Urinary bladder diseases refer to a range of conditions that affect the urinary bladder, a muscular sac located in the pelvis that stores urine before it is excreted from the body. These diseases can impair the bladder's ability to store or empty urine properly, leading to various symptoms and complications. Here are some common urinary bladder diseases with their medical definitions:
1. Cystitis: This is an inflammation of the bladder, often caused by bacterial infections (known as UTI - Urinary Tract Infection). However, it can also be triggered by irritants, radiation therapy, or chemical exposure.
2. Overactive Bladder (OAB): A group of symptoms that include urgency, frequency, and, in some cases, urge incontinence. The bladder muscle contracts excessively, causing a strong, sudden desire to urinate.
3. Interstitial Cystitis/Bladder Pain Syndrome (IC/BPS): A chronic bladder condition characterized by pain, pressure, or discomfort in the bladder and pelvic region, often accompanied by urinary frequency and urgency. Unlike cystitis, IC/BPS is not caused by infection, but its exact cause remains unknown.
4. Bladder Cancer: The abnormal growth of cancerous cells within the bladder lining or muscle. It can present as non-muscle-invasive (superficial) or muscle-invasive, depending on whether the tumor has grown into the bladder muscle.
5. Bladder Diverticula: Small sac-like pouches that form in the bladder lining and protrude outward through its wall. These may result from increased bladder pressure due to conditions like OAB or an enlarged prostate.
6. Neurogenic Bladder: A condition where nerve damage or dysfunction affects the bladder's ability to store or empty urine properly. This can lead to symptoms such as incontinence, urgency, and retention.
7. Benign Prostatic Hyperplasia (BPH): Although not a bladder disease itself, BPH is a common condition in older men where the prostate gland enlarges, putting pressure on the bladder and urethra, leading to urinary symptoms like frequency, urgency, and hesitancy.
Understanding these various bladder conditions can help individuals identify potential issues early on and seek appropriate medical attention for proper diagnosis and treatment.
The urinary bladder is a muscular, hollow organ in the pelvis that stores urine before it is released from the body. It expands as it fills with urine and contracts when emptying. The typical adult bladder can hold between 400 to 600 milliliters of urine for about 2-5 hours before the urge to urinate occurs. The wall of the bladder contains several layers, including a mucous membrane, a layer of smooth muscle (detrusor muscle), and an outer fibrous adventitia. The muscles of the bladder neck and urethra remain contracted to prevent leakage of urine during filling, and they relax during voiding to allow the urine to flow out through the urethra.
Gallbladder diseases refer to a range of conditions that affect the function and structure of the gallbladder, a small pear-shaped organ located beneath the liver. The primary role of the gallbladder is to store, concentrate, and release bile into the small intestine to aid in digesting fats. Gallbladder diseases can be chronic or acute and may cause various symptoms, discomfort, or complications if left untreated. Here are some common gallbladder diseases with brief definitions:
1. Cholelithiasis: The presence of gallstones within the gallbladder. Gallstones are small, hard deposits made of cholesterol, bilirubin, or a combination of both, which can vary in size from tiny grains to several centimeters.
2. Cholecystitis: Inflammation of the gallbladder, often caused by obstruction of the cystic duct (the tube connecting the gallbladder and the common bile duct) due to a gallstone. This condition can be acute or chronic and may cause abdominal pain, fever, and tenderness in the right upper quadrant of the abdomen.
3. Choledocholithiasis: The presence of gallstones within the common bile duct, which can lead to obstruction, jaundice, and potential infection of the biliary system (cholangitis).
4. Acalculous gallbladder disease: Gallbladder dysfunction or inflammation without the presence of gallstones. This condition is often seen in critically ill patients and can lead to similar symptoms as cholecystitis.
5. Gallbladder polyps: Small growths attached to the inner wall of the gallbladder. While most polyps are benign, some may have malignant potential, especially if they are larger than 1 cm in size or associated with certain risk factors.
6. Gallbladder cancer: A rare form of cancer that originates in the gallbladder tissue. It is often asymptomatic in its early stages and can be challenging to diagnose. Symptoms may include abdominal pain, jaundice, or a palpable mass in the right upper quadrant of the abdomen.
It is essential to consult with a healthcare professional if experiencing symptoms related to gallbladder disease for proper diagnosis and treatment.
