Earticle

초록

영어

The neurological regulation of the lower urinary tract can be viewed separately from the perspective of sensory neurons and motor neurons. First, in the receptors of the bladder and urethra of sensory nerves, sensations are transmitted through the periaqueductal gray matter of the midbrain to the cerebral cortex, and the cerebrum goes through the process of decision-making. Motor neurons are divided into upper motor neurons (UMNs) and lower motor neurons (LMNs). UMNs coordinate storage and micturition in the brain stem so that synergic voiding can occur. LMNs facilitate muscle contractions in the spinal cord. The muscles involved in urinary storage and micturition are innervated by the somatic branches of sympathetic, parasympathetic, and peripheral nerves. Sympathetic nerves are responsible for contractions of urethral smooth muscles, while parasympathetic nerves originate from S2–S4 and are in charge of contractions of the bladder muscle. Somatic nerves originate from the motor neurons in Onuf’s nucleus, which is a specific part of somatic nerves. In this review, we will investigate the structures of the nervous systems related to the lower urinary tract and the regulatory system of innervation for the urinary storage and micturition and discuss the clinical significance and future prospects of neurourological research.

목차

Abstract
INTRODUCTION
THE PERIPHERAL NERVOUS SYSTEM OF THE LOWER URINARY TRACT
Parasympathetic nerves
Sympathetic nerves
Somatic nerves
Afferent innervation
Interactions between the urothelium and afferent nerves
THE CENTRAL NERVOUS SYSTEM OF THE LOWER URINARY TRACT
Spinal cord
Brain stem: pons and PAG
The cerebrum: regulatory mechanisms identified through human brain imaging research
PHYSIOLOGY OF URINARY CONTINENCE AND MICTURITION REFLEX
The reflex circuit that regulates urinary storage
The reflex circuit that regulates micturition
THE CENTRAL PATHWAY THAT REGULATES THE MICTURITION REFLEX
CLINICAL SIGNIFICANCE
DIRECTIONS OF NEUROUROLOGICAL RESEARCH
NEUROUROLOGICAL RESEARCH PERSPECTIVES
CONFLICT OF INTEREST
ACKNOWLEDGMENTS
REFERENCES

키워드

저자

• Chung Lyul Lee [ Department of Urology, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea ] co-first authors.
• Jaegeun Lee [ Department of Urology, Chungnam National University Sejong Hospital, Chungnam National University School of Medicine, Sejong, Korea ] co-first authors.
• Jong Mok Park [ Department of Urology, Chungnam National University Sejong Hospital, Chungnam National University School of Medicine, Sejong, Korea ]
• Hyun Seok Na [ Department of Urology, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea ]
• Ju Hyun Shin [ Department of Urology, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea ]
• Yong Gil Na [ Department of Urology, Chungnam National University Sejong Hospital, Chungnam National University School of Medicine, Sejong, Korea ]
• Khae Hawn Kim [ Department of Urology, Chungnam National University Sejong Hospital, Chungnam National University School of Medicine, Sejong, Korea ] Corresponding Author

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  JER [Journal of Exercise Rehabilitation]

• 간기

  격월간

• pISSN

  2288-176X

• eISSN

  2288-1778

• 수록기간

  2013~2026

• 등재여부

  SCOPUS,KCI 등재

• 십진분류

  KDC 517 DDC 613