Urinary Flashcards
What nerve and pathway allow relaxation of the bladder (filling) and tone to the internal urethral sphincter?
SYMPATHETIC PATHWAY
Hypogastric nerve
What nerve and pathway allow contraction of the bladder and relaxation of the internal urethral sphincter?
Parasymphathetic
PELVIC nerve
S1-S3
What nerve and pathway allow relaxation of the external urethral sphincter?
Somatic
Pudendal n
S1-S3
What are the three reasons for urinary incontinence?
Increased Urethral Closure pressure (Leads to overflow incontinence)
Decreased urethral closure pressure (urethral spincter mechanism incompetence)
Overactive bladder
What is the common group of problems for decreased urthral closure pressure?
Neuropathy
Ex. LS disorder, IVDD, DM, Malformation (Manx), Dysautonomia.
What disease should cats get tested for if having signs of decreased urethral closure pressure?
FeLV
What can cause increased urethral closure pressure?
Mechanical obstruction (proliferative urethritis, neoplasia)
Functional (suprasacral of brainstem lesions)
What are the two imaging modalities are most sensitive for ectopic ureter diagnosis?
CTA
Cystoscopy
What is used to treat urethral sphincter mechanism incompetence?
Estrogen - side effect are a lot
Alpha agonist - Proin phenylpropanolamine ****
What differentials for over active bladder?
UTI
Neoplasia
Stones
Urethritis (proliferative)
Cyclophosphamide