Micturition, also known as urination, is a process whereby the urinary bladder empties urine through the urethra to the outside. This involves the coordinated contraction of the detrusor muscle in the bladder and relaxation of the urethral sphincters, which are under the control of the autonomic and somatic nervous systems. Such a process is necessary for ridding the body of waste products and excess fluid by means of maintaining homeostasis.
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Man's excretory system includes :
Kidneys: Filter blood and produce urine.
Ureters: Carry urine from the kidneys to the bladder.
Urinary Bladder: Stores the urine till it is excreted.
Urethra: Excretes urine from the bladder out of the body.
The physiology of urine formation is discussed below:
Filtration: The blood gets filtered in the kidneys to form urine.
Reabsorption: The urine formation involves the reabsorption of useful substances back into the blood.
Secretion: The waste products are secreted into the urine.
The urinary bladder is a balloon-shaped muscular organ. The organ can hold, several times, up to 16 ounces of urine for 2 to 5 hours. Its opening is closed by circular sphincter muscles preventing leakage.
This is achieved via the perfectly coordinated activity of the nervous system and urinary organs. The micturition reflex, through stretch receptors in the bladder, signals the brain to begin the voiding process.
The stages of micturition are discussed below:
The urine is stored within the bladder, while the sphincter muscles contract not to release the urine.
The urge to urinate is stimulated when the nerves detect that the bladder is full. The brain sends a signal to contract the bladder, and then the urine flows through the urethra.
The common disorders related to micturition are:
Types and Causes: Stress incontinence, urge incontinence, and overflow incontinence
Treatments Available: Behavioral therapies, medications, surgery
Causes and Symptoms: Blockages, nerve problems and weak bladder muscles
Treatments Available: Catheterization, medications, surgery
Symptoms and Management: Increased frequency, urgency, drugs, and behavioural therapy.
Urinalysis: Analysis of the urine composition.
Urodynamic Studies: The study of the process of functioning with storing and passing out urine through the bladder and the urethra.
Imaging Techniques: Some are imaging studies like ultrasound, MRI, and CT that represent the existence of the structure of urinary tract passages.
Bladder Training:
Techniques of increasing the capacity of the bladder.
Pelvic Floor Exercises:
Strengthen muscles governing urination.
Pharmaceuticals
Drugs are commonly prescribed with their mechanisms.
Surgical Interventions
Their indication, procedures, success rates, and risks.
Conclusion
Micturition is comprehensive and very important in human waste management. The ability to define and understand the mechanisms behind this function and pathologies helps not just in staging an early identification and treatment but also in leading a life free from diseases.
It is the process where urine is expelled from the urinary bladder.
The neural control of micturition is provided by the micturition reflex, the conductance that carries the signal between the bladder and the brain.
Common disorders include incontinence of urine, urinary retention, and overactive bladder, treated by behavioural therapies, medications, and sometimes surgery.
Nowadays, urinalysis, urodynamic studies, and imaging techniques with ultrasound and MRI find everyday applications.
New drugs, new minimally invasive surgical procedures; many clinical trials are still on.
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