Prostatic utricle

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Prostatic utricle
Prostate - Gray1153.png
Vesiculae seminales and ampullae of ductus deferentes, seen from the front.
Gray1142.png
The male urethra laid open on its anterior (upper) surface.
Details
Precursor remnant of paramesonephric duct
Identifiers
Latin utriculus prostaticus,
utriculus masculinus,
vagina masculina,
sinus pocularis
TA98 A09.4.02.009
TA2 3449
FMA 19702
Anatomical terminology

The prostatic utricle (Latin for "small pouch of the prostate") is a small indentation in the prostatic urethra, at the apex of the urethral crest, on the seminal colliculus (verumontanum), laterally flanked by openings of the ejaculatory ducts. It is also known as the vagina masculina, [lower-alpha 1] uterus masculinus or (in older literature) vesicula prostatica. [2]

Contents

Structure

It is often described as "blind", meaning that it is a duct that does not lead to any other structures. [3] It tends to be about one cm in length. [4] It can sometimes be enlarged. [5] [6] The utricle is deemed enlarged if it allows insertion of a cystoscope at least 2 cm deep. [7] This is often associated with hypospadias. [8]

Dissection of prostate showing prostatic utricle opening into the prostatic urethra. Prostatic urethra.svg
Dissection of prostate showing prostatic utricle opening into the prostatic urethra.

Function

The prostatic utricle is the homologue of the female uterus (including the cervix) and vagina, usually described as derived from the paramesonephric duct, [9] although this is occasionally disputed. [10]

In 1905, Robert William Taylor described the function of the utricle: "In coitus it so contracts that it draws upon the openings of the ejaculatory ducts, and thus renders them so patulous that the semen readily passes through." [11]

See also

Notes

  1. Especially in cases with intersex men who have female internal organs. [1]

Related Research Articles

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<span class="mw-page-title-main">Urology</span> Medical specialty

Urology, also known as genitourinary surgery, is the branch of medicine that focuses on surgical and medical diseases of the urinary-tract system and the reproductive organs. Organs under the domain of urology include the kidneys, adrenal glands, ureters, urinary bladder, urethra, and the male reproductive organs.

<span class="mw-page-title-main">Urethra</span> Tube that connects the urinary bladder to the external urethral orifice

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<span class="mw-page-title-main">Prostate</span> Gland of the male reproductive system in most mammals

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<span class="mw-page-title-main">Skene's gland</span> Glands located on the anterior wall of the vagina

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<span class="mw-page-title-main">Female ejaculation</span> Expulsion of fluid during orgasm

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<span class="mw-page-title-main">Seminal vesicles</span> Pair of simple tubular glands posteroinferior to the urinary bladder of male mammals

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<span class="mw-page-title-main">Hypospadias</span> Medical condition

Hypospadias is a common variation in fetal development of the penis in which the urethra does not open from its usual location on the head of the penis. It is the second-most common birth defect of the male reproductive system, affecting about one of every 250 males at birth. Roughly 90% of cases are the less serious distal hypospadias, in which the urethral opening is on or near the head of the penis (glans). The remainder have proximal hypospadias, in which the meatus is all the way back on the shaft of the penis, near or within the scrotum. Shiny tissue that typically forms the urethra instead extends from the meatus to the tip of the glans; this tissue is called the urethral plate.

<span class="mw-page-title-main">Vas deferens</span> Part of the male reproductive system of many vertebrates

The vas deferens, with the more modern name ductus deferens, is part of the male reproductive system of many vertebrates. The ducts transport sperm from the epididymis to the ejaculatory ducts in anticipation of ejaculation. The vas deferens is a partially coiled tube which exits the abdominal cavity through the inguinal canal.

<span class="mw-page-title-main">Ejaculatory duct</span> Male anatomical structures

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<span class="mw-page-title-main">Paramesonephric duct</span> Paired ducts in the embryo in the primitive urogenital structures

The paramesonephric ducts are paired ducts of the embryo in the female reproductive system that run down the lateral sides of the genital ridge and terminate at the sinus tubercle in the primitive urogenital sinus. In the female, they will develop to form the fallopian tubes, uterus, cervix, and the upper one-third of the vagina.

<span class="mw-page-title-main">Persistent Müllerian duct syndrome</span> Medical condition

Persistent Müllerian duct syndrome (PMDS) is the presence of Müllerian duct derivatives in what would be considered a genetically and otherwise physically normal male animal by typical human based standards. In humans, PMDS typically is due to an autosomal recessive congenital disorder and is considered by some to be a form of pseudohermaphroditism due to the presence of Müllerian derivatives.

The development of the urinary system begins during prenatal development, and relates to the development of the urogenital system – both the organs of the urinary system and the sex organs of the reproductive system. The development continues as a part of sexual differentiation.

