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Bladder emptying is due to the contraction of the detrusor muscle , which is coordinated with sphincter relaxation of two structures: the sphincter of the trine or internal sphincter and sphincter urogenital or external sphincter. Urination is essentially an act of reflection, in which the stimulus trigger is the organ bladder distension beyond certain limits following the rise in urinary content. In normal conditions the muscles of the bladder wall contracts when intracavitary pressure reaches 16-18 cm H 2 O, corresponding to a urine volume of about 400 ml: in such circumstances urination can be voluntarily prevented by the intervention of the conscious cortex brain through the pudendal nerve outside, sends excitatory impulses (anti-urination) urogenital sphincter. Through this mechanism it is possible to hold urine in the bladder voluntarily until urinary volumes on the order of 700-800 ml. Above these values, the micturition reflex becomes uncontrollable and the emptying of the bladder is done automatically, without the possibility of voluntary control.
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