outer layer (serous coat) of the bladder wall consists oftwo types of tissue, parietal peritoneum and fibrousconnective tissue.Micturition (Urination)Micturition is the process by which urine isexpelled from the bladder. It involves the contractionof the detrusor muscle, and pressure from surroundingstructures. Urination also involves the relaxation of theexternal urethral sphincter. The external urethralsphincter surrounds the urethra about 3 centimetersfrom the bladder, and is composed of voluntarymuscular tissue.Urination is usually stimulated by the distention ofthe bladder as it fills with urine. When the walls of thebladder contract, nerve receptors are stimulated, andthe urination reflex is triggered. The urination reflexcauses the internal urethral sphincter to open and theexternal urethral sphincter to relax. This relaxationallows the bladder to empty. The bladder can hold up to600 ml of urine. The desire to urinate may not occuruntil the bladder contains 250-300 ml.URETHRAThe urethra is the tube that carries urine from thebladder to the outside of the body (fig. 1-59, views Aand B). The urinary meatus is the external urethralorifice. In the male, the urethra is common to theurinary and reproductive systems; in the female, itbelongs only to the urinary system.Female UrethraThe female urethra is about 4 cm long, extendingfrom the bladder to the external orifice, (fig. 1-59, viewA).Male UrethraThe male urethra is about 20 cm long and isdivided into three parts: the prostatic, membranous,and penile portions. See view B of figure 1-59 for anillustration of the male urethra.PROSTATIC URETHRA.—The prostaticurethra is surrounded by the prostate gland; it containsthe orifices of the prostatic and ejaculatory ducts. Thisportion of the male urethra is about 2.5 cm long.MEMBRANOUS URETHRA.—The mem-branous urethra is about 2 cm in length and issurrounded by the external urethral sphincter.PENILE URETHRA.—The penile urethra, thelongest portion, is about 15 cm long. It lies in theventral portion of the penis. The urethra terminateswith the external orifice at the tip of the penis.MALE REPRODUCTIVE SYSTEMLEARNING OBJECTIVE: Recall the partsof the male reproductive system and theirfunction(s).The organs of the male and female reproductivesystems are concerned with the process of reproducingoffspring, and each organ is adapted to performspecialized tasks. The primary male sex organs of thereproductive system are the testes. The other structuresof the male reproductive system are termed accessoryreproductive organs. The accessory organs includeboth internal and external reproductive organs. Seefigure 1-60 for an illustration of the male reproductivesystem.1-57HM3F0160LARGEINTESTINESEMINALVESICLEEJACULATORYDUCTPROSTATEGLANDBULBOURETHRALGLANDANUSEPIDIDYMISTESTISSCROTUMURINARYBLADDERSYMPHYSISPUBISVASDEFERENSURETHRAPENISGLANSPENISPREPUCEFigure 1-60.—The male reproductive system.
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