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Urinary meatus

From Wikipedia, the free encyclopedia
Orifice of the urethra
Urinary meatus
Human urinary meatus on the maleglans penis (left) and in the femalevulval vestibule (right)
Details
Part ofPenis orvulva
Identifiers
Latinostium urethrae externum
FMA19650
Anatomical terminology

Theurinary meatus[a] (/mˈtəs/,mee-AY-təs;pl.:meati ormeatuses), also known as theexternal urethral orifice, is the opening of thepenis orvulva whereurine exits theurethra duringurination. It is also wheresemen exits during maleejaculation, and other fluids duringfemale ejaculation. The meatus has varying degrees of sensitivity to touch.

In human males

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Male urinary meatus
Drawing of male internal sexual anatomy

The male external urethral orifice is the external opening of the urethra, normally located at the tip of theglans penis,[1] at its junction with thefrenular delta. It presents as a vertical slit, and continues longitudinally along the front aspect of the glans, which facilitatesmicturition. In some cases, the opening may be more rounded. This can occur naturally or may also occur as a side effect of excessive skin removal during circumcision. The meatus is a sensitive part of themale reproductive system.

In human females

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Lateral anatomical view of the female reproductive system

The female external urethral orifice is where urine exits theurethra duringurination. It is located about 2.5 cm (1 in) behind theclitoris and immediately in front of thevaginal opening in thevulval vestibule. It usually assumes the form of a short,sagittal cleft with slightly raised margins. To its left and right are the openings of theSkene's glands.

Some evidence exists to suggest that theclitoral-urinary meatus distance (CUMD) in human females relates to the ease with which the female may achieveorgasm throughpenetrative sex. Orgasm from penetration alone is observed to be more likely as CUMD decreases.[2]

Evidence also suggests that decreased distance from the vaginal opening to the urethral meatus is associated with recurrent post-coital urinary tract infections.[3] Surgical repositioning of the distal urethra to prevent recurrent post-coital urinary tract infections has been employed with some success by Russian physicians.[4]

In other mammals

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Unlike most other mammals (including human), femalespotted hyenas have a urinary meatus that is located on theclitoral glans.[5][6]

Clinical significance

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Congenital disorders of the meatus, in the male, includeepispadias (the misplacement to the upper aspect) andhypospadias (the misplacement to the underside of the penis). A congenital misshaping can result in its narrowing (meatal stenosis), causing a partial or total urinary blockage or the bifurcation of the urinary stream. A urethral blockage can also be caused by foreign material,kidney stones, orbladder stones (lithiasis).

See also

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Wikimedia Commons has media related toMeatus urethrae, male.

Notes

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  1. ^Meatus refers to a tubular opening or passage in the body. From Latinmeātus:a course, passing.

References

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  1. ^Lombardi, Julian (2012-12-06).Comparative Vertebrate Reproduction. Springer Science & Business Media.ISBN 978-1-4615-4937-6.
  2. ^Wallen, Kim; Lloyd, Elisabeth A. (2017-03-13)."Female Sexual Arousal: Genital Anatomy and Orgasm in Intercourse".Hormones and Behavior.59 (5):780–792.doi:10.1016/j.yhbeh.2010.12.004.ISSN 0018-506X.PMC 3894744.PMID 21195073.
  3. ^Gyftopoulos, K; Matkaris, M (2019). "Clinical implications of the anatomical position of the urethra meatus in women with recurrent post-coital cystitis: a case-control study".Int Urogynecol J.30 (8):1351–1357.doi:10.1007/s00192-018-3710-7.PMID 29968091.S2CID 49559889.
  4. ^Sumerova, Natalia; Pushkar, Dmitry (2011). "Transposition of Distal Urethra in Female Patients with Recurrent Lower UTI Associated with Sexual Intercourse".Clinical Management of Complicated Urinary Tract Infection.doi:10.5772/22301.ISBN 978-953-307-393-4.S2CID 44044908.
  5. ^Cunha, Gerald R.; et al. (2014)."Development of the external genitalia: perspectives from the spotted hyena (Crocuta crocuta)".Differentiation.87 (1):4–22.doi:10.1016/j.diff.2013.12.003.PMC 4069199.PMID 24582573.
  6. ^Drea, C. M.; et al. (2002)."Exposure to naturally circulating androgens during foetal life incurs direct reproductive costs in female spotted hyenas, but is prerequisite for male mating".Proceedings of the Royal Society of London B: Biological Sciences.269 (1504):1981–1987.doi:10.1098/rspb.2002.2109.PMC 1691120.PMID 12396496.
Anatomy of theurinary system
Kidneys
Layers
Circulation
Nephron
Renal corpuscle
Renal tubule
Juxtaglomerular apparatus
Ureters
Bladder
Urethra
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