The anatomy of urination: What every physician should know

Elroy P. Weledji; Divine Eyongeta; Eleanor Ngounou

doi:10.1002/ca.23296

journal article Nov 26, 2018

The anatomy of urination: What every physician should know

Elroy P. Weledji

Divine Eyongeta Eleanor Ngounou

Clinical Anatomy Vol. 32 No. 1 pp. 60-67 · Wiley

View at Publisher Save 10.1002/ca.23296

Abstract

Normal voiding needs a coordinated, sustained bladder contraction of adequate size and duration. It requires a decrease in resistance of the bladder neck and urethra and no obstruction. Voiding problems can arise from abnormal storage of urine or problems with urinary control. The aim of this article was to review the functional anatomy and physiology of urinary control and micturition and the pathophysiology of urinary control problems. The Medline (PubMed) database, Cochrane Library, and Science Citation Index were searched electronically to identify original published studies on bladder anatomy, function and urinary control. References were searched from relevant chapters in specialized texts and all were included. Voiding problems are the most common presenting urological symptoms in general medical practice. Urinary incontinence occurs when the normal process of storing and passing urine is disrupted. A history of coexisting fecal incontinence suggests a neuropathic etiology. A better understanding of the physiology of urinary control could lead to preventive measures for postoperative urinary retention and incontinence such as fluid restriction and to appropriate anesthesia/analgesia, autonomic nerve preservation, total mesorectal excision (TME) for rectal cancer, and biofeedback exercises. It could also suggest appropriate therapeutic measures for established urinary incontinence. Clin. Anat., 2018. © 2018 Wiley Periodicals, Inc.

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References

46

[1]

10.1177/1756287218756082

[2]

10.1016/j.ejogrb.2010.02.008

[3]

10.1007/s10151-016-1468-9

[4]

10.1007/bf02590913

[5]

10.1097/aln.0b013e31819f7aea

[6]

Blandy J (1998)

[7]

Blandy J (2009)

[8]

10.1016/s0002-9378(16)36367-0

[9]

Campbell S (2000)

[10]

Castaldo PA "Does alpha sympathetic blockade prevent urinary retention following anorectal surgery?" Dis Colon Rectum (1991)

[11]

10.1007/s10350-004-0086-6

[12]

10.1111/j.1464-410x.2004.05106.x

[13]

Silva MG "The efficacy of a nerve stimulator (cavermap) to enhance autonomic nerve identification and confirm nerve preservation during total mesorectal excision" Dis Colon Rectum (2005)

[14]

Dray A "Inhibition of urinary bladder contractions by a spinal action of morphine and other opioids" J Pharmacol Exp Ther (1984) 10.1016/s0022-3565(25)21580-4

[15]

10.1007/s11934-014-0479-1

[16]

10.1002/(sici)1098-2388(199809)15:2<66::aid-ssu2>3.0.co;2-3

[17]

10.1001/archsurg.133.8.894

[18]

10.1002/bjs.4386

[19]

10.1046/j.1469-7580.2003.00195.x

[20]

10.1097/00000542-199802000-00007

[21]

10.1007/s10350-004-6388-5

[22]

10.1016/j.stem.2007.12.012

[23]

10.1007/s10350-004-0627-7

[24]

10.1016/s0140-6736(05)76009-8

[25]

Marshall VF "The correction of stress incontinence by simple vesico‐ urethral suspension" Surg Gynecol Obstet (1949)

[26]

10.1179/2045772314y.0000000299

[27]

10.3389/fnins.2018.00186

[28]

10.1016/s0002-9610(05)81274-7

[29]

Sagar PM (1997)

[30]

10.1007/s00192-013-2061-7

[31]

Schofield PF (1997)

[32]

10.1016/j.euf.2018.02.014

[33]

10.1210/en.2008-1020

[34]

10.1007/s00384-005-0077-2

[35]

10.1016/j.euf.2018.04.019

[36]

10.1097/00000539-200207000-00008

[37]

10.1002/pros.2990040506

[38]

10.1186/1471-2490-14-99

[39]

Wein AJ (2016)

[40]

10.3393/ac.2017.33.5.161

[41]

10.4172/2161-1076.1000221

[42]

Weledji EP "The anatomical basis for autonomic dysfunction in surgical coloproctology" Int J Surg Res (2014)

[43]

Whitaker RH (2016)

[44]

Yoshimura N (2006)

[45]

10.1111/j.1464-410x.1995.tb07682.x

[46]

10.1007/bf02236255

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References

Details

Published: Nov 26, 2018
Vol/Issue: 32(1)
Pages: 60-67
License: View

Authors

E

Elroy P. Weledji

Departments of Anatomy and Surgery, Faculty of Health Sciences University of Buea, Gastrointestinal Surgeon, Regional Hospital Limbe Limbe Cameroon

D

Divine Eyongeta

Departments of Anatomy and Surgery, Faculty of Health Sciences University of Buea, Urologist, Regional Hospital Limbe Cameroon

E

Eleanor Ngounou

Department of Anatomy, Faculty of Health Sciences University of Buea Limbe Cameroon

Cite This Article

Elroy P. Weledji, Divine Eyongeta, Eleanor Ngounou (2018). The anatomy of urination: What every physician should know. Clinical Anatomy, 32(1), 60-67. https://doi.org/10.1002/ca.23296

The anatomy of urination: What every physician should know

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