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Related Concept Videos

The Micturition Reflex01:26

The Micturition Reflex

Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating urine...
Anatomy of the Genitourinary System II: Bladder and Urethra01:19

Anatomy of the Genitourinary System II: Bladder and Urethra

The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs like...
Urinary Bladder01:23

Urinary Bladder

The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
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Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...

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Related Experiment Video

Updated: May 26, 2026

Detrusor Underactivity Model in Rats by Conus Medullaris Transection
03:26

Detrusor Underactivity Model in Rats by Conus Medullaris Transection

Published on: August 28, 2020

Neurogenic bladder in children: basic principles, new therapeutic trends.

J M Guys1, G Hery, M Haddad

  • 1Pole Medico Chirurgical Pédiatrique, Hôpital d'enfants de la Timone, Marseille, France. jean-michel.guys@ap-hm.fr

Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society
|December 21, 2011
PubMed
Summary

Diagnosing neurogenic bladder in children requires careful clinical evaluation and urodynamic testing. The primary goal is preserving upper urinary tract function through tailored medical and surgical interventions for optimal bladder management.

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Isolation and Culture of Primary Neurons and Glia from Adult Rat Urinary Bladder
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Isolation and Culture of Primary Neurons and Glia from Adult Rat Urinary Bladder

Published on: May 23, 2020

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Last Updated: May 26, 2026

Detrusor Underactivity Model in Rats by Conus Medullaris Transection
03:26

Detrusor Underactivity Model in Rats by Conus Medullaris Transection

Published on: August 28, 2020

Isolation and Culture of Primary Neurons and Glia from Adult Rat Urinary Bladder
06:18

Isolation and Culture of Primary Neurons and Glia from Adult Rat Urinary Bladder

Published on: May 23, 2020

Area of Science:

  • Pediatric Urology
  • Neuro-Urology

Background:

  • Neurogenic bladder diagnosis is clear in myelomeningocele but challenging in occult dysraphism or CNS disorders due to poor clinico-anatomical correlations.
  • Urinary leak may be an initial symptom, but preserving upper urinary tract function is the paramount objective for pediatric surgeons.

Purpose of the Study:

  • To outline diagnostic and management strategies for neurogenic bladder in children.
  • To emphasize the importance of preserving upper urinary tract function and achieving complete bladder emptying.
  • To discuss various medical and surgical treatment options for neurogenic bladder.

Main Methods:

  • Clinical examination and urodynamic exploration are essential for diagnosis and follow-up.
  • Treatment involves a combination of medical therapies (e.g., anticholinergic drugs, botulinum toxin) and surgical procedures.
  • Techniques include intermittent bladder catheterization, augmentation cystoplasty, bladder neck reconstruction, artificial urinary sphincter, and continent cystostomy.

Main Results:

  • Complete bladder evacuation, adequate capacity, compliance, and appropriate sphincter outlet resistance are key to protecting the upper urinary tract.
  • Intermittent catheterization is often necessary for complete bladder emptying.
  • Various surgical and medical options exist to increase bladder capacity and outlet resistance, tailored to patient specifics.

Conclusions:

  • Effective neurogenic bladder management requires balancing bladder functions through combined medical and surgical approaches.
  • Total endoscopic management is a promising first-line approach.
  • Holistic management considering orthopedic, digestive, and sexual health is crucial for an acceptable quality of life.