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Urination

Urination is the release of urine from the bladder to the outside of the body. Urine is released from the urethra through the penis or vulva in placental mammals[1][2]: 38, 364  and through the cloaca in other vertebrates.[3][1] It is the urinary system's form of excretion. It is also known medically as micturition,[4] voiding, uresis, or, rarely, emiction, and known colloquially by various names including peeing, weeing, pissing, and euphemistically going (for a) number one. The process of urination is under voluntary control in healthy humans and other animals, but may occur as a reflex in infants, some elderly individuals, and those with neurological injury. It is normal for adult humans to urinate up to seven times during the day.[5]

Manneken Pis depicts a urinating boy (puer mingens) in a standing position.
Jeanneke Pis portrays a girl squatting to urinate.

In some animals, in addition to expelling waste material, urination can mark territory or express submissiveness. Physiologically, urination involves coordination between the central, autonomic, and somatic nervous systems. Brain centres that regulate urination include the pontine micturition center, periaqueductal gray, and the cerebral cortex.

Anatomy and physiology

Anatomy of the bladder and outlet

 
The interior of the bladder
 
Location of the bladder and urethra in adult human female (sagittal section)

The main organs involved in urination are the urinary bladder and the urethra. The smooth muscle of the bladder, known as the detrusor, is innervated by sympathetic nervous system fibers from the lumbar spinal cord and parasympathetic fibers from the sacral spinal cord.[6] Fibers in the pelvic nerves constitute the main afferent limb of the voiding reflex; the parasympathetic fibers to the bladder that constitute the excitatory efferent limb also travel in these nerves. Part of the urethra is surrounded by the male or female external urethral sphincter, which is innervated by the somatic pudendal nerve originating in the cord, in an area termed Onuf's nucleus.[7]

Smooth muscle bundles pass on either side of the urethra, and these fibers are sometimes called the internal urethral sphincter, although they do not encircle the urethra. Further along the urethra is a sphincter of skeletal muscle, the sphincter of the membranous urethra (external urethral sphincter). The bladder's epithelium is termed transitional epithelium which contains a superficial layer of dome-like cells and multiple layers of stratified cuboidal cells underneath when evacuated. When the bladder is fully distended the superficial cells become squamous (flat) and the stratification of the cuboidal cells is reduced in order to provide lateral stretching.

Physiology

The physiology of micturition and the physiologic basis of its disorders are subjects about which there is much confusion, especially at the supraspinal level. Micturition is fundamentally a spinobulbospinal reflex facilitated and inhibited by higher brain centers such as the pontine micturition center and, like defecation, subject to voluntary facilitation and inhibition.[8]

In healthy individuals, the lower urinary tract has two discrete phases of activity: the storage (or guarding) phase, when urine is stored in the bladder; and the voiding phase, when urine is released through the urethra. The state of the reflex system is dependent on both a conscious signal from the brain and the firing rate of sensory fibers from the bladder and urethra.[8] At low bladder volumes, afferent firing is low, resulting in excitation of the outlet (the sphincter and urethra), and relaxation of the bladder.[9] At high bladder volumes, afferent firing increases, causing a conscious sensation of urinary urge. Individual ready to urinate consciously initiates voiding, causing the bladder to contract and the outlet to relax. Voiding continues until the bladder empties completely, at which point the bladder relaxes and the outlet contracts to re-initiate storage.[8] The muscles controlling micturition are controlled by the autonomic and somatic nervous systems. During the storage phase, the internal urethral sphincter remains tense and the detrusor muscle relaxed by sympathetic stimulation. During micturition, parasympathetic stimulation causes the detrusor muscle to contract and the internal urethral sphincter to relax. The external urethral sphincter (sphincter urethrae) is under somatic control and is consciously relaxed during micturition.

In infants, voiding occurs involuntarily (as a reflex). The ability to voluntarily inhibit micturition develops by the age of two–three years, as control at higher levels of the central nervous system develops. In the adult, the volume of urine in the bladder that normally initiates a reflex contraction is about 300–400 millilitres (11–14 imp fl oz; 10–14 US fl oz).

