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=== Efferent === * '''The bladder wall is richly supplied with parasympathetic cholinergic nerve endings.''' * '''Sparse sympathetic innervation of the bladder has been proposed to mediate detrusor relaxation''' but probably lacks functional significance * Nitric oxide synthase–containing neurons have been identified in the detrusor, particularly at the bladder neck, where they facilitate relaxation during micturition. * '''In males, the internal sphincter is richly innervated by adrenergic fibers, which act on α1-adrenergic receptors, and when stimulated, produce closure of the bladder neck.''' ** '''The internal sphincter is responsible for continence at the level of the bladder neck'''. *** Perfect continence can be maintained in men in whom the striated urethral sphincter is destroyed, demonstrating the efficacy of this sphincter. *** '''Damage to the sympathetic nerves leading to the bladder, as a result of diabetes mellitus or retroperitoneal lymph node dissection for testis cancer, can cause retrograde ejaculation'''. * '''The female bladder neck has little adrenergic innervation.''' * '''The trigonal muscle is innervated by adrenergic and nitric oxide synthase–containing neurons. Like the bladder neck, it relaxes during micturition.'''
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