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Bladder

The urinary bladder collects urine from both ureters ( [link] ). The bladder lies anterior to the uterus in females, posterior to the pubic bone and anterior to the rectum. During late pregnancy, its capacity is reduced due to compression by the enlarging uterus, resulting in increased frequency of urination. In males, the anatomy is similar, minus the uterus, and with the addition of the prostate inferior to the bladder. The bladder is partially retroperitoneal    (outside the peritoneal cavity) with its peritoneal-covered “dome” projecting into the abdomen when the bladder is distended with urine.

Bladder

The left panel of this figure shows the cross section of the bladder and the major parts are labeled. The right panel shows a micrograph of the bladder.
(a) Anterior cross section of the bladder. (b) The detrusor muscle of the bladder (source: monkey tissue) LM × 448. (Micrograph provided by the Regents of the University of Michigan Medical School © 2012)

View the University of Michigan WebScope at (External Link) to explore the tissue sample in greater detail.

The bladder is a highly distensible organ comprised of irregular crisscrossing bands of smooth muscle collectively called the detrusor muscle    . The interior surface is made of transitional cellular epithelium that is structurally suited for the large volume fluctuations of the bladder. When empty, it resembles columnar epithelia, but when stretched, it “transitions” (hence the name) to a squamous appearance (see [link] ). Volumes in adults can range from nearly zero to 500–600 mL.

The detrusor muscle contracts with significant force in the young. The bladder’s strength diminishes with age, but voluntary contractions of abdominal skeletal muscles can increase intra-abdominal pressure to promote more forceful bladder emptying. Such voluntary contraction is also used in forceful defecation and childbirth.

Micturition reflex

Micturition is a less-often used, but proper term for urination or voiding. It results from an interplay of involuntary and voluntary actions by the internal and external urethral sphincters. When bladder volume reaches about 150 mL, an urge to void is sensed but is easily overridden. Voluntary control of urination relies on consciously preventing relaxation of the external urethral sphincter to maintain urinary continence. As the bladder fills, subsequent urges become harder to ignore. Ultimately, voluntary constraint fails with resulting incontinence    , which will occur as bladder volume approaches 300 to 400 mL.

Normal micturition is a result of stretch receptors in the bladder wall that transmit nerve impulses to the sacral region of the spinal cord to generate a spinal reflex. The resulting parasympathetic neural outflow causes contraction of the detrusor muscle and relaxation of the involuntary internal urethral sphincter. At the same time, the spinal cord inhibits somatic motor neurons, resulting in the relaxation of the skeletal muscle of the external urethral sphincter. The micturition reflex is active in infants but with maturity, children learn to override the reflex by asserting external sphincter control, thereby delaying voiding (potty training). This reflex may be preserved even in the face of spinal cord injury that results in paraplegia or quadriplegia. However, relaxation of the external sphincter may not be possible in all cases, and therefore, periodic catheterization may be necessary for bladder emptying.

Questions & Answers

Examples of glial cells?
Nesh Reply
what is homeostasis
Laura Reply
homeostasis- The ability to maintain relatively stable internal conditions even though the outside world changes continuously. i,e, maintaining normal values in your body such as Adequate blood levels,blood pressure, heart activity and blood pressure.
Williams
thank you
Laura
Give atleast three reasons to study anatomy and physiology
George Reply
It helps to know about the body structure properly and administer proper care for the patient
Opeyemi
what's augmentin
Aphet Reply
augmentin is a type of combination antibiotic.
wintana
Can you explain to Heart anatomy in details please?
Handren Reply
definition of anatomy and physiology
Sardar Reply
Anatomy is the study structure of the body while physiology is the study of function of the body
Ayan
What is a dorsal cavity?
John Reply
Explain in detail mitosis and meiosis
sedeck Reply
What is Sodium Potassium Pump?
Mwamba Reply
The process of moving sodium and potassium ions across the cell membrance is an active transport process involving the hydrolysis of ATP to provide the necessary energy. It involves an enzyme referred to as Na+/K+-ATPase
USAMA
yes men.
Carlos
does it mean that there are two definitions of gross anatomy
Esther Reply
what is anatomy?
Hridy Reply
I think it's the study of the internal and external features of the body and its physical relationship between body parts
Esther
anatomy is the study of all the structure of body parts of living organisms
Kishan
to study the structure of human body parts
Sardar
anatomy is the study of human body
Meena
jaundice causes by when bilirubin blockage of bilary system
mahamed Reply
Yeah, when there is a blockage in the bilary system( bile ducts) which lead to obstruction of the bile pigments called bilirubin leading to a characteristically yellowish appearance of the eyes.
ibrahim
yes
mahamed
there are three main resons why bilirubin levels in the blood may rise: 1. pre-hepatic jaundice,2. hepatic jaundice, 3. post hepatic
mahamed
hi pls what causes jaundice
Umar Reply
where the love feelings emotions and hate lies in the body?
Loving Reply
what is Regional anatomy
Sharon Reply
to study of the interrelationships to all structures of specific body region
Sardar

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Source:  OpenStax, Anatomy & Physiology. OpenStax CNX. Feb 04, 2016 Download for free at http://legacy.cnx.org/content/col11496/1.8
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