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.
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 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
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 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
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
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 .
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.
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!
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❤️
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.
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
And back here again in my 2nd year of residency after the last time here was during my premed days, thank youuuu
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
excellent explanation , with very high standard pics and absolutely clear concept ,hats of ,keep it up
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. 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!
Wow I'm am speechless the best explanation on micturation I have come across love from 🇮🇳 india 😍
Thank you!
Best best best lecture ive ever been through on this app ... much blessings and prayers your way as a reward of this lecture.
May God bless you more .
Thank you so much. I think i learned from you more than any professor in med school!
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
Armando, hats off, to the casual, non chalant, but confident way, you draw figures. Furthermore, your accent seems to have improved. Kudos !!!!
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
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 🙌🙌🙌 the concept went and sat straight in my head! 🎉
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 .
It helped me a lot .. My presentation was appreciated because of this videos.
Fantastic job! Always continue to learn more. Thank you
You sir, are incredible. Thank you for the upload.
Excellent.Explained with great clarity.
Beautifully explained....
Beautiful diagrams...
Thank you very much 🙏🙏
Such an extraordinary tutorial. Thank you so much sir!
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?
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.
Ur diagrammatic explanations are really very helpful to understand the concepts better.ur teaching is just awesome sirr.
I think there is no other way to explain better than dis ......u r d best...... thank u very much Armando 😍
Thank you for making this brief summary. :)
so simple and so helpful as always... 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
Your video just made this a whole lot easier for me!!! Thanks
studying medicin in germany.you explain it much better ! thanks
Amazingly clear explanation! 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❤️
Great refresher. Perfectly explained
Awesome 👏🏼 simple yet comprehensive 👍🏼 keep it up
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
Better explanation than given in First Aid.
Thank you 👍 and pray for my exam..
Only just realised there are faint pencil outlines which he draws over for the diagrams. Anyway, thanks so much! :)
Exciting and to the point explanation , good job
Clear concept and with awesome diagrams.... thank you so much this helped me a lot...
Clear as water, very nice explanation, thanks!!
Thank you so much! I really appreciate it, This video helped me a lot
An easy and well explained video.
Thanks from Bangladesh 🇧🇩
PERFUCT , what such a an amazing video !!! thanks man
absolutely enjoyed ty man very helpful
Excellent, complicated process made super super easy, thank you very much
Thank you Armando ❤
You are the best, armando.. appreciate
Can't believe i spent 2 hours reading about this when it was taught so well in 15min !
Armando Hasudungan saving lives since 1989
THANKS FOR HELPING ME UNDERSTAND THIS TOPIC
I SAW THE PENCIL LINES! lol you're still the best.
Life saver❤ amazing diagram and crystal clear explanation 🥺🥺❤
So far the best explanation!
Very good job sir! Thank you👍
Wonderful and it is enough that it reminds us with classic teaching
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?
This Is the best video I've ever watched about micturition🙌🙌💯💯💯.. Thank You very much🤗.
Very good. Clear illustration.
Excellent diagram and explaination
That afferent pelvic n. had me confused for a long time. Thank you!
Thank you sir
love from Malaysia
Thank you so much. Very useful and simple video!!
Excellent presentation
very helpful videos...thank you sir.....
very good.. thanks for the lecture
Thank you so much! Very well explained
Really it is the best explanation for micturition physiology I have ever read.
very simplified and easily understood..must watch
very nicely explained.
THANK YOU SO MUCH FOR THIS!
Very Interesting as well as your teaching skills are Excellent thank you.
thank you so much, how can this video not going viral
We need to call you the good and the greatest teacher in the world 😍😍😍thank you sooooooo much 🧖♀️👏👏👏
This channel is one of the best 🫶🏾❤️
Thank you for saving us
Love your drawing and explanation so much :))))
Excellent explanation.. 👍👍
Simply amazing explanation 🙇
Couldn't have asked for.more
Tnx for this
thanks for the easy explanation
Amazing. Thank you so much
The best explanation is ever seen.. So far
this video is really helpful, thankyou
Great explanation! Thank you very much!
outstanding tremendous video , thank you so much !!
Wonderful presentation sir
Loved it. Thank you
Thank you for such a nice explanation🙏🙏
please make a vido about the juxtaglomerural apparatus and the renin angiotensin pathway
Thank you! Great videos. Helped me get through exams
Thank you so much it's very helpful
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.
Helpfully....God bless you
This really helped a lot... thank you ❤
excellent work bro, go ahead. thank a lot
what's a great video , thanks a lot for your priceless effort ...👍👌
great video thank you doctor