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Urinary Bladder01:23

Urinary Bladder

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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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Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
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Adrenergic Agonists: Direct-Acting Agents01:30

Adrenergic Agonists: Direct-Acting Agents

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Drugs that mimic the action of endogenous catecholamines like noradrenaline and adrenaline are called adrenergic agonists or sympathomimetics. Based on their mechanism of action, sympathomimetics can be classified as direct-, indirect-, or mixed-acting sympathomimetics. Direct-acting adrenergic agonists activate adrenoceptors without affecting presynaptic neurons, making them independent of neuronal catecholamine-depleting agents like reserpine and guanethidine.
These agents can be classified...
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The Micturition Reflex01:26

The Micturition Reflex

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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...
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Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

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The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
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Adrenergic Antagonists: Pharmacological Actions of ɑ-Receptor Blockers01:22

Adrenergic Antagonists: Pharmacological Actions of ɑ-Receptor Blockers

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α-Adrenergic antagonists, known as α-blockers, exert their effects by inhibiting α-adrenoceptors, leading to specific physiological actions. α1-blockers and α2-blockers have distinct pharmacological actions and therapeutic applications.
α1-blockers: These drugs inhibit α1-adrenoceptors on smooth muscle cells, resulting in vasodilation. This vasodilation lowers blood pressure, making α1-blockers valuable in treating hypertension. Additionally,...
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Related Experiment Video

Updated: Apr 19, 2026

Bladder Smooth Muscle Strip Contractility as a Method to Evaluate Lower Urinary Tract Pharmacology
10:26

Bladder Smooth Muscle Strip Contractility as a Method to Evaluate Lower Urinary Tract Pharmacology

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Mirabegron: a Beta-3 agonist for overactive bladder.

Rebecca Bragg1, Danielle Hebel, Scott Martin Vouri

  • 1St. Louis College of Pharmacy, St. Louis, Missouri, USA.

The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists
|December 19, 2014
PubMed
Summary
This summary is machine-generated.

Mirabegron effectively treats overactive bladder (OAB) by reducing urination and incontinence episodes. It offers a safe alternative to antimuscarinics, though further research is needed for diverse patient groups.

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Area of Science:

  • Pharmacology
  • Urology
  • Clinical Trials

Background:

  • Overactive bladder (OAB) significantly impacts quality of life.
  • Antimuscarinics are a common OAB treatment but have limitations.
  • Mirabegron offers a novel therapeutic approach via beta-3 adrenergic agonism.

Purpose of the Study:

  • To conduct a literature review on mirabegron's efficacy and safety for OAB treatment.
  • To synthesize findings from randomized-controlled trials (RCTs) of mirabegron in OAB patients.

Main Methods:

  • Systematic literature search of MEDLINE (PubMed) for RCTs up to December 31, 2013.
  • Inclusion criteria: double-blind, randomized-controlled trials of mirabegron monotherapy with primary efficacy outcomes.
  • Data extraction focused on efficacy and safety parameters.

Main Results:

  • Five RCTs demonstrated mirabegron's efficacy in reducing micturitions and incontinence episodes compared to placebo.
  • Statistically significant improvements were observed across various mirabegron doses.
  • Secondary outcomes, including OAB symptoms and quality of life, also showed improvement.

Conclusions:

  • Mirabegron is efficacious in managing OAB symptoms, including reduced urinary frequency and incontinence.
  • Common adverse events include hypertension, nasopharyngitis, and UTIs; generally well-tolerated.
  • Mirabegron presents a viable alternative to antimuscarinic agents for OAB management.