Stolzenburg Jens-Uwe, Dorschner Wolfgang, Postenjak Marijana, Salomon Franz-Viktor, Jurina Konrad, Do Minh, Neuhaus Jochen
Faculty of Medicine, Department of Urology, Leipzig, Germany.
Cells Tissues Organs. 2002;170(2-3):151-61. doi: 10.1159/000046188.
The circular arranged sphincteric musculature of bladder neck of female dogs and women were studied histomorphologically. 3D reconstructions of the anatomy of the bladder neck improve the understanding of construction principles of the musculature of the lower urinary tract and help to compare both species. Our own investigations based on 12 adult female canine and 15 female human autopsy preparations. The special feature of our study was the extensive en bloc preparation of all the organs of the lower urinary tract and surrounding organs. The organ blocks were reprocessed in complete serial sections from the bladder outlet down to the bulb of vestibuli. Despite different detailed construction, in both species the striated sphincter musculature of the urethra is an independent morphological unit. There is no continuation of pelvic floor muscles to the urethra. In humans, the urethral sphincter consists of a smooth muscular part (m. sphincter urethrae glaber) and a striated part (m. sphincter urethrae transversostriatus). In the female dog, striated muscle fibres encircle the urethra in the middle third exclusively. In the distal third of the urethra, it encircles the urethra and the vagina. In the female dog, the lamellae of detrusor continue directly to the urethra. Throughout the cranial and middle third of the urethra, smooth muscle cell bundles form a homogenous compact sphincteric muscle originating from the middle circular layer of detrusor. In that way, no true bladder neck sphincter according to the m. sphincter vesicae in women exists in dogs. According to the smooth muscular part of the m. sphincter urethrae in women, for this musculature the term m. sphincter urethrae glaber is suggested. Despite a superficial resemblance, this study revealed a considerable difference of circular sphincteric muscle components between female dog and woman suggesting that functional studies in respect to urinary continence obtained in dogs cannot be attributed without qualification to humans.
对雌性犬和女性膀胱颈的环形排列括约肌进行了组织形态学研究。膀胱颈解剖结构的三维重建有助于更好地理解下尿路肌肉组织的构建原理,并有助于比较这两个物种。我们自己的研究基于12只成年雌性犬和15例女性尸体解剖标本。我们研究的特点是对下尿路所有器官和周围器官进行广泛的整体标本制备。将器官块从膀胱出口到前庭球进行完整的连续切片再处理。尽管细节结构不同,但在这两个物种中,尿道的横纹括约肌都是一个独立的形态学单位。盆底肌肉与尿道没有延续。在人类中,尿道括约肌由平滑肌部分(尿道光滑括约肌)和横纹肌部分(尿道横纹括约肌)组成。在雌性犬中,横纹肌纤维仅在尿道中三分之一处环绕尿道。在尿道远三分之一处,它环绕尿道和阴道。在雌性犬中,逼尿肌的薄片直接延续至尿道。在尿道的整个上三分之一和中三分之一,平滑肌细胞束形成一个均匀紧密的括约肌,起源于逼尿肌的中间环形层。这样,犬类中不存在像女性膀胱括约肌那样真正的膀胱颈括约肌。根据女性尿道括约肌的平滑肌部分,建议将该肌肉组织称为尿道光滑括约肌。尽管表面上有相似之处,但这项研究揭示了雌性犬和女性之间环形括约肌成分存在相当大的差异,这表明在犬类中获得的关于尿失禁的功能研究不能毫无保留地应用于人类。