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5

elastic rigidity of the tunica albuginea that covers it. The

pressure is also supported by the partial closure, by

compression and contraction of smooth muscle fibers

near the valves of the veins. When nervous stimuli that

contrast the erection prevail, the signals sent from the

nerves to the corpora cavernosa lead to smooth muscle

contraction of the trabeculae which leads to reduction

of cavernous gaps, thus reducing the flow of blood to

the penis. The pressure in the corpora cavernosa then

decreases making the outflow of blood from the penis

and the return to the state of flaccidity possible. Usually

every situation that activates the sympathetic nervous

system, such as anxiety, stress or fear, contrast erection

since a greater contraction of the trabeculae of the

cavernous body occurs.

An erection begins in the brain and involves both the

nervous and the vascular systems. When nervous

impulses cause the erection, stimulated by visual,

tactile, olfactory or psychogenic sensations, the signals

through specific nerves reach the corpora cavernosa

cause the relaxation of smooth muscle that makes up

the trabeculae of the cavernous tissue, making the

spaces delimited by these vascular wider and

increasing the amount of blood within the penis. This

very process causes an increase in pressure within the

penis that crushes small veins that allow the outflow of

blood from the corpora cavernosa. In this way the

penis increases its volume and, due to the pressure

inside it, also its rigidity. This rigidity is caused by the

delicate balance that is achieved between the

increased pressure in the vascular network and the

Physiology of the penis