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The sphincter urethrae is a muscular structure that plays a crucial role in controlling urination. It is the most important voluntary control mechanism for expelling urine from the body. This sphincter is part of the urethra, the tube that carries urine from the bladder to the outside.12

The bladder itself has a powerful detrusor muscle for emptying and two muscular sphincters at its exit. The internal sphincter, located at the bladder neck, is under involuntary control, while the external sphincter, composed of striated muscles, is under voluntary control. The external sphincter can maintain continence even if the internal sphincter is not functioning properly. The structure of the urethral wall includes muscle fibers that contribute to its function.34

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