Neurophysiology in neurourology

Area of Science:

• Neuroscience
• Urology
• Physiology

Background:

• The bladder's primary functions are storage and voiding of liquid waste.
• It uniquely integrates volitional and autonomous control for continence and emptying.
• Normal bladder function relies on the integrity of the entire nervous system, from the bladder wall to the brain.

Purpose of the Study:

• To provide an overview of the neural control of the bladder.
• To describe relevant peripheral anatomy and neuroanatomy.
• To explain neurophysiological tests for the lower urinary tract and associated structures.

Main Methods:

• Review of current understanding of neural bladder control.
• Description of peripheral anatomy and neuroanatomy.
• Explanation of urodynamic and electrodiagnostic testing approaches.

Main Results:

• Bladder dysfunction is common with central or peripheral nervous system impairment.
• The monograph details the neural pathways governing bladder function.
• Clinical applications highlight the impact of neurological deficits on bladder control.

Conclusions:

• Understanding neural control is crucial for diagnosing and managing bladder dysfunction.
• Neurophysiological testing aids in identifying the level of nervous system impairment.
• This work provides essential insights for clinicians evaluating lower urinary tract symptoms.