
Most of the system controlling the bladder lies inside
the pelvis, which is shaped like a large bowl. A balloon-shaped
muscle located just below the belly button, the bladder stores
urine. When you urinate, the muscle tightens up to squeeze
the urine out. Urine leaves the body through the urethra,
a tube surrounded by two sphincter muscles. The urethra is
kept closed by the sphincter muscles squeezing like rubber
bands. What are known as pelvic floor muscles under the bladder
also help keep the urethra closed.
Once the bladder becomes full,
the brain is signaled that you need to get to a bathroom.
When the toilet is reached, the brain signals the sphincter
and pelvic floor muscles to relax, allowing urine to pass
out through the urethra. The bladder tightens up, allowing
the urine to flow out of it.
Normal Bladder Control
Having normal bladder control means
you urinate only when you need or want to. Good bladder
control means that all parts of the system
must work in sync:
- The pelvic muscles must hold up the
urethra and bladder
- The urethra must be open and shut
by the sphincter muscles
- The bladder and pelvic
floor muscles must be controlled by the nerves
Losing Control
You begin to lose normal control
of your bladder when the muscles become too active. At
this point, you may experience urge incontinence.
There
are several reasons why your bladder may be too active,
some of these include:
- Nerve damage
- A bladder infection
- Alcohol
- Some medications
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