Cerebral (Suprapontine) Control & Neurotransmitters & Receptors

INNERVATION & NEUROPHYSIOLOGY Cerebral (Suprapontine) Control Although micturition and urine storage are primarily func­tions of the autonomic nervous system, these are under voluntary control from suprapontine cerebral centers, so that other groups of muscles (arm, leg, hand, bulbocaver-nosus) can be integrated to assist in urination at the appro­priate time and place. Cerebral lesions (eg, from tumor, Parkinson's disease, vascular … [Read more...]

INNERVATION & NEUROPHYSIOLOGY The Storage Function

INNERVATION & NEUROPHYSIOLOGY The Storage Function The external sphincter plays an important role in urine storage. The afferents from pelvic and pudendal nerves acti­vate both the sacral and lateral pontine center; this enhances sphincteric contraction while suppressing the parasympa­thetic impulse to the detrusor. Voluntary tightening of the sphincter can also inhibit the urge to urinate. In addition, activation of sympathetic … [Read more...]

INNERVATION & NEUROPHYSIOLOGY The Micturition Reflex

INNERVATION & NEUROPHYSIOLOGY The Micturition Reflex Intact reflex pathways via the spinal cord and the pons are required for normal micturition. Afferents from the blad­der are essential for the activation of the sacral center, which then causes detrusor contraction, bladder neck opening, and sphincteric relaxation. The pontine center, through its connection with the sacral center, may send either excitatory or inhibitory impulses to … [Read more...]