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[Urinary system](https://durgical.com/en/anatomy/system/urinary-system/) · [Pelvis · Male](https://durgical.com/en/anatomy/region/pelvis/)

# Spongy urethra

The spongy urethra is the longest part of the [male urethra](https://durgical.com/en/anatomy/male-urethra/), running through the bulb and shaft of the penis to its tip; it carries urine and semen outside.

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## What it is

The longest part, about 15 cm, inside the corpus spongiosum from the bulb to the opening on the glans; it widens in the bulb and just before the tip ([navicular](https://durgical.com/en/anatomy/navicular-bone/) fossa).

## What it does

Carries urine and semen to the outside; the [bulbourethral glands](https://durgical.com/en/anatomy/bulbo-urethral-gland/) open into it.

## Key points

- Anterior urethral injury: a straddle fall crushes the bulbar part against the pubic arch; blood at the meatus with perineal bruising
- If Buck fascia tears, blood and urine spread under Colles fascia into the [scrotum](https://durgical.com/en/anatomy/scrotum/), penis and lower abdominal wall but not the thighs, giving butterfly-shaped perineal bruising
- If Buck fascia holds, the bleeding stays within the shaft of the penis
- Bulbar strictures are the commonest; the scarring of the surrounding corpus spongiosum (spongiofibrosis) decides how they are repaired

## Key facts

**Where**
Longest part, about 15 cm, inside the corpus spongiosum from the perineal membrane to the external meatus; fixed bulbar part and mobile penile part

**Attaches**
Widens in the bulb (intrabulbar fossa) and glans (navicular fossa); bulbourethral and urethral (Littré) glands open into it

**Function**
Carries urine and semen to the outside; bulbar part injured in straddle falls and the commonest site of urethral stricture

## Relations

**Course**
From the [perineal membrane](https://durgical.com/en/anatomy/perineal-membrane/) forward through the bulb of the [corpus spongiosum](https://durgical.com/en/anatomy/corpus-spongiosum-of-penis/) (fixed bulbar part), down at the penoscrotal junction into the mobile penile part, to the external meatus on the [glans penis](https://durgical.com/en/anatomy/glans-of-penis/)

**Superficial**
Corpus spongiosum, then Buck fascia, dartos and [skin](https://durgical.com/en/anatomy/skin/); in the perineum, the [bulbospongiosus muscle](https://durgical.com/en/anatomy/bulbospongiosus-muscle/) over the bulb

**Above**
[Corpora cavernosa](https://durgical.com/en/anatomy/corpus-cavernosum-of-penis/), which lie on top of the corpus spongiosum along the shaft

## How to find it

The penile part is felt inside the corpus spongiosum along the underside of the shaft; the bulbar part lies in the perineum behind the scrotum. A stricture may be felt as a firm segment; the meatus is inspected for position and narrowing.

## On imaging

Retrograde urethrography shows the site and length of a stricture or injury; voiding films show the urethra beyond it. Urethral ultrasound measures the depth of spongiofibrosis.

## Common problems

- Strictures, often in the bulbar part; injured in straddle falls.

## How it is diagnosed

Urine tests and swabs; urine flow test; urethrogram or a scope (urethroscopy).

## Treatment

- Antibiotics for urethritis; widening or surgical repair (urethroplasty) of a stricture.

## Clinical notes

- Strictures follow infection (historically gonococcal urethritis), trauma or instruments (catheters, scopes); they are treated by dilation, endoscopic incision or urethroplasty, often with a buccal mucosa graft
- Meatal stenosis and strictures of the navicular fossa are linked with lichen sclerosus and, in boys, with circumcision
- Holding the penis upward straightens the mobile prepubic bend when a catheter or scope is passed

## Development

Forms as the urethral folds fuse along the underside of the genital tubercle; incomplete fusion leaves the meatus on the underside (hypospadias). The part in the glans forms last (some texts: from an ectodermal ingrowth).

## Related conditions

- [Hypospadias](https://durgical.com/en/conditions/hypospadias/)

## Test yourself

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

## How is the bulbar part of the spongy urethra injured in a straddle fall, and what are the signs?

It is crushed against the pubic arch; blood at the meatus with perineal bruising.

## If Buck fascia tears in a spongy urethral injury, where do blood and urine spread?

Under Colles fascia into the scrotum, penis and lower abdominal wall but not the thighs (butterfly perineal bruising).

## Which segment of the spongy urethra is the commonest site of stricture?

The bulbar part; the degree of spongiofibrosis decides how it is repaired.

## What developmental failure of the spongy urethra causes hypospadias?

Incomplete fusion of the urethral folds along the underside of the genital tubercle, leaving the meatus on the underside.

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

## Its names

**Official Latin (TA2)**
pars spongiosa urethrae masculinae

**Official Spanish (DeCS)**
Porción esponjosa de la uretra masculina

**English (TA2)**
Spongy urethra

**Also called**
penile urethra

## Related

- [Membranous urethra](https://durgical.com/en/anatomy/intermediate-part-of-male-urethra/)
- [Bulbourethral glands](https://durgical.com/en/anatomy/bulbo-urethral-gland/)
- [Corpus spongiosum](https://durgical.com/en/anatomy/corpus-spongiosum-of-penis/)

Sources: [Anatomy, Abdomen and Pelvis, Male Genitourinary Tract](https://www.ncbi.nlm.nih.gov/books/NBK562291/).

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Representative model, for educational purposes only.

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