<span class="mw-page-title-main">Uterine malformation</span> Medical condition

A uterine malformation is a type of female genital malformation resulting from an abnormal development of the Müllerian duct(s) during embryogenesis. Symptoms range from amenorrhea, infertility, recurrent pregnancy loss, and pain, to normal functioning depending on the nature of the defect.

<span class="mw-page-title-main">Human reproductive system</span> Organs involved in reproduction

The human reproductive system includes the male reproductive system which functions to produce and deposit sperm; and the female reproductive system which functions to produce egg cells, and to protect and nourish the fetus until birth. Humans have a high level of sexual differentiation. In addition to differences in nearly every reproductive organ, there are numerous differences in typical secondary sex characteristics.

<span class="mw-page-title-main">Seminal colliculus</span>

The seminal colliculus or verumontanum of the prostatic urethra is a landmark distal to the entrance of the ejaculatory ducts. Verumontanum is translated from Latin to mean 'mountain ridge', a reference to the distinctive median elevation of urothelium that characterizes the landmark on magnified views. Embryologically, it is derived from the uterovaginal primordium. The landmark is important in classification of several urethral developmental disorders. The margins of seminal colliculus are the following:

The development of the reproductive system is the part of embryonic growth that results in the sex organs and contributes to sexual differentiation. Due to its large overlap with development of the urinary system, the two systems are typically described together as the urogenital or genitourinary system.

<span class="mw-page-title-main">Urethral sphincters</span> Muscles keeping urine in the bladder

The urethral sphincters are two muscles used to control the exit of urine in the urinary bladder through the urethra. The two muscles are either the male or female external urethral sphincter and the internal urethral sphincter. When either of these muscles contracts, the urethra is sealed shut.

<span class="mw-page-title-main">Vaginal anomalies</span> Congenital defect; abnormal or absent vagina

Vaginal anomalies are abnormal structures that are formed during the prenatal development of the female reproductive system and are rare congenital defects that result in an abnormal or absent vagina.

References

  1. S., Manjiri S.; Luthra, Kush; S.K., Padmalatha; Shetty, Jeevak; Patil, Neehar (9 December 2020). "Symptomatic prostatic utricle: various approaches for treatment". Annals of Pediatric Surgery . Springer Nature. 16 (50). doi: 10.1186/s43159-020-00062-8 .
  2. Henry Thompson (1883). "vesicula+prostatica"+utricle&pg=PA13 The diseases of the prostate. J&A Churchill.
  3. Butler, Paul; Mitchell, Adam W. M.; Ellis, Harold (1999). Applied Radiological Anatomy (illustrated ed.). Cambridge University Press. p. 286. ISBN   9780521481106.
  4. Cunningham, Daniel John (1968). Manual of Practical Anatomy: Thorax and abdomen. Vol. 2 (13th ed.). University of Michigan: Oxford University Press. p. 238.
  5. Meisheri IV, Motiwale SS, Sawant VV (2000). "Surgical management of enlarged prostatic utricle". Pediatr. Surg. Int. 16 (3): 199–203. doi:10.1007/s003830050722. PMID   10786981. S2CID   194522.
  6. Lopatina OA, Berry TT, Spottswood SE (2004). "Giant prostatic utricle (utriculus masculinis): diagnostic imaging and surgical implications". Pediatr Radiol. 34 (2): 156–159. doi:10.1007/s00247-003-1048-9. PMID   12961046. S2CID   37893438.
  7. Kogan, S.J.; Hafez, E.S. (2012). Pediatric Andrology. Clinics in Andrology. Vol. 7 (illustrated ed.). Springer Science & Business Media. p. 188. ISBN   9789401037198.
  8. Al-Salem, Ahmed H. (2016). An Illustrated Guide to Pediatric Urology. Springer. p. 446. ISBN   9783319441825.
  9. Kawashima, A.; Sandler, C. M.; Wasserman, N. F.; LeRoy, A. J.; King, B. F.; Goldman, S. M. (1 October 2004). "Imaging of Urethral Disease: A Pictorial Review". Radiographics. 24 (suppl_1): S195–S216. doi:10.1148/rg.24si045504. PMID   15486241. S2CID   28296852.
  10. Shapiro E, Huang H, McFadden DE, et al. (2004). "The prostatic utricle is not a Müllerian duct remnant: immunohistochemical evidence for a distinct urogenital sinus origin". J. Urol. 172 (4 Pt 2): 1753–1756, discussion 1756. doi:10.1097/01.ju.0000140267.46772.7d. PMID   15371806.
  11. R. W. Taylor. "A practical treatise on sexual disorders of the male and female". New York and Philadelphia, 1897; 3rd edition, 1905. p. 48

Further reading