Intra- and extraganglionic peripheral cholinergic neurons in the urogenital organs of the cat

Age-related changes in urinary bladder intramural neurons

A quantitative morphometric evaluation of the intramural plexus of the urinary bladder of adult and aged guinea-pigs was performed by histological analysis, scanning electron microscopy, and hystochemical methods, such as NADH-diaphorase and acetylcholinesterase (AChE). The round or oval shaped intramural neurons were revealed among the bundles of the smooth detrusor muscle in clusters containing a variable number of cells in the groups. In both adult control and aged animals, the ganglia were enveloped by a ganglionar capsule of connective tissue mainly composed of type I collagen fibers. The number of neurons NADH-diaphorase positives estimated in the intramural plexus was 1433+/-187.71 and 1107+/-120.67 in the adult control and aged groups, respectively. The perikaryon areas of the NADH-diaphorase neurons reactives ranged from 216.40 to 1809.30 microm(2) in adult control group and from 198.20 to 2096.25 microm(2) in aged group. The nuclear area showed an increase in aged animals. The number of AChE-positive neurons estimated in the intramural plexus was 3294.67+/-415 microm(2) in the adult control group and 1960.33+/-526 microm(2) in the aged group, showing a significant decrease in the latter group. This age-related morphological change in intramural neurons may contribute to changes in urinary bladder activities in the elderly.

Functional anatomy of the organs of micturition

The anatomy of the organs of micturition has been the subject of study for nearly 150 years. As a result of advances in techniques and methods of clinical and research investigation, studies over the past three decades have intensified and have been increasingly directed at the functional implications and significance of organ anatomy and structure. This has led to revision of many traditional ideas about micturition and the development of new viewpoints and modalities for study of its disorders. This article summarizes the evolution of our thinking and understanding of the functional anatomy of the bladder and urethra over the years, and suggests possible directions for continued clinical study and investigation.