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# Corpus spongiosum

The corpus spongiosum is the spongy column along the underside of the penis that surrounds the urethra; it stays softer in erection so semen can pass.

Official name: Corpus spongiosum of penis

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## What it is

A single cylinder of softer erectile tissue on the underside of the penis, around the spongy urethra. Its back end is the bulb; its front end widens into the glans.

## What it does

Stays softer in erection so the urethra stays open for semen to pass.

## Key points

- The bulb, its back end, lies on the perineal membrane behind the [scrotum](https://durgical.com/en/anatomy/scrotum/): the part crushed against the pubic arch in straddle injuries
- Scarring of the spongy tissue around a urethral stricture (spongiofibrosis) sets how deep and long the stricture is and whether urethroplasty is needed
- A penile fracture that extends into it can tear the urethra: blood at the meatus or difficulty passing urine

## Key facts

**Where**
Single ventral erectile cylinder around the spongy urethra; the bulb behind is fixed to the perineal membrane under bulbospongiosus; ends in front as the glans

**Blood supply**
Artery of the bulb and urethral artery (internal pudendal); dorsal arteries to the glans

**Nerve**
Cavernous nerves (parasympathetic, pelvic splanchnic S2–S4) for erection; sympathetic (T11–L2) for detumescence; [dorsal nerve of penis](https://durgical.com/en/anatomy/dorsal-nerve-of-penis/) (pudendal, S2–S4) for sensation

**Function**
Thin tunica keeps it compressible in erection so the urethra stays open; bulbospongiosus squeezes the bulb to expel semen and the last drops of urine

## Relations

**Contents**
[Spongy urethra](https://durgical.com/en/anatomy/spongy-urethra/), running through its centre

**Above**
[Corpora cavernosa](https://durgical.com/en/anatomy/corpus-cavernosum-of-penis/) along the shaft, with the corpus spongiosum in the groove beneath them

**Superficial**
[Bulbospongiosus](https://durgical.com/en/anatomy/bulbospongiosus-muscle/) over the bulb; Buck fascia, dartos and [skin](https://durgical.com/en/anatomy/skin/) along the shaft

**Behind**
The bulb rests on the [perineal membrane](https://durgical.com/en/anatomy/perineal-membrane/), just in front of the [perineal body](https://durgical.com/en/anatomy/perineal-body/)

**In front**
Expands into the [glans penis](https://durgical.com/en/anatomy/glans-of-penis/), which caps the blunt ends of the corpora cavernosa

## How to find it

Felt as the softer ridge along the underside of the shaft; in the perineum the bulb is felt in the midline behind the scrotum.

## On imaging

Urethral ultrasound shows its thickness and scarring around a stricture; on MRI the bulb is seen in the midline of the perineum.

## Common problems

- Scarring of it and the urethra causes a urethral stricture.

## How it is diagnosed

Examination; Doppler ultrasound when needed.

## Treatment

- Depends on the cause; a penile fracture is repaired surgically.

## Clinical notes

- Bulbar urethroplasty: the bulbospongiosus is split and the bulb mobilized to reach the stricture, which is excised and rejoined or widened with a buccal mucosa graft
- Its bulb is fed by the artery of the bulb, a branch of the [internal pudendal artery](https://durgical.com/en/anatomy/internal-pudendal-artery/), which bleeds briskly when the bulb is mobilized in urethroplasty or perineal surgery

## Development

Forms from tissue around the urethral folds as they fuse on the underside of the genital tubercle; in hypospadias it is often poorly formed beyond the meatus, with fibrous tissue that bends the penis downward (chordee).

## Related conditions

- [Hypospadias](https://durgical.com/en/conditions/hypospadias/)
- [Peyronie disease](https://durgical.com/en/conditions/peyronie-disease/)
- [Priapism](https://durgical.com/en/conditions/priapism/)

## Test yourself

Think of the answer, then tap the question to see it.

## What runs through the corpus spongiosum, and why does it stay softer in erection?

The spongy urethra; its thin tunica keeps it compressible so the urethra stays open for semen.

## Which part of the corpus spongiosum is crushed in straddle injuries?

The bulb, lying on the perineal membrane behind the scrotum, crushed against the pubic arch.

## What is spongiofibrosis, and why does it matter?

Scarring of the corpus spongiosum around a urethral stricture; it sets the stricture's depth and length and whether urethroplasty is needed.

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Educational information, not medical advice. For any symptom, see a health professional.

## Its names

**Official Latin (TA2)**
corpus spongiosum penis; bulbus penis

**Official Spanish (DeCS)**
Cuerpo esponjoso del pene

**English (TA2)**
Corpus spongiosum of penis

**Also called**
bulb of penis (back end)

## Related

- [Spongy urethra](https://durgical.com/en/anatomy/spongy-urethra/)
- [Glans penis](https://durgical.com/en/anatomy/glans-of-penis/)
- [Bulbospongiosus](https://durgical.com/en/anatomy/bulbospongiosus-muscle/)
- [Corpora cavernosa](https://durgical.com/en/anatomy/corpus-cavernosum-of-penis/)
- [Internal pudendal artery](https://durgical.com/en/anatomy/internal-pudendal-artery/)

Sources: [Anatomy, Abdomen and Pelvis, Penis](https://www.ncbi.nlm.nih.gov/books/NBK482236/).

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Representative model, for educational purposes only.

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Source: https://durgical.com/en/anatomy/corpus-spongiosum-of-penis/
License: CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). Cite as: DurgiPedia (durgical.com), https://durgical.com/en/anatomy/corpus-spongiosum-of-penis/
