Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Urinary incontinence - Anatomy and physiology of bladder and bowel -

요실금 - 방광과 장의 해부학적, 생리학적 연관성 -

  • Lee, Jung Won (Department of Pediatrics, College of Medicine, Hallym University)
  • 이정원 (한림대학교 의과대학 소아과학교실)
  • Received : 2008.09.29
  • Accepted : 2008.10.01
  • Published : 2008.11.15
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Abstract

The genitourinary tract and gastrointestinal system are interdependent but share the same embryological origin, pelvic region, and sacral innervation. Although children with voiding disturbances often present with bowel dysfunction, this coexistence was considered coincidental until recently. However, it is now accepted that dysfunction in emptying of both systems is interrelated. Afferent impulses carrying sensory information are transmitted through the spinal cord and brainstem toward several cortical and subcortical areas, resulting in conscious control of the bladder and bowel. Alteration in these afferent pathways can result in dysfunction, including urinary and fecal incontinence. Distal gastrointestinal tract problems such as constipation might induce an inhibitory rectovesical reflex that interferes with normal voiding. Therefore, lower urinary tract function seems to be closely associated with distal gastrointestinal tract function.

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References

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