Storage phase

During storage, bladder pressure stays low, because of the bladder's highly compliant nature. A plot of bladder (intravesical) pressure against the depressant of fluid in the bladder (called a cystometrogram), will show a very slight rise as the bladder is filled. This phenomenon is a manifestation of the law of Laplace, which states that the pressure in a spherical viscus is equal to twice the wall tension divided by the radius. In the case of the bladder, the tension increases as the organ fills, but so does the radius. Therefore, the pressure increase is slight until the organ is relatively full. The bladder's smooth muscle has some inherent contractile activity; however, when its nerve supply is intact, stretch receptors in the bladder wall initiate a reflex contraction that has a lower threshold than the inherent contractile response of the muscle.

Action potentials carried by sensory neurons from stretch receptors in the urinary bladder wall travel to the sacral segments of the spinal cord through the pelvic nerves.[8] Since bladder wall stretch is low during the storage phase, these afferent neurons fire at low frequencies. Low-frequency afferent signals cause relaxation of the bladder by inhibiting sacral parasympathetic preganglionic neurons and exciting lumbar sympathetic preganglionic neurons. Conversely, afferent input causes contraction of the sphincter through excitation of Onuf's nucleus, and contraction of the bladder neck and urethra through excitation of the sympathetic preganglionic neurons.

Diuresis (production of urine by the kidney) occurs constantly, and as the bladder becomes full, afferent firing increases, yet the micturition reflex can be voluntarily inhibited until it is appropriate to begin voiding.

Voiding phase

Voiding begins when a voluntary signal is sent from the brain to begin urination, and continues until the bladder is empty.

Bladder afferent signals ascend the spinal cord to the periaqueductal gray, where they project both to the pontine micturition center and to the cerebrum.[10] At a certain level of afferent activity, the conscious urge to void or urination urgency, becomes difficult to ignore. Once the voluntary signal to begin voiding has been issued, neurons in the pontine micturition center fire maximally, causing excitation of sacral preganglionic neurons. The firing of these neurons causes the wall of the bladder to contract; as a result, a sudden, sharp rise in intravesical pressure occurs. The pontine micturition center also causes inhibition of Onuf's nucleus, resulting in relaxation of the external urinary sphincter.[11] When the external urinary sphincter is relaxed urine is released from the urinary bladder when the pressure there is great enough to force urine to flow out of the urethra. The micturition reflex normally produces a series of contractions of the urinary bladder.

The flow of urine through the urethra has an overall excitatory role in micturition, which helps sustain voiding until the bladder is empty.[12]

Many men, and some women, may sometimes briefly shiver after or during urination.[13]

After urination, the female urethra empties partially by gravity, with assistance from muscles.[clarification needed] Urine remaining in the male urethra is expelled by several contractions of the bulbospongiosus muscle, and, by some men, manual squeezing along the length of the penis to expel the rest of the urine.

For land mammals over 1 kilogram, the duration of urination does not vary with body mass, being dispersed around an average of 21 seconds (standard deviation 13 seconds), despite a 4 order of magnitude (1000×) difference in bladder volume.[14][15] This is due to increased urethra length of large animals, which amplifies gravitational force (hence flow rate), and increased urethra width, which increases flow rate. For smaller mammals a different phenomenon occurs, where urine is discharged as droplets, and urination in smaller mammals, such as mice and rats, can occur in less than a second.[15] The posited benefits of faster voiding are decreased risk of predation (while voiding) and decreased risk of urinary tract infection.

Voluntary control

The mechanism by which voluntary urination is initiated remains unsettled.[16] One possibility is that the voluntary relaxation of the muscles of the pelvic floor causes a sufficient downward tug on the detrusor muscle to initiate its contraction.[17] Another possibility is the excitation or disinhibition of neurons in the pontine micturition center, which causes concurrent contraction of the bladder and relaxation of the sphincter.[8]

There is an inhibitory area for micturition in the midbrain. After transection of the brain stem just above the pons, the threshold is lowered and less bladder filling is required to trigger it, whereas after transection at the top of the midbrain, the threshold for the reflex is essentially normal. There is another facilitatory area in the posterior hypothalamus. In humans with lesions in the superior frontal gyrus, the desire to urinate is reduced and there is also difficulty in stopping micturition once it has commenced. However, stimulation experiments in animals indicate that other cortical areas also affect the process.

The bladder can be made to contract by voluntary facilitation of the spinal voiding reflex when it contains only a few milliliters of urine. Voluntary contraction of the abdominal muscles aids the expulsion of urine by increasing the pressure applied to the urinary bladder wall, but voiding can be initiated without straining even when the bladder is nearly empty. Voiding can also be consciously interrupted once it has begun, through a contraction of the perineal muscles. The external sphincter can be contracted voluntarily, which will prevent urine from passing down the urethra.

