The primary function of the sphincter urethrae is to maintain continence by controlling the passage of urine through the urethra. It operates under voluntary control, allowing individuals to decide when they are ready to urinate. This mechanism is essential for both urinary function and social convenience, as it enables a person to hold urine until they can reach a suitable location to relieve themselves. During urination, the sphincter relaxes, allowing urine to flow from the urinary bladder through the urethra and out of the body. This muscle works in coordination with the bladder's detrusor muscle, which contracts to expel urine. Dysfunction of the sphincter urethrae can lead to urinary incontinence, highlighting its importance in maintaining engaged bodily control over this critical function.
The sphincter urethrae is located in the pelvic region, encircling the urethra as it exits the bladder. In males, it surrounds the prostatic urethra and extends down to the membranous urethra, transitioning as it descends. In females, the sphincter is positioned more centrally in relation to the urethra, surrounding the entire length of the female urethra just below the bladder neck. While it is part of the urogenital diaphragm, its precise placement varies slightly according to sex and pelvic anatomy, which results in a unique functional significance in both males and females.