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Glossary
Areflexia
Absence of reflexes
Atonic
Lacking normal tone or strength
Bladder Neck
The constricted portion of the bladder where it narrows to join the urethra
Candidiasis
Characteristic patch of erythema containing macules or papules with satellite lesions. Frequently associated with itching.
Cystometry
Method by which the pressure-volume relationship of the bladder is measured
Cystoscopy
A lighted scope is introduced into the bladder by way of the urethral meatus under anesthesia (local or general); provides visualization of the urethra and bladder for diagnostic or treatment purposes
Detrusor
Smooth muscle structure which composes the bladder
Diarrhea
Frequent passage of liquid/watery bowel movement in amounts greater than 150 ml stool per day, primarily the result of increased peristalsis
Dyssynergia
Disturbance of muscular coordination (e.g., detrusor-sphincter dyssynergia = failure of coordinated action of the detrusor muscle and sphincter)
Dysuria
Painful urination
Electromyography
Utilizes electrodes to measure and record striated muscle activity in the lower urinary tract(pelvic floor and sphincter)
Enuresis
Most often used to mean micturition occurring during sleep ("bedwetting")
Erosion/Denuding
Removal of the top layer of the skin
Erythema
Redness of the skin surface produced by vasodilatation
External Sphincter
Striated muscle which is innervated through the pudendal nerve. Under voluntary control.
Fecal Incontinence
Inability to control the passage of gas, liquid, and/or solids
Flow Rate
The volume of fluid expelled via the urethra per unit of time
GU
Genitourinary
Hematuria
Blood in the urine; may be gross or microscopic
Hydronephrosis
Enlargement of one or both of the kidneys caused by quantities of urine which cannot escape
Hyperreflexia
Over activity of reflexes due to disturbance of the nervous control mechanism
Internal Sphincter
A smooth muscle which is a continuation of the circular smooth muscle of the rectum. It begins at the most proximal portion of the anal canal and extends distally approximately 3 cm. Not under voluntary control.
Intravenous Pyelogram (IVP)
Serial x-rays taken after IV injection of radiopaque dye. Excretion of dye through kidneys allows visualization of the kidneys for size, location and shape and to evaluate the filling of the kidney pelvis and ureters
Intravesical Pressure
Pressure within the bladder
Lower Urinary Tract
Composed of the bladder and urethra
Maceration
Softening of the skin by soaking in fluids. Skin appears white and waterlogged.
Micturition
The passage of urine; urination; voiding
Mucosa
Innermost lining of the GI tract and bladder; mucous membrane
Nocturia
Being woken from sleep each night by the need to urinate
Obstruction
Blockage
Perineal Bridge or Body
Space between the vaginal orifice and anus in females; space between base of scrotum and anus in males.
Perineum
Pertaining to the region between the anus and the external genitalia
Pessary
A device inserted into the vagina to function as a supportive structure for the uterus
Prostate
A gland, which in the male, surrounds the neck of the bladder and urethra
Prostatectomy
Surgical removal of the prostate or a part of it
Pudendal Nerve
Nerve which innovates the external genitalia, especially of the female
Reflux
Backward flow
Residual Urine
Volume of fluid remaining in the bladder immediately following the completion of micturition; urine which remains in the bladder stagnates and may result in urinary tract infections
Retraction
Drawing back
Skin Sealant
Provides a clear copolymer protective layer to the skin that assists in removal of adhesives from the skin.
Stable
Term used to describe normal detrusor function
Stenosis
Narrowing; decrease in the diameter
Stricture
Narrowing; decrease in the diameter
Transurethral Resection of the Prostate (TUR, TURP)
Surgical procedure performed on men where all or part of an enlarged prostate is removed through the urethra
Trigone
Triangular landmark at base of bladder; it is between the two openings of the ureters and the urethra
Ureter
The tube leading from the kidney to the bladder
Urethral Incompetence
An incompetent urethral closure mechanism allows for leakage of urine

Passive: Associated with genuine stress incontinence; includes low urethral closure pressure, shortened profile length, negative urethral closing pressure with increased intra abdominal pressures - less increase in urethral closure pressure with upright positions; can occur in both sexes.

Active: Inappropriate relaxation; also known as unstable urethra; commonly associated with an unstable detrusor contraction.
Urinalysis
Chemical or microscopic analysis of urine
Urinary Meatus
External opening of the urethra
Urinary Tract
System which is comprised of the kidneys, ureters, bladder and urethra
Urodynamics
Encompasses the morphological, physiological, biomechanical and hydrodynamic aspects of urine transport
Video-Cystourethrogram (VCUG)
Consists of visualization by the radiologist of one abnormally fast filling and one emptying of the bladder with a number of spot films at appropriate intervals. This can be the most valuable assessment of lower urinary tract structure as it changes during the micturition cycle.
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