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smooth muscular fibres, which is continued upwards and backwards on the sides of the urethra to form a part of the “sphincter vesicæ.” At a lower level striped muscular tissue, which is continuous with the deep part of the sphincter urethræ membranacex muscle, occupies a position in front of the urethral canal.
The muscular tissue of the prostate is to be regarded as the thickened muscular layer of the wall of the urethra, broken up and invaded by the prostatic gland: which arise and are developed from the lining layer of the canal during embryonic life.
In old age the prostate frequently undergoes a hypertrophy, which may affect chiefly the glandular tissue, or the entire organ. Not infrequently calcareous concretions are found embedded in the prostate.
Vessels and Nerves of the Prostate. The prostate receives its blood-supply from branches of the hæmorrhoidal and inferior vesical arteries, while the large plexus of veins--plexus pudendalis -- which surrounds it, and into which the veins of the penis open, communicates with the vesical plexus, and drains into the hypogastric veins. In old people the veins of the prostate usually become much enlarged.
The nerves of the prostate are derived from the hypogastric plexus.
The bulbo-urethral glands (0.T. glands of Cowper) are a pair of small bodies placed in relation to the second, or membranous, part of the urethra. They are each about the size of a pea, and are of a yellowish-brown colour. Situated in the space between the two fasciæ of the urogenital diaphragm, they lie below the level of the apex of the prostate, and above that of the bulbus urethrax (Figs. 1024 and 1026). Each gland is made up of a number of closely applied lobes or lobules, and is of the compound racemose type. The ductules of the gland unite to form a single ductus excretorius, which pierces the bulbus urethra, and, after a relatively long course, ends by opening into the cavernous portion of the urethra by a minute aperture. The secreting acini are lined with columnar epithelium.
The glands receive their arterial supply from the artery to the bulb.
The urethra in the male is a channel of about eight inches in length leading from the bladder to the external urethral orifice at the extremity of the glans penis. The canal serves not only for the passage of urine, but it also affords an exit for the seminal products, which enter by the ejaculatory ducts, and for the secretion of the prostatic and bulbo-urethral glands. In addition, numerous minute glandulæ urethrales pour their secretion into the urethra.
As it passes from the internal urethral orifice, to its external opening, the urethra describes a somewhat in shaped course, and it is customary to divide it into certain sections, which have received distinctive names. The first part of the urethra lies within the pelvic cavity, and has a somewhat vertical course as it traverses the prostate. Turning more forwards, the urethra passes below the pubic arch, and pierces the fibrous layers which form the pelvic wall in this region. Leaving the pelvis minor, the canal enters the bulbus urethræ, where the latter is attached to the fascia inferior of the urogenital diaphragm, and throughout the rest of its course it lies in the erectile tissue of the corpus carernosum urethræ and of the glans penis.
The part of the urethra which lies embedded in the prostate is called the pars prostatica, or prostatic portion; the short part which pierces the pelvic wall is called the pars membranacea, or membranous portion, and the part surrounded by the corpus cavernosum urethræ receives the name of pars cavernosa, or cavernous portion. Of these three sections of the urethra the cavernous portion is much the longest, and the membranous is the shortest.
r's Prostatica Urethræ Virilis.—The prostatic part of the male urethra is through the prostate from the base towards the apex, describing t curve which is concave forwards. It is about one inch in length,
Fig. 1024.—DISSECTION OF THE MALE PELVIC ORGANS AND OF THE PENIS,
FROM THE SIDE.
The dorsal vein of the penis and the pudendal venous plexus are coloured blue.
rower above and below than in its middle portion, which is, indeed,
part of the whole urethral canal. Except while fluid is passing, is collapsed, and the mucous membrane of the anterior and posterior
contact, and thrown into a series of longitudinal folds. When he middle, or widest part of the canal, may normally have a diameter
of about one-third of an inch. The posterior wall, often termed the “floor” of
w in it can the prostatic urethra, presents a distinct median ridge or elevation called the
The followed crista urethralis (Fig. 1026). This projects forwards into the urethra to such u be followeo an extent that the canal in transverse section presents a somewhat crescentic mit divideo outline. In the depressions, or grooves, on each side of the crista urethralis sx out into the
The curvat re the amor
Inferior epigastric artery
Superior peritoneal lig.
