Surgery
Volume 28, Issue 7 , Pages 307-313, July 2010

Anatomy of the lower urinary tract

Altaf Mangera MB ChB(Hons) MRCS is a Urological Research Fellow in the Department of Urology Research, Sheffield Teaching Hospitals NHS Trust, Royal Hallamshire Hospital, Sheffield, UK. Conflicts of interest: none declared

Anand K Patel MB ChB MRCS is a Urological Research Fellow in the Department of Urology Research, Sheffield Teaching Hospitals NHS Trust, Royal Hallamshire Hospital, Sheffield, UK. Conflicts of interest: none declared

Christopher R Chapple BSc MD FRCS is a visiting Professor of Urology at Sheffield Hallam University and Consultant Urological Surgeon at the Royal Hallamshire Hospital, Sheffield, UK. Conflicts of interest: none declared

Abstract 

The lower urinary tract consists of the bladder and urethra and, in the male, the prostate. The function of the lower tract is the storage of urine produced by the upper tract and the voluntary expulsion of urine at an appropriate time and place. The lower tract may be affected by functional disorders such as bladder overactivity and urinary incontinence or by carcinoma, lithiasis and obstructive disorders such as prostatic enlargement and stricture disease. A thorough knowledge of the relevant anatomy is vital to understand the pathophysiological mechanisms and appropriate management of these conditions. There are considerable variations in the anatomy and biomechanics of the male and female urinary tract and we depict these, in addition to providing a comprehensive description of the histology, vasculature and innervation of the lower urinary tract organs.

Keywords: Anatomy, bladder, histology, innervation, lymphatic drainage, prostate, urethra, urinary sphincter, urinary tract, vasculature

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PII: S0263-9319(10)00070-0

doi:10.1016/j.mpsur.2010.03.002

Surgery
Volume 28, Issue 7 , Pages 307-313, July 2010