretericus)
Ml musculuslevatorani(levatorani)
Mo musculusobturatoriusinternus
(obturatoriusinternus)
Mpv musculus pubovesicalis(pubovesicalis)
Mu musculussphincterurethrae
(urethralorexternalsphincter)
Mug musculussphincterurethraeglaber
(smoothmuscularpartofurethralsphincter)
Mut musculussphincterurethraetransversostriatus
(striatedpartofurethralsphincter)
Mv musculussphinctervesicae
(urethralsphincterorinternalsphincter)
Mvp musculusvesicoprostaticus(vesicoprostaticus)
Mvv musculusvesicovaginalis(vesicovaginalis)
Q ostiumureteris(uretericorifice)
Qui ostiumurethraeinternum(internalurethralorifice)
P prostate
Pi plicainterureterica(interuretericcrest)
R rectum
S symphysis
Tv trigonumvesicae(trigoneofbladder)
U urethra
XI
ub urinarybladder
Dr ureter
Dt uterus
V vagina
Vs vesiculaseminalis(seminalvesicle)
XII