Interstitial cystitis (IC) is a chronic bladder health condition characterized by recurring discomfort or pain in the bladder and the surrounding pelvic region. It is also known as painful bladder syndrome (PBS). The symptoms can vary from person to person and may include:
1. Pain or pressure in the bladder and pelvis
2. Frequent urination, often in small amounts
3. Urgent need to urinate
4. Persistent discomfort or pain, which may worsen with certain foods, menstruation, stress, or sexual activity
Interstitial cystitis is a complex and poorly understood condition, and its exact cause remains unknown. There is no known cure for IC, but various treatments can help manage the symptoms. These treatments may include lifestyle modifications, physical therapy, oral medications, bladder instillations, and nerve stimulation techniques. In some cases, surgery might be considered as a last resort.
It's essential to consult a healthcare professional if you suspect you have interstitial cystitis for an accurate diagnosis and appropriate treatment plan tailored to your specific needs.
Urinary Bladder Neoplasms are abnormal growths or tumors in the urinary bladder, which can be benign (non-cancerous) or malignant (cancerous). Malignant neoplasms can be further classified into various types of bladder cancer, such as urothelial carcinoma, squamous cell carcinoma, and adenocarcinoma. These malignant tumors often invade surrounding tissues and organs, potentially spreading to other parts of the body (metastasis), which can lead to serious health consequences if not detected and treated promptly and effectively.
Urinary bladder calculi, also known as bladder stones, refer to the formation of solid mineral deposits within the urinary bladder. These calculi develop when urine becomes concentrated, allowing minerals to crystallize and stick together, forming a stone. Bladder stones can vary in size, ranging from tiny sand-like particles to larger ones that can occupy a significant portion of the bladder's volume.
Bladder stones typically form as a result of underlying urinary tract issues, such as bladder infection, enlarged prostate, nerve damage, or urinary retention. Symptoms may include lower abdominal pain, difficulty urinating, frequent urination, blood in the urine, and sudden, strong urges to urinate. If left untreated, bladder stones can lead to complications like urinary tract infections and kidney damage. Treatment usually involves surgical removal of the stones or using other minimally invasive procedures to break them up and remove the fragments.
Urothelium is the specialized type of epithelial tissue that lines the urinary tract, including the renal pelvis, ureters, bladder, and urethra. It is a type of transitional epithelium that can change its shape and size depending on the degree of distension or stretching of the organs it lines.
The main function of urothelium is to provide a barrier against urine, which contains various waste products and potential irritants, while also allowing the exchange of ions and water. The urothelial cells are joined together by tight junctions that prevent the passage of substances through the paracellular space, and they also have the ability to transport ions and water through their cell membranes.
In addition to its barrier function, urothelium is also involved in sensory and immune functions. It contains specialized nerve endings that can detect mechanical and chemical stimuli, such as stretch or irritation, and it expresses various antimicrobial peptides and other defense mechanisms that help protect the urinary tract from infection.
Overall, urothelium plays a critical role in maintaining the health and function of the urinary tract, and its dysfunction has been implicated in various urinary tract disorders, such as interstitial cystitis/bladder pain syndrome and bladder cancer.
Transitional cell carcinoma (TCC) is a type of cancer that develops in the transitional epithelium, which is the tissue that lines the inner surface of the urinary tract. This includes the renal pelvis, ureters, bladder, and urethra. Transitional cell carcinoma is the most common type of bladder cancer and can also occur in other parts of the urinary system.
Transitional cells are specialized epithelial cells that can stretch and change shape as the organs they line expand or contract. These cells normally have a flat, squamous appearance when at rest but become more cuboidal and columnar when the organ is full. Transitional cell carcinomas typically start in the urothelium, which is the innermost lining of the urinary tract.
Transitional cell carcinoma can be classified as non-invasive (also called papillary or superficial), invasive, or both. Non-invasive TCCs are confined to the urothelium and have not grown into the underlying connective tissue. Invasive TCCs have grown through the urothelium and invaded the lamina propria (a layer of connective tissue beneath the urothelium) or the muscle wall of the bladder.
Transitional cell carcinoma can also be categorized as low-grade or high-grade, depending on how abnormal the cancer cells look under a microscope and how likely they are to grow and spread. Low-grade TCCs tend to have a better prognosis than high-grade TCCs.
