Abstract
There can be little doubt that there is a sensory interaction between the neighbouring viscera urinary bladder and lower bowel. Anatomical, neurological findings show this clearly and prove has been found in animal and human studies. The interaction does not only creates an influence of one system to the other in the normal function but can induce spreading of pathology from one to the other. A clinical consequence is that when examination is done of one system, a proper interpretation of the findings can only be made if information is available of the other system. A simple example is the urodynamic testing where sensory data can differ if a bowel is empty or full. Pelvic sensory syndromes as BPS/IC and IBS often are present together.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Botlero R, Bell RJ, Urquhart DM, Davis SR. Prevalence of fecal incontinence and its relationship with urinary incontinence in women living in the community. Menopause. 2011;18(6):685–9. https://doi.org/10.1097/gme.0b013e3181fee03b PMID: 21358353.
De Wachter S, de Jong A, Van Dyck J, Wyndaele JJ. Interaction of filling related sensation between anorectum and lower urinary tract and its impact on the sequence of their evacuation. A study in healthy volunteers. Neurourol Urodyn. 2007;26(4):481–485. https://doi.org/10.1002/nau.20384. PMID: 17274031.
De Wachter S, Wyndaele JJ. Impact of rectal distention on the results of evaluations of lower urinary tract sensation. J Urol. 2003;169(4):1392–4. https://doi.org/10.1097/01.ju.0000053393.45026.4d PMID: 12629369.
Galland L. The gut microbiome and the brain. J Med Food. 2014;17:1261–72. https://doi.org/10.1089/jmf.2014.7000.
Grundy L, Brierley SM. Cross-organ sensitization between the colon and bladder: to pee or not to pee? Am J Physiol Gastrointest Liver Physiol. 2018;314(3):G301–8. https://doi.org/10.1152/ajpgi.00272.2017. Epub 2017 Nov 16. PMID: 29146678.
Ma Q, Xing C, Long W, Wang HY, Liu Q, Wang RF. Impact of microbiota on central nervous system and neurological diseases: the gut-brain axis. J Neuroinflammation. 2019;16(1):53. https://doi.org/10.1186/s12974-019-1434-3. PMID: 30823925; PMCID: PMC6397457.
Malykhina AP, Wyndaele JJ, Andersson KE, De Wachter S, Dmochowski RR. Do the urinary bladder and large bowel interact, in sickness or in health? ICI-RS 2011. Neurourol Urodyn. 2012 Mar;31(3):352–8. https://doi.org/10.1002/nau.21228. Epub 2012 Feb 29. PMID: 22378593; PMCID: PMC3309116.
Malykhina AP. Neural mechanisms of pelvic organ cross-sensitization. Neuroscience. 2007;149(3):660–72. https://doi.org/10.1016/j.neuroscience.2007.07.053. Epub 2007 Sep 8. PMID: 17920206.
Minagawa T, Wyndaele M, Aizawa N, Igawa Y, Wyndaele JJ. Mechanisms of pelvic organ cross-talk: 2. Impact of colorectal distention on afferent nerve activity of the rat bladder. J Urol. 2013;190(3):1123–30. https://doi.org/10.1016/j.juro.2013.03.079. Epub 2013 Mar 28. PMID: 23542407.
Panayi DC, Khullar V, Digesu GA, Spiteri M, Hendricken C, Fernando R. Rectal distension: the effect on bladder function. Neurourol Urodyn. 2011;30(3):344–7. https://doi.org/10.1002/nau.20944. Epub 2011 Jan 25. PMID: 21268098
Panicker JN, Marcelissen T, von Gontard A, Vrijens D, Abrams P, Wyndaele M. Bladder-bowel interactions: Do we understand pelvic organ cross-sensitization? International Consultation on Incontinence Research Society (ICI-RS) 2018. Neurourol Urodyn. 2019;38 Suppl 5:S25–S34.
Persyn S, De Wachter S, Wyndaele M, Birder L, Wyndaele JJ. Mechanisms of pelvic organ cross-talk: impact of urethral ligation on the inhibitory rectovesical reflex. J Urol. 2014;192(5):1574–9. https://doi.org/10.1016/j.juro.2014.05.023. Epub 2014 May 14. PMID: 24835055
Qin C, Malykhina AP, Akbarali HI, Foreman RD. Cross-organ sensitization of lumbosacral spinal neurons receiving urinary bladder input in rats with inflamed colon. Gastroenterology. 2005;129(6):1967–78. https://doi.org/10.1053/j.gastro.2005.09.013 PMID: 16344065.
Wyndaele M, De Wachter S, De Man J, Minagawa T, Wyndaele JJ, Pelckmans PA, De Winter BY. Mechanisms of pelvic organ crosstalk: 1. Peripheral modulation of bladder inhibition by colorectal distention in rats. J Urol. 2013 Aug;190(2):765–71. doi: https://doi.org/10.1016/j.juro.2013.03.045. Epub 2013 Mar 21. PMID: 23524199.
Wyndaele M, De Winter BY, Pelckmans PA, De Wachter S, Van Outryve M, Wyndaele JJ. Exploring associations between lower urinary tract symptoms (LUTS) and gastrointestinal (GI) problems in women: a study in women with urological and GI problems vs a control population. BJU Int. 2015;115(6):958–67. https://doi.org/10.1111/bju.12904. Epub 2014. PMID: 25124824.
Zhu L, Lang J, Liu C, Han S, Huang J, Li X. The epidemiological study of women with urinary incontinence and risk factors for stress urinary incontinence in China. Menopause. 2009;16(4):831–6. https://doi.org/10.1097/gme.0b013e3181967b5d. PMID: 19240656.6344065.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Wyndaele, J.J. (2022). Sensory Interaction of Bladder and Bowel. In: Sensation in the Pelvic Region. Springer, Cham. https://doi.org/10.1007/978-3-031-16964-9_13
Download citation
DOI: https://doi.org/10.1007/978-3-031-16964-9_13
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-16963-2
Online ISBN: 978-3-031-16964-9
eBook Packages: MedicineMedicine (R0)