General Anatomy, Applied to Physiology and Medicine, Vol. 3 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 3 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
is convulsed; for if in an experiment this phenomenon takes place,
open the abdominal parietes, in an instant the flow of urine ceases,
because on the one hand the muscles of these parietes cannot act upon
the intestines and press them against the bladder, and because on the
other the levator ani which contracts and raises this organ, has no
resisting point against which it can compress it above. Observe in
fact that in strong jets of urine, the bladder is placed between two
opposite efforts, one superior, which is the gastric viscera pressed by
the diaphragm and the abdominal muscles, the other inferior, which is
especially the levator ani which acts by contracting from below above,
whilst the opposite effort acts from above below; now these two efforts
are evidently under the cerebral influence. I have very frequently
had occasion to observe the bladder full of urine in a living animal
whose abdomen was opened; I have never seen it contract with sufficient
violence to expel the fluid.
I do not deny but that the bladder, by the nerves it receives from the
sacral plexuses, is to a certain extent a voluntary muscle; but I say
that it is principally by forces accessory to its own and necessary
to its functions, that it is subjected to the will; that the animal
contractility is much greater in its functions than the sensible
organic contractility. How then is the urine retained in this organ,
or expelled from its cavity at will? In this way; when the urine falls
into the bladder, and is there on the one hand but a short time,
and on the other only in small quantity, it is not then an irritant
sufficiently powerful to produce the exercise of the sensible organic
contractility. The effort which the bladder makes is so small, that it
cannot overcome the resistance of the urethra, which being shut by the
contractility of texture, must be dilated by the impulse communicated
to the urine. In order to void this fluid, there must then be added
to the contraction of the bladder that of the surrounding voluntary
muscles; now the least effort of these muscles is sufficient to
overcome the resistance of the urethra. But if the urine is in great
quantity in the bladder, and it has acquired by remaining in it a
long time that deep colour which indicates the concentration of its
principles, then the irritation that it produces on the organ brings
powerfully into action the sensible organic contractility; the bladder
contracts, and in spite of the animal, there is an evacuation of urine.
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