MICTURITION

BY: Jenny Wong Link Chin Mary Magdalene Alek Tracellia Nawi Unja Vivian Ting Mee Siew

MICTURITION
Also known as urination and voiding Is a process that allows the body to excrete excess water and get rid of potentially harmful substances in the body A voluntary process but varies in babies, elderly as well as those who are suffering from conditions affecting the brain and the spinal cord Under the control of the nervous system that serves as pathway through which the impulse to urinate travels

1. Bladder fills with urine 2. Walls stretched 3. Stimulate stretch receptors 4. Sensory impulses to spinal cord 5. Relayed to cerebral cortex/ micturition reflex center 6. Conscious desire to expel urine 7. Parasympathetic impulses to bladder wall 8. Detrusor muscle contracts 9. Internal sphincter relaxes 10. External sphincter relaxed (voluntarily) 11. Micturition

In Babies :
Micturition initiated by spinal reflex action When the bladder is full, the nerve endings in the bladder wall sensitive to the stretch are stimulated. The impulses pass through the sensory nerve fibers to the spinal cord. From spinal cord, impulses convey through the motor nerve to bladder causing the :1. 2.

Contraction of detrusor muscle Relaxation of internal urethra sphincter & external urethra sphincter & urine is passed out.

In Adults :
When bladder is full, the nerves ending in bladder sensitive to the stretch of bladder. The impulses pass through the spinal cord to the cerebral cortex in the brain. The motor nerve impulses from the cerebral cortex stimulates the :1. 2. 3.

Detrusor muscle to contract Internal urethral sphincter muscle to relax External urethral sphincter contracts consciously until it is convenient to pass the urine, then it relaxes voluntarily.