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Cystometry: Purpose

 
Medical Encyclopedia: Cystometry: Purpose

The urinary bladder stores urine produced by the kidneys. The main muscle of the bladder wall, the detrusor, relaxes to allow expansion of the bladder during filling. The urethra, the tube through which urine exits, is held closed by a ring of muscle, known as the urethral sphincter. As volume increases, stretching of the detrusor and pressure on the sphincter sends signals to the brain, indicating the need for urination, or voiding. Voluntary relaxation of the sphincter and automatic contractions of the detrusor allow successful and virtually complete voiding.

A cystometry study is performed to diagnose problems with urination, including incontinence, urinary retention, and recurrent urinary tract infections. Urinary difficulties may occur because of weak or hyperactive sphincter or detrusor, or incoordination of their two activities. Infection of the bladder or urethra may cause incontinence, as can obstruction of the urethra from scar tissue, prostate enlargement, or other benign or cancerous growths. Loss of sensation due to nerve damage can lead to chronic overfilling.

— Richard Robinson



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