Related Experiment Video
Updated: Apr 18, 2026

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System
Published on: September 20, 2018
[Initial management of female urinary incontinence by the general practitioner]
Abstract:
Urinary incontinence is a frequent urological burden for women. It is subdivided in 3 etiological subcategories, each of them bearing specific symptoms, causes and treatment options. Due to its possible hybrid clinical presentation, diagnosis may seem complex, which often leads the general practitioner to refer immediately patients to the specialist. However, a simple, rigourous initial investigation procedure helps in identifying the best management options and finding the most suitable treatment in most of cases without requiring a specialized consult.
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The Micturition Reflex
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...

