I'm a nursing student and even though I don't need to know how micturition works in this much detail, your explanations were just so well-done and intriguing that I couldn't stop watching.
Absolutely remarkable! Thank you so much for posting this. It would also be really helpful if you could briefly describe the pathophysiology of the various types of urinary incontinences.
This is an astonishing presentation. I am casting a wide net I search of a cure for my incontinence 10 months after surgery (NNS RALP/PLND). I’ve found nothing more clear or complete on the anatomy of this topic, including explanations and diagrams from my own doctors and therapists. Thank you!
I think this was left out of my medical school lectures... thank you for making and sharing these so I can better understand urinary physiology, pathology, and pharmacology
Thank you for this explanation, now I understand better that normal functioning of active voiding contractions are initiated by messages of the efferent side of the reflex arc .
You are God sir! Pls keep making more such VIDEOS... The first place I look for a video on a topic that disturbs me is here.. if I don't find a video on that topic by you, I am forced to look elsewhere, but if I do get it here... There's no reason left for me to anywhere else! Your explanation is pure AMAZING and I appreciate you for your hard work! Thank you so much sir! Love from India❤️
I am in love with your hand writing, and you're diagrams are also impeccably neat. It's as though you were born to stand before a white board and shine light on obscure physiology topics.
It's funny. In Med and Bio classes we still need to draw things like this. I am terrible at it, but you are getting graded on the fact that you have an understanding of where everything is. Not how well you draw them
Dear Armando I am a medical student from Denmark and I enjoy your videoes very much. They supplement my reading very well. I do have a question though about the voiding reflex that you mention in the last part of the above video. You describe it as it is an interplay between the sensory nerve fibers ind the detrusor muscle, the interneuron in the sacral part and the pelvic nerve that makes a loop and ensures continued voiding. As I understood it, the voiding reflex is based on an interplay between sensory fibers in the urethra, not the detrusor. In my mind this makes more sense, in that the flow of urine will keep the urethra dilated and thus stimulate the stretch receptors there, whereas the sensory fibers of the detrusor will not stretch at all during contraction. What are your thoughts on this? Thanks for your time and effort.
Thank you so much :) Just a note, some medschools teach that females do have an internal sphincter, as physiologically they do, but anatomically it hasn't been found. Check your course requirements.
It is a functional sphincter not anatomical; so it is correct to state that females also have an internal sphincter even though it is not found like a separate structure with dissection like the male one
I just remembered watching this a few years ago and it was very interesting, so I had to look it up again. incidentally, watching this while I have a full bladder makes me appreciate it all the more. lol
I'm not a medical student or professional but I have studied human anatomy and physiology, neurology and human behaviour by myself for a number of years now. I'm so pleased with myself because I was able to follow most of the terminology you used and the basic structures. I now need to learn about the efferent and afferent nervous system and various receptors and what happens when the bladder is empty or full (as well as voiding) in more detail, and your video here is just perfect for me to stretch my understanding of the urinary system and micturition. Your drawings are outstanding, as is your commentary! I learned much from you - thank you very much!
Sir your explanation is incredible and remarkable,, you are genius, I am soo much glad after watching this video, u are great ful, thnkuuu soo much sir, alot of respect for you, incredible job.
internal sphincter is present in female and Females do have a more elaborate external sphincter muscle than males as it is made up of three parts: the sphincter urethrae, urethrovaginal muscle, and the compressor urethrae.
Great video. One thing I would comment on is that the somatic control of the external sphincter should be coming from the cerebral cortex, not the pons. none the less, excellent explanation.
The best explanation ever💓😍just that the females do have an internal sphincter...but the rest of the video is just outstanding😍💓 may Allah give u the reward for helping students💓
Dear Dr.Armando very nice video and explanation. i have a small correction on ur video that the hypogastric nerve is in the Lumber region L2, just to in form the people who follow ur videos including me, and again thank u very much
I'm a nursing student and even though I don't need to know how micturition works in this much detail, your explanations were just so well-done and intriguing that I couldn't stop watching.
the finest explanation i even seen, with awsm digrams and handwriting ❤ take love from India❤
@Wells Miles plpppp0
Shi m mja gya bhai 👌
Absolutely remarkable! Thank you so much for posting this. It would also be really helpful if you could briefly describe the pathophysiology of the various types of urinary incontinences.
thanks for your vids they are life saving when you have bad lecture notes and good to watch after reading guton book
Thank you. A massive improvement on Gray's anatomy book 60 years ago. Fantastic refresher course.
