
The penis is made up of three cylinders encased in a sheath called the bucks fascia. The corpora cavernosa are two of these cylinders, which are expandable erectile tissues that fill with blood during penile erection. The corpora cavernosa are made of a sponge-like tissue containing trabeculae, irregular blood-filled spaces lined by endothelium and separated by septum of the penis. The corpus cavernosum contains smooth muscle cells, which are necessary for the normal erectile process.
| Characteristics | Values |
|---|---|
| Definition | The corpus cavernosum penis (singular) is one of a pair of sponge-like regions of erectile tissue, which contain most of the blood in the penis during an erection. |
| Composition | The corpus cavernosum is composed of smooth muscle cells, which exhibit a high resting tone. |
| Function | The corpus cavernosum is responsible for penile erection. When stimulated, the muscle cells relax, allowing cavernous spaces to fill with blood, resulting in an erection. |
| Disorders | Fibrosis, priapism, and erectile dysfunction are some disorders that can affect the corpus cavernosum. |
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What You'll Learn
- The corpus cavernosum is not a muscle, the penis is made up of 3 cylinders of tissue
- Corpora cavernosa are the two expandable erectile tissues in the penis
- Corpus cavernosum smooth muscle (CCSM) is necessary for the normal erectile process
- CCSM is a unique muscle as it relaxes on stimulation, allowing cavernous spaces to fill with blood
- Decreased testosterone levels can cause erectile dysfunction by upregulating CCSM contractile signalling

The corpus cavernosum is not a muscle, the penis is made up of 3 cylinders of tissue
The penis is not a muscle, despite the existence of the term "love muscle". It is made up of three cylinders of tissue, one of which is the corpus spongiosum, and the other two being the corpora cavernosa, also known as the corpus cavernosum of the penis.
The corpora cavernosa are two expandable regions of erectile tissue along the length of the penis, which fill with blood during penile erection. They are made of a sponge-like tissue containing trabeculae, irregular blood-filled spaces lined by endothelium and separated by septum of the penis. The corpus cavernosum contains this spongy erectile tissue. The corpora cavernosa are surrounded by the corpus cavernosum smooth muscle (CCSM).
The CCSM is unique in that it exhibits a high resting tone and, when stimulated, the muscle cells relax, allowing cavernous spaces to fill with blood, resulting in an erection. The proper functioning of the CCSM is necessary for the normal erectile process. There are many molecular mechanisms that function at the level of the CCSM and are capable of regulating its contractility. These mechanisms include phosphorylation of the CCSM, alteration of CCSM isoform composition, and modulations in the expression of participants involved in the calcium sensitization pathways of CCSM contraction, including the ET/ROK pathway.
Fibrosis can occur in the corpora cavernosa tissue, which is when the connective tissue and blood vessels thicken and cause scarring and loss of smooth muscle cells. This can be caused by an infected penis prosthesis or persistent genital arousal disorder.
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Corpora cavernosa are the two expandable erectile tissues in the penis
The penis is not a muscle, but it does contain muscle cells. It is composed of three cylinders: the corpus spongiosum and two corpora cavernosa. The corpora cavernosa are the two expandable erectile tissues along the length of the penis, which fill with blood during penile erection. They lie along the penile shaft, from the pubic bones to the head of the penis, where they join.
The corpora cavernosa are made of a sponge-like tissue containing trabeculae, irregular blood-filled spaces lined by endothelium and separated by septum of the penis. The corpus cavernosum contains spongy erectile tissue. The male anatomy has no vestibular bulbs, but instead a corpus spongiosum, a smaller region of erectile tissue along the bottom of the penis, which contains the urethra and forms the glans penis.
The corpus cavernosum smooth muscle (CCSM) in the penis is unique in that it exhibits a high resting tone and, on stimulation, the muscle cells relax, allowing cavernous spaces to fill with blood, which results in an erection (tumescence). Penile erection is a complex neurophysiological process that results from an increase in intracavernous pressure (ICP) being attained within the CC of the penis. In response to neuronal stimulation, the arteries that supply the penis and the CCSM relax, increasing blood flow to the sinusoids. Expansion of the sinusoids compresses the venular plexuses, thus reducing venous outflow. As a result, CC ICP increases until a full erection is achieved at about 100 mm Hg.
The proper functioning of the CCSM is necessary for the normal erectile process. There are many molecular mechanisms that function at the level of the smooth muscle and are capable of regulating CCSM contractility. These mechanisms include phosphorylation of the SMM, alteration of SMM isoform composition, and modulations in the expression of participants involved in the calcium sensitization pathways of SM contraction, including the ET/ROK pathway. Understanding these molecular control mechanisms, as well as the influence of hormones on these pathways, can provide new targets for drug development to treat erectile dysfunction (ED). For example, decreased testosterone (T) levels upregulate CCSM contractile signaling and downregulate CCSM relaxation pathways, resulting in ED.
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Corpus cavernosum smooth muscle (CCSM) is necessary for the normal erectile process
The penis is composed of three cylinders of tissue: the corpus spongiosum and two corpora cavernosa, known as the corpus cavernosum of the penis. The corpora cavernosa are two expandable erectile tissues along the length of the penis, which fill with blood during penile erection. The corpus cavernosum contains spongy erectile tissue.
