Urinary and Uterine Reflexes

Question 1

Kidney - Efferent

Answer 1

Spasms posteriorly
- Lower intercostals T11-T12
- Erectors T11-T12
- Periaxial spinals T11-T12

Question 2

Kidney - Afferent

Answer 2

Pain overlying segments T6-T12, mainly at T11-T12

Question 3

Ureters - Efferent

Answer 3

Tension
Anteriorly
- Int/Ext Obliques
- Cremaster
- Transversus abdominis
Posteriorly
- Lumbosacral erectors
- Periaxial spinals mostly on affected side T9-L2

Question 4

Ureters - Afferent

Answer 4

Pain
- Lumbosacral area
- Radiation outward around iliac crest into groin, scrotum and down medial thigh
(pain can involve the sural cutaneous nerve, which may create pain in the same side heel)

Question 5

Ureters - Craniosacral

Answer 5

Severe cases of renal colic nausea and vomiting may be seen

Question 6

Bladder - Efferent

Answer 6

Spasms
Anterior
- lower fibers of rectus abdominis just over the pubis
Posterior
- lower lumbar erectors
- periaxial spinals at T11-L2

Question 7

Bladder - Afferent

Answer 7

Pain
-over anterior abdominal wall just above pubic symphysis
- over buttocks near median raphe
- In perineum radiating down over scrotum or labia

Question 8

Bladder - Craniosacral

Answer 8

Mainly GI in nature due to vagal nerve

Question 9

Uterus - Efferent

Answer 9

Muscular rigidity may be found in
- rectus abdominis
- Periaxials of T10-L2

Question 10

Uterus - Afferent

Answer 10

Pain
Anterior
- Lower Abdo
- Area of skin in areolar tissue and nipples
Posteriorly
- Lower lumbar area
- Area over sacrum and buttocks
- Skin of perineum and thigh

Question 11

Uterus - Craniosacral

Answer 11

Mainly GI in nature due to vagal nerve

Question 12

Kidney- Roots

Answer 12

T10-L1

Question 13

Ureters- Roots

Answer 13

T10-L2
S2-S3

Question 14

Urinary bladder- Roots

Answer 14

T11-L2
S2-S4

Question 15

Uterus- Roots

Answer 15

T10-L2
S2-S3