Bladder

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Urinary bladder
File:Illu urinary system.jpg
Urinary system.
Latin	vesica urinaria
Gray's	subject #255 1227
System
MeSH	A05.810.161
File:Illu bladder.jpg
Bladder

In anatomy, the urinary bladder is a hollow, muscular, and distensible (or elastic) organ that sits on the pelvic floor in mammals. It is the organ that collects urine excreted by the kidneys prior to disposal by urination. Urine enters the bladder via the ureters and exits via the urethra.

In males, the bladder is superior to the prostate, and separated from the rectum by the rectovesical excavation.

In females, the bladder is separated from the rectum by the rectouterine excavation, and it is separated from the uterus by the vesicouterine excavation.

Regions

• Trigone of urinary bladder: The ureters enter the bladder diagonally from its dorsolateral floor in an area called the trigone, which is a triangular shaped area on the postero-inferior wall of the bladder. The urethra exits at the lowest point of the triangle of the trigone.
• Apex: The Median umbilical ligament connects to the apex of the bladder.
• Neck: The Neck is connected to the pubic bone by the pubovesical ligament in women, and by the puboprostatic ligament in men.

Wall

The wall of the urinary bladder consists of three layers:

• Mucosa: in this instance transitional epithelium & lamina propria
• Detrusor muscle: consists of an inner and outer longitudinal layer and a middle circular layer of smooth muscle
• a fibrous adventitia and the visceral peritoneum: lie on superior surface

When the urinary bladder is relaxed, the epithelium is 5-6 cell layers thick and the superficial cells bulge into the lumen. Thick rigid areas of the plasma membrane fold down within the cytoplasm are called fusiform vesicles.

When the urinary bladder is extended, the epithelium is 3-4 layers thick and has squamous epithelial cells without vesicles. The vesicles have been reinserted in the plasma membrane.

Detrusor muscle

The detrusor muscle is a layer of the urinary bladder wall made of smooth muscle fibers arranged in spiral, longitudinal, and circular bundles. When the bladder is stretched, this signals the parasympathetic nervous system to contract the detrusor muscle. This encourages the bladder to expel urine through the urethra.

For the urine to exit the bladder, both the autonomically controlled internal sphincter and the voluntarily controlled external sphincter must be opened. Problems with these muscles can lead to incontinence.

The urinary bladder usually holds 400–620 mL of urine, but it can hold twice this without rupturing if, for example, the outflow is obstructed.

The desire to urinate usually starts when the bladder reaches around 75% of its working volume. If the subject is distracted the desire can fade and return with more urgency as the bladder continues to fill.

Fundus

The fundus of the urinary bladder is the bottom of the bladder. It is lymphatically drained by the external iliac lymph nodes.

Clinical Significance

• Cystitis cystica is a chronic cystitis glandularis accompanied by the formation of cysts. This disease can cause chronic urinary tract infections.
• Interstitial cystitis is a bladder disease of unknown etiology characterized by a bladder wall infiltrated by inflammatory cells resulting in ulcerated mucosa and scarring, spasm of the detrusor muscle, hematuria, urgency, increased frequency, and pain on urination.
• The bladder may rupture if overfilled and not emptied. This can occur in the case of binge drinkers who have consumed large quantities, but are not conscious due to stupor of the need to urinate. This condition is very rare in women, but does occur. Symptoms include localized pain and uraemia (poisoning due to reabsorbed waste).

See also

• Artificial bladder
• Bedwetting
• Bladder cancer
• Bladder spasm
• Bladder sphincter dyssynergia, a condition in which the sufferer cannot coordinate relaxation of the urethra sphincter with the contraction of the bladder muscles
• Cystitis
• Neurogenic bladder
• Ureterocele
• Urinary incontinence
• Urodynamics The study of the functional aspects of the detrusor muscle.
• Urogenital system
• Uvula of urinary bladder
• Vesicouretic reflux

External links

• Template:KansasHistology "Urinary Bladder"
• Organology at UC Davis Urinary/mammal/bladder/bladder1

- "Mammal, bladder (LM, Medium)"

• Virtual Slidebox at Univ. Iowa Slide 445

• SUNY Labs 43:07-0100 - "The Female Pelvis: The Urinary bladder"
• SUNY Labs 44:04-0103 - "The Male Pelvis: The Urinary bladder"

Additional images

Structure of the penis

Organs of the female reproductive system.

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Coronal section of pelvis, showing arrangement of fasciæ. Viewed from behind.

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The peritoneum of the male pelvis.

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Median sagitta section of male pelvis.

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Male pelvic organs seen from right side.

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Median sagittal section of female pelvis.

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The interior of bladder.

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Vertical section of bladder wall.

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Fundus of the bladder with the vesiculæ seminales.

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Vertical section of bladder, penis, and urethra.

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Female pelvis and its contents, seen from above and in front.

Topography of thoracic and abdominal viscera.

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The bladder can be seen highlighted in yellow in the illustration.

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Layers of the urinary bladder wall and cross section of the detrusor muscle.