Week 7 Part 2 Flashcards
(98 cards)
Micturition center location
- pontine reticular formation
- lesser components in midbrain and medulla
input to micturition center
- spinal cord
- cerebellum
- hypothalamus
- cerebral cortex
input to micturition center from spinal cord
bladder distention
input to micturition center from cerbellum
inhibitory
input to micturition center from hypothalamus
control during sleeping
input to micturition center from cerebral cortex
learned control of micturition (ie housebreaking)
Neurons of micturition center
- contains UMNs that control symp and parasympathetic preganglionic neurons and somatic LMNs in spinal cord responsible for bladder filling and emptying
micturition center fx
coordinates sympathetic, parasympathetic, and somatic components of micturition
nerves involved in micturition
- pelvic nerves
- hypogastric nerve
- pudendal nerve
pelvic nerves micturition
- VA info from bladder pressure receptors -> sacral spinal cord segments (info used locally for reflex components of voiding, also ascends spinal cord to brainstem micturition center, cerebral cortex and cerebellum)
- VEs (parasymp) -> detrusor muscle via pelvic plexsus (stimulation -> detrusor contraction)
pelvic nerve arises from sacral spinal cord segments
S1-S3
hypogastric nerves arise from what spinal cord segements
L1-L4
hypogastric nerve carries
- VE (symp) -> detrusor muscle (stimulation -> detrusor muscle relaxation)
VE (symp) -> “internal uretheral sphincter” (proximal urethera) (stimulation -> contraction of internal uretheral sphincter)
detrusor muscle
parasympathetic stimulation
-> detrusor contractoin
sympathetic stimulation -> detrusor relaxation
pudendal nerve arises from
sacral spinal cord segments
pudendal nerve innrevation
- SE information to striated external uretheral sphincter (in pelvic urethera)
- stimulation -> contraction of external sphincter
bladder filling phase general
micturition center and local spinal reflexes ensure:
- detrusor relaxed
- internal and external uretheral sphincters are contracting
bladder filling phase neurons
- parasympathetic VE neurons in segments S1-S3 inhibited -> prevent detrusor contraction
- sympathetic VE neurons(L1-L4 -> hypogastric nerves)= active, maintaining contraction of smooth muscle in proximal urethera (“internal urethreal sphincter”) and facilitate bladder filling bc further relax detrusor muscle
- SE LMNs in segments S1-S3 traveling in pudendal nerve= active -> contracting the external uretheral sphincter
- as bladder fills: info pertaining to bladder distention relayed to spinal cord via pelvic nerve and to brainstem via ascending spinal cord pathways
bladder emptying basics
- occurs when bladder reaches a threshold level of distention
- process is initiated and controlled by descending pathways originating in brainstem micturition center
bladder emptying nerves
- sacral VEs to detrusor via pelvic nerve facilitated -> detrusor contraction
- lumbar VEs control “int uretheral sphincter” via hypogastric nerve, inhibited
- > relaxation of internal uretheral sphinceter
- sacral SEs via pudendal nerve inhibited -> relaxation of external uretheral sphincter
internal uretheral sphinceter
- innervated by hypogastric nerve
- inhibition hypogastricn nerve -> relaxed internal uretheral sphincter
- stimulation hypogastric nerve -> contraction of internal uretheral sphincter
external urether sphincter
- innervated by pudendal nerve
- pudendal nerve inhibited -> relaxation external uretheral sphincter
- pudendal nerve activated
- > contraction of external uretheral sphincter
micurition in absence of input from brain
- spinal cord segments can adapt fx to some degree in absence of brain input, but ability of bladder to fill to capacity w/o leaking and completely empty is dependent on micturition center in cd brainstem
micturition center coordinaes
sympathetic, parasympathetic, and somatic components of voiding and imitates voiding when distention is adequate; this is involuntary and doesn’t require conscious or cerebral cortical input