Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

A structured review on the female urethral anatomy and innervation with an emphasis on the role of the urethral longitudinal smooth muscle

Research output: Contribution to journalReviewResearchpeer-review

  1. Urinary incontinence before and after pelvic organ prolapse surgery-A national database study

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Letter to the editor: "Update in native tissue vaginal vault prolapse repair"

    Research output: Contribution to journalLetterResearchpeer-review

  3. Evaluation of suture material used in anterior colporrhaphy and the risk of recurrence

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Bowel lesion with TVT; early diagnostics and proper treatment of a severe complication

    Research output: Contribution to journalComment/debateResearchpeer-review

  5. Wexner score and quality of life in women with obstetric anal sphincter injury

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Urinary incontinence before and after pelvic organ prolapse surgery-A national database study

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Letter to the editor: "Update in native tissue vaginal vault prolapse repair"

    Research output: Contribution to journalLetterResearchpeer-review

  3. A novel method for measurement of the recto-anal inhibitory reflex using anal acoustic reflectometry

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Evaluation of suture material used in anterior colporrhaphy and the risk of recurrence

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

A damaged sphincteric unit or support system, unstable urethral deformability or damaged sensory innervation are all potential causes of a dysfunctional urethral sphincter. With the current improvement in pharmacological targets and urodynamic understanding, studies have begun quantifying individual structures and their importance in closure pressure and consequently urethral continence. However, when it comes to the function of the longitudinal urethral smooth muscle layer, there is currently no consensus. The intent of this structured review is to critically examine literature regarding the female urethral anatomy and closure mechanism. We hypothesized that the longitudinal smooth muscle is a prerequisite for sufficient urethral closure and not merely involved during micturition. Overall opinions on a dysfunctional closure mechanism are controversial. Nonetheless, basic mechanics may be applied to understand simple urodynamics. With the assumption of longitudinal muscles forming a plug when contracted, this could have a substantial effect on the continence mechanism.

Original languageEnglish
JournalInternational Urogynecology Journal
Volume31
Issue number1
Pages (from-to)63-71
Number of pages9
ISSN0937-3462
DOIs
Publication statusPublished - Jan 2020

    Research areas

  • Human urethral sphincter function, Longitudinal urethral smooth muscle, Stress urinary incontinence, Urethral smooth musculature

ID: 59180796