Urogenitary symptoms Flashcards
What circuit is responsible for voluntary control of urination?
frontal lobe to medial pontine micturition center - causes decrease in urethral pressure and voluntary contraction of detrusor muscle
What is a normal PVR volume?
50ml
Describe urge incontinence. What are the most common causes?
= spastic bladder, strong loss of control of detrusor muscle combined with strong desire to void
caused by upper motor neuron disease
A patient presents with overdistention of the bladder as well as constant dribbling. This is likely…
atonic bladder from LMN disease
What are the common findings on urodynamic studies in patients with diabetic cystopathy (or other diseases causing generalized polyneuropathy)
impaired contractility, decreased bladder sesnation, decreased flow rate, increased PVR -
What pharmacologic treatments exist for hypersensitive bladder?
anticholinergic agents (detrol) - decrease strength of involuntary contractions, tricyclic antidepressents, desmopressin, intravesical capsaicin
What drugs are used for management of stress incontinence?
alpha adrenergic agonists to increase urethral tone
What nerves innervate the penis and the clitoris?
pudendal nerves
What nerves participate in erection?
S2-S4