This is an astonishing presentation. I am casting a wide net I search of a cure for my incontinence 10 months after surgery (NNS RALP/PLND). I’ve found nothing more clear or complete on the anatomy of this topic, including explanations and diagrams from my own doctors and therapists. Thank you!
I think this was left out of my medical school lectures... thank you for making and sharing these so I can better understand urinary physiology, pathology, and pharmacology
excellent explanation , with very high standard pics and absolutely clear concept ,hats of ,keep it up
Armando, hats off, to the casual, non chalant, but confident way, you draw figures. Furthermore, your accent seems to have improved. Kudos !!!!
Ur diagrammatic explanations are really very helpful to understand the concepts better.ur teaching is just awesome sirr.
Thank you for this explanation, now I understand better that normal functioning of active voiding contractions are initiated by messages of the efferent side of the reflex arc .
Wow I'm am speechless the best explanation on micturation I have come across love from 🇮🇳 india 😍
Thank you!
You are God sir! Pls keep making more such VIDEOS... The first place I look for a video on a topic that disturbs me is here.. if I don't find a video on that topic by you, I am forced to look elsewhere, but if I do get it here... There's no reason left for me to anywhere else! Your explanation is pure AMAZING and I appreciate you for your hard work! Thank you so much sir! Love from India❤️
I am in love with your hand writing, and you're diagrams are also impeccably neat. It's as though you were born to stand before a white board and shine light on obscure physiology topics.
look carefully, diagrams are already sketched on paper.. he is just highlighting again.. i just noticed
It's funny. In Med and Bio classes we still need to draw things like this. I am terrible at it, but you are getting graded on the fact that you have an understanding of where everything is. Not how well you draw them
THATS A SOFTWARE
@@dr.kalsoomsahibzada9736 the name of the software please? Thank you.
Gifted in sci and art. A Da Vinci of sorts
Sir, you should be rewarded for this masterpiece!! I'm speechless and idk how to thank you enough, god bless you❤
Thank you so much. I think i learned from you more than any professor in med school!
Beautifully explained....
Beautiful diagrams...
Thank you very much 🙏🙏
Dear Armando I am a medical student from Denmark and I enjoy your videoes very much. They supplement my reading very well. I do have a question though about the voiding reflex that you mention in the last part of the above video. You describe it as it is an interplay between the sensory nerve fibers ind the detrusor muscle, the interneuron in the sacral part and the pelvic nerve that makes a loop and ensures continued voiding. As I understood it, the voiding reflex is based on an interplay between sensory fibers in the urethra, not the detrusor. In my mind this makes more sense, in that the flow of urine will keep the urethra dilated and thus stimulate the stretch receptors there, whereas the sensory fibers of the detrusor will not stretch at all during contraction. What are your thoughts on this? Thanks for your time and effort.
Thank you so much 🙌🙌🙌 the concept went and sat straight in my head! 🎉
Thank you so much :) Just a note, some medschools teach that females do have an internal sphincter, as physiologically they do, but anatomically it hasn't been found. Check your course requirements.
If it hasn't been found is this not conjecture?
I guess for girls the internal sphincter gets weaken as she age.
Same goes for men aswell. Smoking can weaken your muscles.
Now i also shocked because we've learned that females also have internal sphincters, I guess this channel should update their knowledge
It is a functional sphincter not anatomical; so it is correct to state that females also have an internal sphincter even though it is not found like a separate structure with dissection like the male one
I just remembered watching this a few years ago and it was very interesting, so I had to look it up again. incidentally, watching this while I have a full bladder makes me appreciate it all the more. lol
Just watch when you go to empty it. Not too fast
I think there is no other way to explain better than dis ......u r d best...... thank u very much Armando 😍
It helped me a lot .. My presentation was appreciated because of this videos.
Fantastic job! Always continue to learn more. Thank you
I'm not a medical student or professional but I have studied human anatomy and physiology, neurology and human behaviour by myself for a number of years now. I'm so pleased with myself because I was able to follow most of the terminology you used and the basic structures. I now need to learn about the efferent and afferent nervous system and various receptors and what happens when the bladder is empty or full (as well as voiding) in more detail, and your video here is just perfect for me to stretch my understanding of the urinary system and micturition. Your drawings are outstanding, as is your commentary! I learned much from you - thank you very much!
why do you study it? really inspirational thhough
This is helpful, thank you
You sir, are incredible. Thank you for the upload.
An easy and well explained video.
Thanks from Bangladesh 🇧🇩
Awesome 👏🏼 simple yet comprehensive 👍🏼 keep it up
so simple and so helpful as always... thank you
Clear concept and with awesome diagrams.... thank you so much this helped me a lot...