Treatment for transitional cell carcinoma depends on the stage and grade of the cancer, as well as other factors such as the patient's overall health. Treatment options may include surgery, radiation therapy, chemotherapy, or immunotherapy.
Overactive bladder (OAB) is a urological condition characterized by the involuntary contraction of the detrusor muscle of the urinary bladder, leading to symptoms such as urgency, frequency, and nocturia (the need to wake up at night to urinate), with or without urge incontinence (the involuntary loss of urine associated with a strong desire to void). It is important to note that OAB is not necessarily related to bladder volume or age-related changes, and it can significantly impact an individual's quality of life. The exact cause of OAB is not fully understood, but it may be associated with neurological disorders, certain medications, infections, or other underlying medical conditions. Treatment options for OAB include behavioral modifications, pelvic floor exercises, bladder training, medications, and, in some cases, surgical interventions.
Cystitis is a medical term that refers to inflammation of the bladder, usually caused by a bacterial infection. The infection can occur when bacteria from the digestive tract or skin enter the urinary tract through the urethra and travel up to the bladder. This condition is more common in women than men due to their shorter urethras, which makes it easier for bacteria to reach the bladder.
Symptoms of cystitis may include a strong, frequent, or urgent need to urinate, pain or burning during urination, cloudy or strong-smelling urine, and discomfort in the lower abdomen or back. In some cases, there may be blood in the urine, fever, chills, or nausea and vomiting.
Cystitis can usually be treated with antibiotics to kill the bacteria causing the infection. Drinking plenty of water to flush out the bacteria and alleviating symptoms with over-the-counter pain medications may also help. Preventive measures include practicing good hygiene, wiping from front to back after using the toilet, urinating after sexual activity, and avoiding using douches or perfumes in the genital area.
Urinary bladder neck obstruction is a medical condition that refers to a partial or complete blockage at the bladder neck, which is the area where the bladder connects to the urethra. This obstruction can be caused by various factors such as prostate enlargement, bladder tumors, scar tissue, or nerve damage.
The bladder neck obstruction can lead to difficulty in urinating, a weak urine stream, and the need to strain while urinating. In severe cases, it can cause urinary retention, kidney failure, and other complications. Treatment for this condition depends on the underlying cause and may include medications, surgery, or minimally invasive procedures.
Neurogenic bladder is a term used to describe bladder dysfunction due to neurological damage or disease. The condition can result in problems with bladder storage and emptying, leading to symptoms such as urinary frequency, urgency, hesitancy, incontinence, and retention.
Neurogenic bladder can occur due to various medical conditions, including spinal cord injury, multiple sclerosis, Parkinson's disease, diabetic neuropathy, and stroke. The damage to the nerves that control bladder function can result in overactivity or underactivity of the bladder muscle, leading to urinary symptoms.
Management of neurogenic bladder typically involves a multidisciplinary approach, including medications, bladder training, catheterization, and surgery in some cases. The specific treatment plan depends on the underlying cause of the condition and the severity of the symptoms.
Butylhydroxybutylnitrosamine (OH-BBN or BBN) is a chemical compound that is primarily used in laboratory research as a potent carcinogenic agent. It is known to induce tumors in various organs, particularly in the urinary bladder and liver, when administered to experimental animals.
The IUPAC name for Butylhydroxybutylnitrosamine is N-butyl-N-(4-hydroxybutyl)nitrosamine. Its molecular formula is C8H19NO3. It is a white to off-white crystalline powder, soluble in water and alcohol.
It is important to note that Butylhydroxybutylnitrosamine is not used in human medicine or therapy due to its carcinogenic properties. Its use is restricted to research purposes only, under controlled conditions and with appropriate safety measures in place.
Urination, also known as micturition, is the physiological process of excreting urine from the urinary bladder through the urethra. It is a complex process that involves several systems in the body, including the urinary system, nervous system, and muscular system.
In medical terms, urination is defined as the voluntary or involuntary discharge of urine from the urethra, which is the final pathway for the elimination of waste products from the body. The process is regulated by a complex interplay between the detrusor muscle of the bladder, the internal and external sphincters of the urethra, and the nervous system.
During urination, the detrusor muscle contracts, causing the bladder to empty, while the sphincters relax to allow the urine to flow through the urethra and out of the body. The nervous system plays a crucial role in coordinating these actions, with sensory receptors in the bladder sending signals to the brain when it is time to urinate.