Experience of urination

The need to urinate is experienced as an uncomfortable, full feeling. It is highly correlated with the fullness of the bladder.[18] In many males the feeling of the need to urinate can be sensed at the base of the penis as well as the bladder, even though the neural activity associated with a full bladder comes from the bladder itself, and can be felt there as well. In females the need to urinate is felt in the lower abdomen region when the bladder is full. When the bladder becomes too full, the sphincter muscles will involuntarily relax, allowing urine to pass from the bladder. Release of urine is experienced as a lessening of the discomfort.

Disorders

 
Painting showing the physician Constantine the African accepting urine samples for diagnosis

Clinical conditions

Many clinical conditions can cause disturbances to normal urination, including:

A drug that increases urination is called a diuretic, whereas antidiuretics decrease the production of urine by the kidneys.

Experimentally induced disorders

There are three major types of bladder dysfunction due to neural lesions: (1) the type due to interruption of the afferent nerves from the bladder; (2) the type due to interruption of both afferent and efferent nerves; and (3) the type due to interruption of facilitatory and inhibitory pathways descending from the brain. In all three types the bladder contracts, but the contractions are generally not sufficient to empty the viscus completely, and residual urine is left in the bladder. Paruresis, also known as shy bladder syndrome, is an example of a bladder interruption from the brain that often causes total interruption until the person has left a public area. These people (males) may have difficulty urinating in the presence of others and will consequently avoid using urinals without dividers or those directly adjacent to another person. Alternatively, they may opt for the privacy of a stall or simply avoid public toilets altogether.

Deafferentation

When the sacral dorsal roots are cut in experimental animals or interrupted by diseases of the dorsal roots such as tabes dorsalis in humans, all reflex contractions of the bladder are abolished. The bladder becomes distended, thin-walled, and hypotonic, but there are some contractions because of the intrinsic response of the smooth muscle to stretch.

Denervation

When the afferent and efferent nerves are both destroyed, as they may be by tumors of the cauda equina or filum terminale, the bladder is flaccid and distended for a while. Gradually, however, the muscle of the "decentralized bladder" becomes active, with many contraction waves that expel dribbles of urine out of the urethra. The bladder becomes shrunken and the bladder wall hypertrophied. The reason for the difference between the small, hypertrophic bladder seen in this condition and the distended, hypotonic bladder seen when only the afferent nerves are interrupted is not known. The hyperactive state in the former condition suggests the development of denervation hypersensitization even though the neurons interrupted are preganglionic rather than postganglionic.

Spinal cord injury

During spinal shock, the bladder is flaccid and unresponsive. It becomes overfilled, and urine dribbles through the sphincters (overflow incontinence). After spinal shock has passed, a spinally mediated voiding reflex ensues, although there is no voluntary control and no inhibition or facilitation from higher centers. Some paraplegic patients train themselves to initiate voiding by pinching or stroking their thighs, provoking a mild mass reflex. In some instances, the voiding reflex becomes hyperactive. Bladder capacity is reduced and the wall becomes hypertrophied. This type of bladder is sometimes called the spastic neurogenic bladder. The reflex hyperactivity is made worse, and may be caused, by infection in the bladder wall.

Techniques

Young children

A common technique used in many developing nations involves holding the child by the backs of the thighs, above the ground, facing outward, in order to urinate.[citation needed]

Fetal urination

Ultrasound scan of male fetal micturition at 19 weeks of pregnancy

The fetus urinates hourly and produces most of the amniotic fluid in the second and third trimester of pregnancy. The amniotic fluid is then recycled by fetal swallowing.[19]

Urination after injury

Occasionally, if a male's penis is damaged or removed, or a female's genitals/urinary tract is damaged, other urination techniques must be used. Most often in such cases, doctors will reposition the urethra to a location where urination can still be accomplished, usually in a position that would promote urination only while seated/squatting, though a permanent urinary catheter may be used in rare cases.[citation needed]

Alternative urination tools

Sometimes urination is done in a container such as a bottle, urinal, bedpan, or chamber pot (also known as a gazunder). A container or wearable urine collection device may be used so that the urine can be examined for medical reasons or for a drug test, for a bedridden patient, when no toilet is available, or there is no other possibility to dispose of the urine immediately.

