» Articles » PMID: 18490916

The Neural Control of Micturition

Overview
Specialty Neurology
Date 2008 May 21
PMID 18490916
Citations 509
Authors
Affiliations
Soon will be listed here.
Abstract

Micturition, or urination, occurs involuntarily in infants and young children until the age of 3 to 5 years, after which it is regulated voluntarily. The neural circuitry that controls this process is complex and highly distributed: it involves pathways at many levels of the brain, the spinal cord and the peripheral nervous system and is mediated by multiple neurotransmitters. Diseases or injuries of the nervous system in adults can cause the re-emergence of involuntary or reflex micturition, leading to urinary incontinence. This is a major health problem, especially in those with neurological impairment. Here we review the neural control of micturition and how disruption of this control leads to abnormal storage and release of urine.

Citing Articles

Neurogenic bladder pathophysiology, assessment and management after lumbar diseases.

Hao J, Jiang J, Han Q, Wang K, Sun Y, Wang H EFORT Open Rev. 2025; 10(3):156-165.

PMID: 40071973 PMC: 11896685. DOI: 10.1530/EOR-24-0087.


Facilitation of non-nociceptive bladder activity and suppression of somatic afferent inhibition by hypogastric afferents in cats.

Shen B, Wang J, Tai C, Beckel J Front Neurosci. 2025; 19:1555152.

PMID: 40052090 PMC: 11882540. DOI: 10.3389/fnins.2025.1555152.


Time-dependent bladder activity changes in streptozotocin-induced female diabetic rats.

Izumi K, Kamijo T, Oshiro T, Kimura R, Ashikari A, Kurobe M Physiol Rep. 2025; 13(4):e70220.

PMID: 39980181 PMC: 11842456. DOI: 10.14814/phy2.70220.


Acute urinary tract infection elicits bladder afferent hypersensitivity.

Sharma H, Manning S, Stevens N, Bourlotos G, Ryan F, Tay C Brain Behav Immun Health. 2025; 44:100944.

PMID: 39901923 PMC: 11788684. DOI: 10.1016/j.bbih.2025.100944.


[Functional disorders of the lower urinary tract: Parkinson's disease].

Knupfer S Urologie. 2025; 64(2):120-127.

PMID: 39900843 DOI: 10.1007/s00120-024-02508-y.


References
1.
Yoshimura N, Seki S, Novakovic S, Tzoumaka E, Erickson V, Erickson K . The involvement of the tetrodotoxin-resistant sodium channel Na(v)1.8 (PN3/SNS) in a rat model of visceral pain. J Neurosci. 2001; 21(21):8690-6. PMC: 6762819. View

2.
Yoshimura N, de Groat W . Increased excitability of afferent neurons innervating rat urinary bladder after chronic bladder inflammation. J Neurosci. 1999; 19(11):4644-53. PMC: 6782608. View

3.
Geirsson G, Fall M, Lindstrom S . The ice-water test--a simple and valuable supplement to routine cystometry. Br J Urol. 1993; 71(6):681-5. DOI: 10.1111/j.1464-410x.1993.tb16065.x. View

4.
Andersson K . Tachykinins: role in detrusor overactivity?. Eur Urol. 2006; 49(3):423-5. DOI: 10.1016/j.eururo.2005.11.021. View

5.
Datta S, Kavia R, Gonzales G, Fowler C . Results of double-blind placebo-controlled crossover study of sildenafil citrate (Viagra) in women suffering from obstructed voiding or retention associated with the primary disorder of sphincter relaxation (Fowler's Syndrome). Eur Urol. 2006; 51(2):489-95. DOI: 10.1016/j.eururo.2006.06.005. View