Urination is essential for maintaining the balance of fluids and electrolytes in the body, as well as eliminating waste products such as urea, creatinine, and other metabolic byproducts. Abnormalities in urination can indicate underlying medical conditions, such as urinary tract infections, bladder dysfunction, or neurological disorders.
The urinary tract is a system in the body responsible for producing, storing, and eliminating urine. It includes two kidneys, two ureters, the bladder, and the urethra. The kidneys filter waste and excess fluids from the blood to produce urine, which then travels down the ureters into the bladder. When the bladder is full, urine is released through the urethra during urination. Any part of this system can become infected or inflamed, leading to conditions such as urinary tract infections (UTIs) or kidney stones.
Urinary Tract Infections (UTIs) are defined as the presence of pathogenic microorganisms, typically bacteria, in any part of the urinary system, which includes the kidneys, ureters, bladder, and urethra, resulting in infection and inflammation. The majority of UTIs are caused by Escherichia coli (E. coli) bacteria, but other organisms such as Klebsiella, Proteus, Staphylococcus saprophyticus, and Enterococcus can also cause UTIs.
UTIs can be classified into two types based on the location of the infection:
1. Lower UTI or bladder infection (cystitis): This type of UTI affects the bladder and urethra. Symptoms may include a frequent and urgent need to urinate, pain or burning during urination, cloudy or strong-smelling urine, and discomfort in the lower abdomen or back.
2. Upper UTI or kidney infection (pyelonephritis): This type of UTI affects the kidneys and can be more severe than a bladder infection. Symptoms may include fever, chills, nausea, vomiting, and pain in the flanks or back.
UTIs are more common in women than men due to their shorter urethra, which makes it easier for bacteria to reach the bladder. Other risk factors for UTIs include sexual activity, use of diaphragms or spermicides, urinary catheterization, diabetes, and weakened immune systems.
UTIs are typically diagnosed through a urinalysis and urine culture to identify the causative organism and determine the appropriate antibiotic treatment. In some cases, imaging studies such as ultrasound or CT scan may be necessary to evaluate for any underlying abnormalities in the urinary tract.
Cystoscopy is a medical procedure that involves the insertion of a thin, flexible tube with a camera and light on the end (cystoscope) into the bladder through the urethra. This procedure allows healthcare professionals to examine the lining of the bladder and urethra for any abnormalities such as inflammation, tumors, or stones. Cystoscopy can be used for diagnostic purposes, as well as for therapeutic interventions like removing small bladder tumors or performing biopsies. It is typically performed under local or general anesthesia to minimize discomfort and pain.
Urinary incontinence is defined as the involuntary loss or leakage of urine that is sufficient to be a social or hygienic problem. It can occur due to various reasons such as weak pelvic muscles, damage to nerves that control the bladder, certain medications, and underlying medical conditions like diabetes, multiple sclerosis, or Parkinson's disease.
There are different types of urinary incontinence, including stress incontinence (leakage of urine during physical activities like coughing, sneezing, or exercising), urge incontinence (a sudden and strong need to urinate that results in leakage), overflow incontinence (constant dribbling of urine due to a bladder that doesn't empty completely), functional incontinence (inability to reach the bathroom in time due to physical or mental impairments), and mixed incontinence (a combination of any two or more types of incontinence).
Urinary incontinence can significantly impact a person's quality of life, causing embarrassment, social isolation, and depression. However, it is a treatable condition, and various treatment options are available, including bladder training, pelvic floor exercises, medications, medical devices, and surgery.
Urinary catheterization is a medical procedure in which a flexible tube (catheter) is inserted into the bladder through the urethra to drain urine. This may be done to manage urinary retention, monitor urine output, or obtain a urine sample for laboratory testing. It can be performed as a clean, intermittent catheterization, or with an indwelling catheter (also known as Foley catheter) that remains in place for a longer period of time. The procedure should be performed using sterile technique to reduce the risk of urinary tract infection.
Smooth muscle, also known as involuntary muscle, is a type of muscle that is controlled by the autonomic nervous system and functions without conscious effort. These muscles are found in the walls of hollow organs such as the stomach, intestines, bladder, and blood vessels, as well as in the eyes, skin, and other areas of the body.
