Bladder Disorders

Question 1

Bladder capacity
First sensation to void
Micturition

Bladder volumes

Answer 1

Bladder capacity: 400-600 ml

First sensation to void: 150-300 ml (40% capacity)

Micturition: 400 ml

Question 2

Delancy’s hammock theory

Answer 2

Dynamic muscular support aiding in continence. Manipulation of urethrovesical angle by LA activation/relaxation

Question 3

Normal voids per day/night
Frequency
Duration
Volume

Answer 3

5-8x a day, 0-1x at night 
7-8X per 24 hours 
Every 2-5 hours
8-10 second duration
1.5 quarts passed a day

Question 4

Sympathetic vs parasympathetic effects on bladder

Answer 4

Sympathetic=storage

Parasympathetic = pee

Question 5

ATLA vs ATFP

Answer 5

ATLA: broad thickening of fascia for which LA (iliococcygeus) attached

ATPF: medial to ATLA for which fascial/connective tissues (versus muscle) attach to.

Question 6

Cause for bladder dysfunction in elderly

DIAPPERS

Answer 6

Delirium
Infection
Atrophy of urethra/vagina
Pharmacologic agents
Psychological disorders
Endocrine dysfunction
Restricted mobility
Stool impaction