【摘 要】
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Preservation of the superior hypogastric nerve plexus,the hypogastric nerve and the inferior hypogastric plexus is important for function of the bladder and rec
【机 构】
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UniversityofArizona
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Preservation of the superior hypogastric nerve plexus,the hypogastric nerve and the inferior hypogastric plexus is important for function of the bladder and rectum.The superior hypogastric plexus is composed of sympathetic nerves which allow the bladder to store urine.If this is damaged the bladder will have a small volume and high pressure under parasympathetic control.The inferior hypogastric plexus is composed of parasympathetic nerves which initiate urination.If the inferior hypogastric plexus is damaged the patient will have lack of sensation and be unable to initiate urination.The hypogastric nerve connects the two plexes.If it is cut the patient will have a mixed pattern consisting of an initial small volume,high pressure phase followed by a hypotonic high residual state.This may lead to chronic self catheterization.
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