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Functional: Neural Control of Storage and Voiding
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=== Storage reflexes === * See [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2897743/figure/F5/ Figure 5a] for storage reflex * '''Also known as “guarding reflex”, “spinal reflex”, “spinal reflex pathway”, “bladder sympathetic reflex”''' * '''<span style="color:#ff0000">Promotes continence</span>''' ** '''During the storage of urine, distention of the bladder produces low-level bladder afferent firing via Aδ-myelinated nerves''' ** '''There is a gradual increase in proximal urethral pressure during bladder filling''', contributed to at least by the striated sphincteric element and perhaps by the smooth sphincteric element as well. ** '''<span style="color:#ff0000">Afferent stimulation, in turn, results in efferent(2):</span>''' **# '''<span style="color:#ff0000">Sympathetic outflow resulting in</span>''' **## '''<span style="color:#ff0000">Excitation (contraction) of bladder base and urethra</span>''' **## '''<span style="color:#ff0000">Inhibition (relaxation) of bladder</span>''' **# '''<span style="color:#ff0000">Pudendal outflow to the EUS</span>''' **#* The increase in urethral pressure seen during the filling/storage phase of micturition can be correlated with an increase in efferent pudendal nerve impulse frequency and gradual increase in striated sphincter activity. **# '''<span style="color:#ff0000">Note that the parasympathetic outflow is inactive'''
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