Smooth muscle fibers are shorter and narrower than skeletal muscle fibers and do not have striations or sarcomeres, which give skeletal muscle its striped appearance. Smooth muscle is controlled by the autonomic nervous system through the release of neurotransmitters such as acetylcholine and norepinephrine, which bind to receptors on the smooth muscle cells and cause them to contract or relax.
Smooth muscle plays an important role in many physiological processes, including digestion, circulation, respiration, and elimination. It can also contribute to various medical conditions, such as hypertension, gastrointestinal disorders, and genitourinary dysfunction, when it becomes overactive or underactive.
Urinary retention is a medical condition in which the bladder cannot empty completely or at all, resulting in the accumulation of urine in the bladder. This can lead to discomfort, pain, and difficulty in passing urine. Urinary retention can be acute (sudden onset) or chronic (long-term). Acute urinary retention is a medical emergency that requires immediate attention, while chronic urinary retention may be managed with medications or surgery. The causes of urinary retention include nerve damage, bladder muscle weakness, prostate gland enlargement, and side effects of certain medications.
Cystectomy is a surgical procedure in which all or part of the urinary bladder is removed. This procedure is often used to treat bladder cancer, but it may also be necessary in cases of severe bladder damage, infection, or inflammation that do not respond to other treatments.
There are several types of cystectomy, including:
1. Radical cystectomy: This is the most common type of cystectomy performed for bladder cancer. It involves removing the entire bladder, as well as nearby lymph nodes, the prostate gland in men, and the uterus, ovaries, fallopian tubes, and a portion of the vagina in women.
2. Partial cystectomy: In this procedure, only a part of the bladder is removed. This may be an option for patients with early-stage bladder cancer that has not spread deeply into the bladder muscle or to other parts of the body.
3. Urinary diversion: After a cystectomy, the surgeon must create a new way for urine to leave the body. This may involve creating a urostomy, in which a piece of intestine is used to form a stoma (an opening) on the abdominal wall, through which urine can be collected in a bag. Alternatively, the surgeon may create an internal pouch using a segment of intestine, which can then be connected to the ureters and allowed to drain into the rectum or vagina.
As with any surgical procedure, cystectomy carries risks such as bleeding, infection, and reactions to anesthesia. Patients may also experience long-term complications such as urinary incontinence, sexual dysfunction, and changes in bowel habits. However, for many patients with bladder cancer or other severe bladder conditions, cystectomy can be a life-saving procedure.
Urodynamics is a medical test that measures the function and performance of the lower urinary tract, which includes the bladder, urethra, and sphincters. It involves the use of specialized equipment to record measurements such as bladder pressure, urine flow rate, and residual urine volume. The test can help diagnose various urinary problems, including incontinence, urinary retention, and overactive bladder.
During the test, a small catheter is inserted into the bladder through the urethra to measure bladder pressure while filling it with sterile water or saline solution. Another catheter may be placed in the rectum to record abdominal pressure. The patient is then asked to urinate, and the flow rate and any leaks are recorded.
Urodynamics can help identify the underlying cause of urinary symptoms and guide treatment decisions. It is often recommended for patients with complex or persistent urinary problems that have not responded to initial treatments.
'Bufo marinus' is the scientific name for a species of toad commonly known as the Cane Toad or Giant Toad. This toad is native to Central and South America, but has been introduced to various parts of the world including Florida, Australia, and several Pacific islands. The toad produces a toxic secretion from glands on its back and neck, which can be harmful or fatal if ingested by pets or humans.
Intravesical administration refers to the instillation of medication directly into the bladder through a catheter or other medical device. This method is often used to deliver treatments for various bladder conditions, such as interstitial cystitis, bladder cancer, and chronic bladder infections. The medication is held in the bladder for a specified period, usually ranging from a few minutes to several hours, before being urinated out. This allows the medication to come into close contact with the bladder lining, potentially enhancing its effectiveness while minimizing systemic side effects.
Urine is a physiological excretory product that is primarily composed of water, urea, and various ions (such as sodium, potassium, chloride, and others) that are the byproducts of protein metabolism. It also contains small amounts of other substances like uric acid, creatinine, ammonia, and various organic compounds. Urine is produced by the kidneys through a process called urination or micturition, where it is filtered from the blood and then stored in the bladder until it is excreted from the body through the urethra. The color, volume, and composition of urine can provide important diagnostic information about various medical conditions.