Excellent.Explained with great clarity.
Life saver❤ amazing diagram and crystal clear explanation 🥺🥺❤
Only just realised there are faint pencil outlines which he draws over for the diagrams. Anyway, thanks so much! :)
Amazingly clear explanation! Thank you
I'm a medical student, and I love your videos. Can you make some pdfs available of your finished diagrams? That would be incredible!
in which grade, are uhh?
Excellent, complicated process made super super easy, thank you very much
This Is the best video I've ever watched about micturition🙌🙌💯💯💯.. Thank You very much🤗.
studying medicin in germany.you explain it much better ! thanks
Better explanation than given in First Aid.
Thank you 👍 and pray for my exam..
Exciting and to the point explanation , good job
Your video just made this a whole lot easier for me!!! Thanks
Very Interesting as well as your teaching skills are Excellent thank you.
Sir your explanation is incredible and remarkable,, you are genius, I am soo much glad after watching this video, u are great ful, thnkuuu soo much sir, alot of respect for you, incredible job.
We need to call you the good and the greatest teacher in the world 😍😍😍thank you sooooooo much 🧖♀️👏👏👏
very simplified and easily understood..must watch
Simply amazing explanation 🙇
Clear as water, very nice explanation, thanks!!
Great refresher. Perfectly explained
That afferent pelvic n. had me confused for a long time. Thank you!
Really it is the best explanation for micturition physiology I have ever read.
very helpful videos...thank you sir.....
Thank you so much! I really appreciate it, This video helped me a lot
Thank you for making this brief summary. :)
Very good. Clear illustration.
Thank you so much. Very useful and simple video!!
And back here again in my 2nd year of residency after the last time here was during my premed days, thank youuuu
Wonderful presentation sir
I SAW THE PENCIL LINES! lol you're still the best.
Wonderful and it is enough that it reminds us with classic teaching
PERFUCT , what such a an amazing video !!! thanks man
You are the best, armando.. appreciate
THANKS FOR HELPING ME UNDERSTAND THIS TOPIC
Excellent diagram and explaination
This was so helpful 🇿🇲
very good.. thanks for the lecture
Thank you sir
love from Malaysia
Very good job sir! Thank you👍
absolutely enjoyed ty man very helpful
Excellent presentation
please make a vido about the juxtaglomerural apparatus and the renin angiotensin pathway
Love your drawing and explanation so much :))))
internal sphincter is present in female and Females do have a more elaborate external sphincter muscle than males as it is made up of three parts: the sphincter urethrae, urethrovaginal muscle, and the compressor urethrae.
but it gets weakened post-partum
This channel is one of the best 🫶🏾❤️
Thank you for saving us
So far the best explanation!
Thank you for such a nice explanation🙏🙏
this video is really helpful, thankyou
Great video. One thing I would comment on is that the somatic control of the external sphincter should be coming from the cerebral cortex, not the pons. none the less, excellent explanation.
outstanding tremendous video , thank you so much !!
Thank you so much! Very well explained
excellent work bro, go ahead. thank a lot
what's a great video , thanks a lot for your priceless effort ...👍👌
The best explanation is ever seen.. So far
Thank you Armando ❤
Great explanation! Thank you very much!
Excellent explanation.. 👍👍
The best explanation ever💓😍just that the females do have an internal sphincter...but the rest of the video is just outstanding😍💓 may Allah give u the reward for helping students💓
Why are you unnecessarily mentioning your nonexistent Allah in this?
Cara muito obrigada! Revisao bem revisada antes da prova de urinário
very nicely explained.
This really helped a lot... thank you ❤
Dear Dr.Armando very nice video and explanation. i have a small correction on ur video that the hypogastric nerve is in the Lumber region L2, just to in form the people who follow ur videos including me, and again thank u very much
According to Guyton 12th edition P312
Tariq Jihad actually he is right, it is coming from toracolumbar region, which is T11-L2 that making hypogastric plexus. CMIIW :s
The hypogastric nerve enters the sympathetic chain at T10-L2.
So amazingly done🙂
Very nice lecture.Now i came to know why in UMN bladder its spastic and in LMN bladder its flaccid
Can't believe i spent 2 hours reading about this when it was taught so well in 15min !
Loved your video. You've made it simple and easy to understand. For me female pelvic structures and functions is basic....Great content, 👏🏽
THANK YOU SO MUCH FOR THIS!
thank you so much, how can this video not going viral
Thank you! Great videos. Helped me get through exams
great video thank you doctor
Helpfully....God bless you
Loved it. Thank you