How the Bladder Works and What Happens if there is a Disconnect Problem

Bladder disconnect is also called overactive bladder, and it is fairly common and there can be a lot of signs of this problem. You sit on the toilet. You pee. But did you really pee all that was there? Normally when we are busy, or at work we don't want to pee frequently so we get in the habit of not going until we are quite full! On the other hand sometimes we don't want to pee until we finish the phone call or unload the groceries, so we just cannot stand it if the ability to hold the urine for more than moments after the signal that you may have to go occurs, Sometimes the physiologic adaptations that allow us to work around our busy lives can work a bit against us. WE have a bladder that holds our urine and a urethra that is the tube that funnels the urine out of our system. The bladder and the urethra are coordinated, but in a funny sort of discordant way! We are designed to hold that urine in and at the time the urethra will contract the bladder will actually, paradoxically, relax, causing urine to pool, and thankfully, we are mostly dry. So the kind of stimulus that will cause a contraction of the urethra and it's alpha sympathetic receptors will not necessarily produce a full contraction of the bladder and it's beta sympathetic receptors. If you aren't aware of the right signals, you will not release urine, you will keep the urine in the bladder. You become a holder. Eventually this system can be one of the causes of leakage however, this is called overflow incontinence. In other words the signals get so uncoordinated that there is more than the urethra can hold back, and the force of too much urine just causes uncontrollable seepage. Dropped bladders, weakened muscles, lack of estrogen, lack of exercising these muscles, some medication, caffeine, and a variety of other causes can affect this condition. Get a check up, there are tests of this system called cystometrics, but most importantly there is help!


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