Scribd Logo
Upload

Welcome to Scribd!

  • 384 views

    Reflex Facilitation: Vol Control of Micturition (Corticol Areas) Control EUS & Abd M

    Uploaded by

    Tharani Kumara
    The document discusses the neural control of micturition (urination). It describes the facilitatory and inhibitory areas in the brainstem that regulate bladder filling and emptying. The sacral spinal cord centers receive input from these brain areas to influence the micturition reflex threshold. Abnormalities can result in incontinence if the inhibitory input is damaged or denervation if the afferent or efferent nerves are destroyed. Spinal shock after transection initially causes an unresponsive bladder but micturition reflex may recover without voluntary control.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Reflex Facilitation: Vol Control of Micturition (Corticol Areas) Control EUS & Abd M

    Uploaded by

    Tharani Kumara
    384 views1 page
    The document discusses the neural control of micturition (urination). It describes the facilitatory and inhibitory areas in the brainstem that regulate bladder filling and emptying. The sacral spinal cord centers receive input from these brain areas to influence the micturition reflex threshold. Abnormalities can result in incontinence if the inhibitory input is damaged or denervation if the afferent or efferent nerves are destroyed. Spinal shock after transection initially causes an unresponsive bladder but micturition reflex may recover without voluntary control.

    Original Title

    Micturition reflex

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document discusses the neural control of micturition (urination). It describes the facilitatory and inhibitory areas in the brainstem that regulate bladder filling and emptying. The sacral spinal cord centers receive input from these brain areas to influence the micturition reflex threshold. Abnormalities can result in incontinence if the inhibitory input is damaged or denervation if the afferent or efferent nerves are destroyed. Spinal shock after transection initially causes an unresponsive bladder but micturition reflex may recover without voluntary control.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    384 views1 page

    Reflex Facilitation: Vol Control of Micturition (Corticol Areas) Control EUS & Abd M

    Uploaded by

    Tharani Kumara
    The document discusses the neural control of micturition (urination). It describes the facilitatory and inhibitory areas in the brainstem that regulate bladder filling and emptying. The sacral spinal cord centers receive input from these brain areas to influence the micturition reflex threshold. Abnormalities can result in incontinence if the inhibitory input is damaged or denervation if the afferent or efferent nerves are destroyed. Spinal shock after transection initially causes an unresponsive bladder but micturition reflex may recover without voluntary control.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Center : Brain stem

    Facilitatory area : Pontine


    REFLEX FACILITATION & Post hypothalamus
    FILLING THE BLADDER
    Inhibitory : Midbrain

    Sacral center: (+) facilitatory impulses


    from pontine micturating c. & (-) by Vol control of micturition
    medullary c. influcences threshold
    for micturition reflex (corticol areas)  control EUS & abd m.

    Urine collected in renal pelvis


     Pudendal n. Pelvic floor m.
    Pressure in pelvis  somatic fiber
     Retain urine Untimely to Contrxn  retain
    Peristaltic contrx initiated (in pelvis) urinate → urine by tighten
     signal from openings of the
    Contrx spread  (ureter to bladder) pons excite urethra
     the nerve→
    Peristaltic wave occur (1.5x / min) keep EUS to
    contract
    ABNORMALITY Voiding Time to Relaxing/lowering
    Symp : invol
    urinate (reach  allows passage
    Parasymp : invol  control bladder wall & IUS threshold)→ of urine
    Incontinence
     (-) nerve
    Somatic: Vol. (skeletal m) Parasym.n damaged  absence of micturition r. →EUS relax
    Contxn of  bladder shrunk & bladder wall hypertrophied
    detrusor m in  contxn/relaxtn. EUS
     detrusor m hyperactive  expel  urine 
    bladder walls &
    involve in incontinence
    micturition r.

    Spinal Shock transection


    Deafferentation
     Bladder is flaccid & unresponsive
     Urine dribbles out when overfilled: overflow incontinence Loss of sacral afferents  no micturition r.
     Upon recovery:- micturition r. returns, but loss of voluntary
    control & no inhibition / facilitation from higher c. Denervation

    Spastic neurogenic bladder  AN & EN destroyed  no micturition r.


    CYSTOMETROGRAM
     eg: tumours of cauda equine
     Micturition r. becomes hyperactive, bladder capacity  & wall
    of bladder hypertrophied

    You might also like