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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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