of bladder Urinary bladder Sacro-genital fold Recto-vesical pouch
Ductus deferens Retro-pubic pad of fat
Dorsal vein of penis Corpus cavernosum penis Corpus cavernosum
198.-DISSE SETERA IS IT
Fig. 1025.-ADULT MALE PELVIS IN MEDIAN SECTION.
the numerous ducts of the prostatic glands open by minute apertures. Some few ducts from the middle part of the gland open nearer the median plane, on the sides of the urethral crest. On the summit of the crista urethralis is a slit - like opening which leads backwards and upwards for a distance of about a quarter of an inch, as a blind pouch, in the substance of the prostate. This little cavity is known as the utriculus prostaticus, and represents the fused posterior ends of the Müllerian ducts, from which the uterus and vagina of the female are developed. The term uterus masculinus is therefore sometimes applied to this little pouch. On each side of the mouth of the utricle is the much more minute opening of the ejaculatory duct. When traced upwards towards the bladder, the urethral crest, diminishing in height, becomes indistinct
zathira leads 2003 urethr acal, its leng is of the tincter uret tion of th Kital diaph Ethra Pla e arcuate li as of the se median p
it can often be traced as a slight median ridge as far as the uvula vesicæ. followed in the opposite direction the ridge becomes less marked, and followed on the urethral wall into the membranous portion of the canal, it divides into a pair of inconspicuous folds or elevations, which gradually t into the urethral wall (Fig. 1026).
curvature and, to a less degree, the length of the prostatic urethra depends ne amount of distension of the bladder and of the rectum (compare Figs. 989 )). s Membranacea Urethræ.-The second, or membranous portion, of the
DISSECTION SHOWING THE TRIGONUM VESICÆ AND THE POSTERIOR WALL OR FLOOR OF THE A IN ITS PROSTATIC, MEMBRANOUS, AND THE PROXIMAL PART OF ITS CAVERNOUS SUBDIVISIONS.
The canal has been opened up by removing its anterior and upper wail.
leads downwards and forwards from the apex of the prostate to the trethræ, and is the shortest and narrowest of the three subdivisions of the s length being somewhat less than half an inch. It begins at the superior
the urogenital diaphragm, a layer of pelvic fascia which lies above the r urethræ membranaceæ muscle. Here it is continuous with the prostatic of the urethra. It ends, having pierced the inferior fascia of the urodiaphragm, by becoming continuous with the cavernous portion of the
Placed in front of the anal canal, it lies about one inch behind and below ate ligament of the pubis (O.T. sub-pubic ligament). It is surrounded by the sphincter urethræ membranaceae muscle, and behind it, on each side of ian plane, lies the bulbo-urethral gland. The posterior part of the bulbus
in it can Den follow
of about one-third of an inch. The posterior wall, often termed the “floor” of the prostatic urethra, presents a distinct median ridge or elevation called the crista urethralis (Fig. 1026). This projects forwards into the urethra to such can be follow an extent that the canal in transverse section presents a somewhat crescenticiteit div outline. In the depressions, or grooves, on each side of the crista urethralis
The curta on the am ad 990 Pars Me
Inferior epigastric artery
Superior peritoneal lig.
of diajar ['rinary bla tier Secro-genital fold Recto-rescal pouch
Ductus deferens Retro-pubic pad of fat
Dorsal rein of penis Corpus carernosum penis Corpas ca rernosum
Valances aretira (aversons poruon of their Bab of criara
FIG. 1025.-AdrLT MALE PELVIS IN MEDIAS SELTIOR. Tht ersus halle is e-pos asi frels costracied. The arin is opered up in its entire length. the numerous ducts of the prostatic glands open by minute apertures. Some few duets from the middle part of the gland open nearer the median plane, on the sides of the urethral crest. On the summit of the crista urethralis is å slit - like opening which leads backwards and upwards for a distance of about a quarter of an inch, as a blind pouch, in the substance of the prostate This little cavity is known as the utriculus prostaticus, and represents the fused posterior ends of the Mullerian ducts, from which the uterus and vagina of the female are developed. The term sterus masculinus is therefore sometimes apped to this little pouch. On each side of the mouth of the utride is the much more minute opening of the eiaculatory duct. When traced upwards towanis the bladder, the urethral crest, drinishing in height, becomes indistinct.
ure stal, its 1
is of inter
on of suital di
of th 2 media