Abstract
This chapter discusses the neuronal mechanisms that operate in the normal filling and emptying phases of the bladder function. The experimental evidence derives mostly from animal studies, but there are no reasons to believe that human bladder reflexes have a fundamentally different organization. The study of an autonomic or vegetative event, such as micturition, has shown that it is inappropriate to consider these functions as “simple” reflexes. In the periphery, a high level of co-ordinated activity between the different structures is necessary for the successful operation of this system. It is clear that even apparently simple reflexes, such as the pelvic nerve efferent firing that is seen on the pelvic afferent stimulation, do not represent simple central circuity.
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