Bladder rhythm is an important concept of physiology. Bladder physiology can be described by the classifical organ model, by the urodynamic model and by the neurophysiological model. The organ model deals with the coordinated functions of the smooth muscle in the detrusor and bladder neck, and of the skeletal muscle of the urethra and external sphincter. The urodynamic model describes the bladder capacity, shape, pressure gradients, flow rate and outflow resistance by the armamentarium of a urodynamics laboratory. The neurophysiological model describes the innervation, pathways, and the centers in the spinal cord and brain stem dealing with the control, coordination, integration, onset and cessation of the micturition. Once these concepts are understood, specific urodynamic abnormalities can be suggested from specific features of the patient’s history, physical examination, cystoscopy and intravenous urograms. Urethrovesical coordination is controlled by many reflexes. Continence should be classified and quantitated in order to be rationally treated. The various surgical procedures for the management of incontinence are analyzed in terms of their underlying physiological effects.

Keywords:
Bladder physiology, Neurogenic bladder, Voiding mechanisms, Urodynamics, Micturition, Vesicourethral function
This content is only available via PDF.
© 1978 S. Karger AG, Basel
1978
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.