Urinary calculi, also known as kidney stones or nephrolithiasis, are hard deposits made of minerals and salts that form inside the urinary system. These calculi can develop in any part of the urinary system, which includes the kidneys, ureters, bladder, and urethra.
The formation of urinary calculi typically occurs when there is a concentration of certain substances, such as calcium, oxalate, uric acid, or struvite, in the urine. When these substances become highly concentrated, they can crystallize and form small seeds that gradually grow into larger stones over time.
The size of urinary calculi can vary from tiny, sand-like particles to large stones that can fill the entire renal pelvis. The symptoms associated with urinary calculi depend on the stone's size, location, and whether it is causing a blockage in the urinary tract. Common symptoms include severe pain in the flank, lower abdomen, or groin; nausea and vomiting; blood in the urine (hematuria); fever and chills; and frequent urge to urinate or painful urination.
Treatment for urinary calculi depends on the size and location of the stone, as well as the severity of symptoms. Small stones may pass spontaneously with increased fluid intake and pain management. Larger stones may require medical intervention, such as extracorporeal shock wave lithotripsy (ESWL), ureteroscopy, or percutaneous nephrolithotomy (PCNL) to break up or remove the stone. Preventive measures include maintaining adequate hydration, modifying dietary habits, and taking medications to reduce the risk of stone formation.
Hematuria is a medical term that refers to the presence of blood in urine. It can be visible to the naked eye, which is called gross hematuria, or detected only under a microscope, known as microscopic hematuria. The blood in urine may come from any site along the urinary tract, including the kidneys, ureters, bladder, or urethra. Hematuria can be a symptom of various medical conditions, such as urinary tract infections, kidney stones, kidney disease, or cancer of the urinary tract. It is essential to consult a healthcare professional if you notice blood in your urine to determine the underlying cause and receive appropriate treatment.
Muscle contraction is the physiological process in which muscle fibers shorten and generate force, leading to movement or stability of a body part. This process involves the sliding filament theory where thick and thin filaments within the sarcomeres (the functional units of muscles) slide past each other, facilitated by the interaction between myosin heads and actin filaments. The energy required for this action is provided by the hydrolysis of adenosine triphosphate (ATP). Muscle contractions can be voluntary or involuntary, and they play a crucial role in various bodily functions such as locomotion, circulation, respiration, and posture maintenance.
A urinary bladder fistula is an abnormal connection or passage between the urinary bladder and another organ or structure, such as the skin, intestine, or vagina. This condition can result from various factors, including surgery, injury, infection, inflammation, radiation therapy, or malignancy.
Bladder fistulas may lead to symptoms like continuous leakage of urine through the skin, frequent urinary tract infections, and fecal matter in the urine (when the fistula involves the intestine). The diagnosis typically involves imaging tests, such as a CT scan or cystogram, while treatment often requires surgical repair of the fistula.
Urinary diversion is a surgical procedure that involves the creation of a new way for urine to leave the body, bypassing the native urinary system. This is typically performed in individuals who have damaged or removed urinary systems due to conditions such as cancer, severe trauma, or congenital abnormalities.
There are several types of urinary diversions, including:
1. Ileal Conduit: A segment of the small intestine (ileum) is used to create a passageway for urine to flow from the ureters to an external collection bag or pouch worn on the abdomen.
2. Continent Urinary Reservoir: A pouch-like reservoir is created using a segment of the intestine, which is then connected to the ureters. The patient periodically empties the reservoir through a stoma (opening) in the abdominal wall using a catheter.
3. Orthotopic Neobladder: A pouch-like reservoir is created using a segment of the intestine, which is then connected to the urethra, allowing for normal urination through the native urethral opening.
These procedures can significantly improve the quality of life for patients with severe urinary system damage or disease, although they do come with potential complications such as infections, stone formation, and electrolyte imbalances.
The urethra is the tube that carries urine from the bladder out of the body. In males, it also serves as the conduit for semen during ejaculation. The male urethra is longer than the female urethra and is divided into sections: the prostatic, membranous, and spongy (or penile) urethra. The female urethra extends from the bladder to the external urethral orifice, which is located just above the vaginal opening.