Abstract:
:Symptoms such as overactive bladder represent disorders of bladder control. Functional brain scanning by positron emission tomography and functional magnetic resonance imaging suggest that normal control is exerted by a network of regions in the emotional nervous system, including periaqueductal gray, thalamus, insula, anterior cingulate, and prefrontal cortex. The network receives afferent signals, converts them to bladder sensations, and brings them to conscious attention, together with an unpleasant affect (desire to void) that motivates bladder emptying and thus maintains homeostasis. In patients with poor control, brain response to bladder filling differs; cerebral control is abnormal, even in the absence of involuntary detrusor contraction. Behavioral therapy and electrical stimulation appear to be possible treatments.
journal_name
Curr Urol Repjournal_title
Current urology reportsauthors
Griffiths DJdoi
10.1007/s11934-004-0081-zkeywords:
subject
Has Abstractpub_date
2004-10-01 00:00:00pages
348-52issue
5eissn
1527-2737issn
1534-6285journal_volume
5pub_type
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