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Which brain circuits control the bladder?

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This review maps bladder-control regions/networks and notes only six micturition-phase imaging studies, with LPFC/pons most often activated while voiding.

Source

Functional brain imaging and central control of the bladder in health and disease

Pang D, Gao Y, Liao L · Frontiers in physiology · 2022

doi.org/10.3389/fphys.2022.914963Read the full paper ↗35 citationscc by

Study at a glance

Design
Other — Narrative review of functional imaging and brain-network models of bladder control
N
N=6 · Highlights six prior micturition-phase imaging studies (vs more storage-phase work)
Population
Healthy subjects and patients with bladder-control disorders in reviewed imaging studies
Outcome
Synthesis of regions/networks for storage vs micturition and disease-related FC changes

Structured fields used in claim comparison tables when every cited study has a complete layer.

What they did

Reviewed functional imaging/FC literature (and authors’ findings) across storage/micturition and disorders such as OAB and IC/BPS.

What they found

Many regions from pons/PAG to prefrontal/insula participate via networks; LPFC active in storage and voiding, MPFC flips, pons mainly in micturition; extends Griffiths network model.

The limits

What it doesn't show

Review synthesis is not a new single-cohort experiment proving one causal circuit.

Key terms

Micturition
Voiding phase of bladder control.
Periaqueductal grey (PAG)
Midbrain hub in continence/voiding circuits.
LPFC / MPFC
Lateral vs medial prefrontal cortex with phase-specific patterns.
Salience / default mode networks
Large-scale networks implicated in bladder FC studies.
Overactive bladder (OAB)
Urgency/frequency syndrome discussed in disease sections.
Functional connectivity (FC)
Correlated activity among bladder-control regions.

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Prior micturition-phase imaging studies:

Common questions

Micturition-phase studies counted?

Only six prior studies.

Most frequent micturition activations?

LPFC/inferior frontal gyrus and pons (five times).

Pons timing?

Activated only during micturition.

Model extended?

Griffiths et al. working model at network level.

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