ANATOMY AND

PHYSIOLOGY RELATED TO
MICTURITION.
DR PRATIBHA THAKUR.
 THE BLADDER
• SHAPE
• CAPACITY
• PARTS: APEX,BASE,NECK,SURFACES,
BORDERS
• LIGAMENTS:TRUE & FALSE.
• INTERIOR PART: TRIGONE& BAR OF
MERCIER
• EPITHELIUM
• MUSCLE.
• SPHINCTER VESICAE.
• ARTERIAL SUPPLY.
• VENOUS DRAINAGE.
• LYMPHATIC DRAINAGE.
• NERVE SUPPLY.
 THE URETHRA
• 4cm long,6 mm in diameter.
• POSITION IN FEMALE.
• TRAVERSES ANTERIOR VAGINAL
WALL.
• MUSCLE: INVOLUNTARY ,CROSSED
SPIRALS.
• POLARITY.
• FUNNELLING OF URETHRA.
• POSTERIOR URETHROVESICLE
ANGLE.
• SPHINCTER URETHRAE.
 MICTURITION
• INTRAVESICLE PRESSURE.
MAINTAINED AT 10 MM.
MICTURITION- 30 TO 50 MM.
• DESIRE TO VOID- 200 TO 300 ML.
• CHILDREN- S2,3,4.
• ADULT- HYPOTHALAMUS & ANTERIOR
PARTS OF FRONTAL LOBE.
• PROCESS
CONTRACTION OF ABDOMINAL &
RELAXATION OF PERINEAL MUSCLES.
CONTRACTION OF DETRUSOR.
RELAXATION OF SPH VESICAE.
RELAXATION OF SPH URETHRAE.
 THE PELVIC FLOOR
• MUSCLES:FORM A GUTTER AROUND
THE NECK OF BLADDER
• UV ANGLE: GOOD WHEN PF MUSCLES
CONTRACT AND PULL THE URETHRA
DOWNWARDS.
• DETRUSOR SPHINCTER
DYSSYNERGIA.
THANK U!