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<P>　　由于男性的尿é“兼具排尿和排精两ç§åŠŸèƒ½ï¼Œæœ‰äº›äººå°±é—®åŒ»ç”Ÿï¼Œå°¿å’Œç²¾æ¶²ä¼šä¸ä¼šåŒæ—¶æŽ’到体外呢？其实，这ç§æ‹…忧是多余的，临床上æžéš¾è§åˆ°æ€§äº¤å°„精时排尿的病例ã€?/P><P>　　正常情况下，当尿在膀胱里胀满时，如果æ¡ä»¶å…许的è¯ï¼Œ"å¯ä»¥æŽ’å°¿"的命令便从大脑皮层å‘出，通过骶部脊髓的å射，膀胱括约肌就会æ¾å¼›èˆ’张，尿就å¯ä»¥æŽ’出体外了。当æ¡ä»¶ä¸å…许时，如ç¡çœ ä¸­ï¼Œè™½ç„¶ç”±äºŽæ†‹å°¿è€Œæ€»æ˜¯åšæ¢¦æ‰¾åŽ•æ‰€ï¼Œä½†å´å¹¶ä¸æŽ’尿。看æ¥ï¼Œäººè™½ç„¶ç†Ÿç¡äº†ï¼Œå¤§è„‘并未按照膀胱胀满的信æ¯ï¼Œå‘å‡?排尿"的指令。除了ä½äºŽè†€èƒ±å£å†…的括约肌外，男性尿é“里还有å¦ä¸€ç§æ‹¬çº¦è‚Œã€‚它ä½äºŽå°¿é“中段三分之一与内三分之一交界处，这正是尿é“穿过尿生殖隔之处，åˆç§°ä¸ºå°¿é“膜部括约肌。它和排尿无关，åªæ˜¯åœ¨å°„精时æ‰å‘挥其作用ã€?/P><P>　　男性在性兴奋时，ä½äºŽå°¿é“起始处的膀胱括约肌和在它外é¢çš„å°¿é“膜部括约肌都处于收缩状æ€ã€‚这样，在两者之间就形æˆä¸€ä¸ªå¯†é—­çš„å°ç©ºé—´ï¼Œç”±é™„ç¾å’Œè¾“精管的平滑肌节律收缩驱动而æ¥çš„ç²¾å­ï¼Œåœ¨è¿™é‡Œä¸Žç”±å‰åˆ—腺和精囊æ¥çš„分泌物相混åˆã€‚当积蓄的精液增加到一定é‡æ—¶ï¼Œæˆ–阴茎å—到的刺激达到足够强度ã€å‡ºçŽ°æ€§æ¬²é«˜æ½®æ—¶ï¼Œå°„精就å‘生了，尿é“膜部括约肌舒张，积蓄的精液便ç»ç”±å°¿é“å£å°„出。射精时，ä½äºŽé‡Œé¢çš„膀胱括约肌ç»å¯¹ä¸ä¼šèˆ’张，尿也就ä¸ä¼šä¸€èµ·æŽ’出æ¥ï¼Œå½“然精液也ä¸ä¼šè¿›å…¥è†€èƒ±ã€‚推测大脑皮层在这ç§æƒ…况下也会对膀胱括约肌起一定的控制作用，也就是说，大脑能认定这是处äº?æ¡ä»¶ä¸å…许排å°?的状æ€ã€‚因此，在射精时是ä¸ä¼šåŒæ—¶å‡ºçŽ°æŽ’å°¿çš„ã€?/P><P>　　å¯æ˜¯ï¼Œè¿™ä¹ˆå¤æ‚的解剖结构和生ç†åŠŸèƒ½æœ‰æ—¶ä¹Ÿä¼šå‡ºæ¯›ç—…的。如果射精时输精管等的收缩节律出现紊乱，或膀胱括约肌没有åŒæ—¶æ”¶ç¼©ï¼Œåˆ™ç²¾æ¶²å¯æŽ’入膀胱而ä¸ç”±å°¿é“排出，这就是所谓的逆行射精。逆行射精常常是ä¸è‚²çš„原因之一。对于男性æ¥è¯´ï¼Œå³ä½¿æ˜¯é€†è¡Œå°„精，也会有射精的快感，所以本人多åŠä¸ä¼šè§‰å¯Ÿã€‚往往是因ä¸è‚²ç—‡åŽ»åŒ»é™¢å°±è¯Šæ—¶æ‰å‘现，或ç»å¥³æ–¹æŒ‡å‡ºåŽæ‰æ¸…楚。这ç§æƒ…况多è§äºŽæ€§äº¤æ—¶ä¸å°„精或性交时åå¤å¿ç€æŽ¨è¿Ÿå°„精的时候。这ç§è¿èƒŒè‡ªç„¶è§„律的åšæ³•ï¼Œä¼šå¼•èµ·æŽ§åˆ¶æŽ’尿的膀胱括约肌æ¾å¼›ï¼Œä¸€æ—¦å‡ºçŽ°è¿‡ä¸€æ¬¡è¿™ç§?逆行射精"，å†æƒ³æ¢å¤æ­£å¸¸å°„精就很难了ã€?/P><P>　　逆行射精除了由功能原因造æˆä¹‹å¤–，主è¦æ˜¯è†€èƒ±é¢ˆéƒ¨æ‹¬çº¦è‚Œå› å™¨è´¨æ€§ç—…å˜ä½¿æ”¶ç¼©åŠŸèƒ½å¤±è°ƒï¼Œå°„精时ä¸èƒ½ç´§å¯†å…³é—­çš„缘故。如尿é“狭窄ã€ç²¾é˜œè‚¥å¤§ã€é’年型糖尿病所致膀胱颈功能紊乱和手术æŸä¼¤è¯¥æ‹¬çº¦è‚Œç­‰ã€‚æœç”¨èƒä¹™å•¶ã€åˆ©è¡€å¹³ç­‰è¯ç‰©ï¼Œä¹Ÿä¼šå¯¼è‡´é€†è¡Œå°„ç²¾ã€?/P> 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