ACTA FAC MED NAISS 2014;31(1):5-16 |
Review article
UDC:612.82:616.62-008.22
DOI:10.2478/afmnai-2014-0001
CNS and bladder (short review for clinicians)
Staša Tadić
University of Pittsburgh, Division of Geriatric
Medicine and Gerontology University of Pittsburgh Medical Center (UPMC),
Pittsburgh, PA, USA
SUMMARY
Symptoms of bladder dysfunction are significant public health problem due to
their prevalence, morbidity and treatment costs. Most stem from bladder control
problem which is governed by the brain, yet we know little about CNS and
bladder. Advances in brain imaging technology have brought new insight in how
brain works in different bladder diseases and opened new possibilities to study
lower urinary tract. Thus, it is important for urologists and clinicians alike
to get informed about basic concepts of brain-bladder control. The aim of this
article is to review basic neuroanatomy of central continence control based on
the results of recent brain imaging studies in patients with symptoms of
impaired bladder control.
Key words: brain, bladder, brain imaging, urinary incontinence