The corpus cavernosum is surrounded by the corpus cavernosum smooth muscle (CCSM). In the flaccid (non-erect) state, the CCSM is contracted and arterial inflow is minimal. Penile erection is a complex neurophysiological process that results from an increase in intracavernous pressure (ICP) within the corpus cavernosum of the penis. In response to neuronal stimulation, the arteries that supply the penis and the CCSM relax, increasing blood flow to the sinusoids. Expansion of the sinusoids compresses the venular plexuses, thus reducing venous outflow. As a result, ICP increases until a full erection is achieved.
The proper functioning of the CCSM is necessary for the normal erectile process. There are many molecular mechanisms that function at the level of the smooth muscle and are capable of regulating CCSM contractility. These mechanisms include phosphorylation of the smooth muscle, alteration of smooth muscle isoform composition, and modulations in the expression of participants involved in the calcium sensitization pathways of smooth muscle contraction, including the ET/ROK pathway.
Decreased testosterone levels upregulate CCSM contractile signaling while downregulating CCSM relaxation pathways, leading to erectile dysfunction. Understanding the molecular control mechanisms and the influence of hormones on these pathways can help identify new targets for drug development to treat erectile dysfunction.
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CCSM is a unique muscle as it relaxes on stimulation, allowing cavernous spaces to fill with blood
The penis is composed of three cylinders of erectile tissue, encased in a sheath called the bucks fascia. These cylinders are the corpus spongiosum and two corpora cavernosa, also known as the corpus cavernosum of the penis. The corpora cavernosa are two expandable regions of erectile tissue along the length of the penis, which fill with blood during penile erection. The two corpora cavernosa lie along the penile shaft, from the pubic bones to the head of the penis, where they join. These formations are made of a sponge-like tissue containing trabeculae, irregular blood-filled spaces lined by endothelium and separated by septum of the penis.
The corpus cavernosum contains the corpus cavernosum smooth muscle (CCSM), which is a unique muscle as it relaxes on stimulation, allowing cavernous spaces to fill with blood. This relaxation of the CCSM is necessary for a normal erection. The CCSM is contained within a tough outer covering known as the tunica albuginea and consists of an interconnected network of sinusoidal spaces. In the flaccid (non-erect) state, the CCSM is contracted and arterial inflow is minimal. In response to neuronal stimulation, the arteries that supply the penis and the CCSM relax, increasing blood flow to the sinusoids. Expansion of the sinusoids compresses the venular plexuses, thus reducing venous outflow. As a result, intracavernous pressure (ICP) increases until a full erection is achieved at about 100 mm Hg.
The proper functioning of the CCSM is necessary for the normal erectile process. There are many molecular mechanisms that function at the level of the smooth muscle and are capable of regulating CCSM contractility. These mechanisms include phosphorylation of the SMM, alteration of SMM isoform composition, and modulations in the expression of participants involved in the calcium sensitization pathways of SM contraction, including the ET/ROK pathway. Understanding these molecular control mechanisms, as well as the influence that hormones have on these pathways, can provide new targets for drug development to treat erectile dysfunction (ED). For example, decreased testosterone (T) levels upregulate CCSM contractile signaling and downregulate CCSM relaxation pathways, leading to ED.
Fibrosis can occur in the corpora cavernosa tissue due to various reasons, including an infected penis prosthesis or certain medications. This condition can lead to persistent genital arousal disorder in women, also known as restless genital syndrome, where the blood flow doesn't return to normal after arousal, resulting in a painful and engorged clitoris. In some cases, stopping the medication can help improve this condition.
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Decreased testosterone levels can cause erectile dysfunction by upregulating CCSM contractile signalling
The penis is composed of three cylinders: two corpora cavernosa (the corpus cavernosum) and one corpus spongiosum. The corpora cavernosa are two expandable, sponge-like regions of erectile tissue that fill with blood during penile erection. The corpus cavernosum is not a muscle, but it does contain smooth muscle cells.
Corpus cavernosum smooth muscle (CCSM) spends most of its time in a contracted state, mediated by norepinephrine released from nerve endings and other vasoconstrictors like endothelins released from the endothelium. These agents cause smooth muscle myosin (SMM) phosphorylation by elevating intracellular calcium levels. When calcium returns to basal levels, calcium sensitivity increases and prevents myosin dephosphorylation, which involves the RhoA/Rho-kinase (ROK) mechanism, thus maintaining force.
Decreased testosterone (T) levels can cause erectile dysfunction (ED) by upregulating CCSM contractile signalling. In addition to downregulating many pro-erectile molecular mechanisms, decreased T levels upregulate CCSM contractility, including hyperresponsiveness to α-adrenergic agonists, increased SMM phosphorylation, alteration of SMM isoform composition, activation of RhoA/ROK signalling, and modulation of sphingosine-1-phosphate regulation of CCSM tone.
The upregulation of CCSM contractile signalling and the downregulation of CCSM relaxation pathways synergize to produce ED. Understanding the influence of androgens on these pathways can provide new evidence supporting their roles in EF and enhance the discovery of novel targets for drug development to treat ED.
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Frequently asked questions
The corpus cavernosum penis (singular) is one of a pair of sponge-like regions of erectile tissue, which contain most of the blood in the penis during an erection.
The corpus cavernosum is not a muscle, but it does contain smooth muscle cells.
The corpus cavernosum fills with blood during penile erection, increasing in length and diameter. The penis becomes rigid as a result.
The corpus cavernosum is surrounded by an interconnected network of sinusoidal spaces, surrounded by the corpus cavernosum smooth muscle (CCSM). The proper functioning of the CCSM is necessary for the normal erectile process.











