An alternative solution (for traveling, stakeouts, etc.) is a special disposable bag containing absorbent material that solidifies the urine within seconds, making it convenient and safe to store and dispose of later.[citation needed]

It is possible for both sexes to urinate into bottles in case of emergencies. The technique can help children to urinate discreetly inside cars and in other places without being seen by others.[20] A female urination device can assist women and girls in urinating while standing or into a bottle.[21]

In microgravity, excrement tends to float freely, so astronauts use a specially designed space toilet, which uses suction to collect and recycle urine; the space toilet also has a receptacle for defecation.[22]

Social and cultural aspects

Art

A puer mingens[23] is a figure in a work of art depicted as a prepubescent boy in the act of urinating, either actual or simulated. The puer mingens could represent anything from whimsy and boyish innocence to erotic symbols of virility and masculine bravado.[24]

Toilet training

Babies have little socialized control over urination within traditions or families that do not practice elimination communication and instead use diapers. Toilet training is the process of learning to restrict urination to socially approved times and situations. Consequently, young children sometimes develop nocturnal enuresis.[25][full citation needed]

Facilities

It is socially more accepted and more environmentally hygienic for those who are able, especially when indoors and in outdoor urban or suburban areas, to urinate in a toilet. Public toilets may have urinals, usually for males, although female urinals exist, designed to be used in various ways.[26]

Urination without facilities

Acceptability of outdoor urination in a public place other than at a public urinal varies with the situation and with customs. Potential disadvantages include a dislike of the smell of urine, and exposure of genitals.[27] It can be avoided or mitigated by going to a quiet place and/or facing a tree or wall if urinating standing up, or while squatting, hiding the back behind walls, bushes, or a tree.[citation needed]

Portable toilets (port-a-potties) are frequently placed in outdoor situations where no immediate facility is available. These need to be serviced (cleaned out) on a regular basis. Urination in a heavily wooded area is generally harmless, actually saves water, and may be condoned for males (and less commonly, females) in certain situations as long as common sense is used. Examples (depending on circumstances) include activities such as camping, hiking, delivery driving, cross country running, rural fishing, amateur baseball, golf, etc.

The more developed and crowded a place is, the more public urination tends to be objectionable. In the countryside, it is more acceptable than in a street in a town, where it may be a common transgression. Often this is done after the consumption of alcoholic beverages, which causes production of additional urine as well as a reduction of inhibitions. One proposed way to inhibit public urination due to drunkenness is the Urilift, which is disguised as a normal manhole by day but raises out of the ground at night to provide a public restroom for bar-goers.

In many places, public urination is punishable by fines, though attitudes vary widely by country. In general, females are less likely to urinate in public than males. Women and girls, unlike men and boys, are restricted in where they can urinate conveniently and discreetly.[28]

The 5th-century BC historian Herodotus, writing on the culture of the ancient Persians and highlighting the differences with those of the Greeks, noted that to urinate in the presence of others was prohibited among Persians.[29][30]

There was[when?] a popular belief in the UK, that it was legal for a man to urinate in public so long as it occurred on the rear wheel of his vehicle and he had his right hand on the vehicle, but this is not true.[31] Public urination still remains more accepted by males in the UK, although British cultural tradition itself seems to find such practices objectionable.[32] In Islamic toilet etiquette, it is haram to urinate while facing the Qibla, or to turn one's back to it when urinating or relieving bowels, but modesty requirements for females make it impossible for girls to relieve themselves without facilities.[33][34] When toilets are unavailable, females can relieve themselves in Laos, Russia and Mongolia in emergency,[35] but it remains less accepted for females in India even when circumstances make this a highly desirable option.[36]

Women generally need to urinate more frequently than men, but as opposed to the common misconception, it is not due to having smaller bladders.[37] Resisting the urge to urinate because of lack of facilities can promote urinary tract infections which can lead to more serious infections and, in rare situations, can cause renal damage in women.[38][39] Female urination devices are available to help women to urinate discreetly, as well to help them urinate while standing.

Sitting, standing, or squatting

Techniques and body postures while urinating vary across cultures. Different anatomical conditions in men and women may presume different postures, yet these are largely shaped by cultural norms, types of clothing, and the sanitary facilities available. While sitting toilets are the most common form in Western countries, squat toilets are common in Asia, Africa, and the Arab world. Urinals for men are widespread worldwide, although women's urinals are available in some countries, recently becoming more common in Western countries. With the spread of pants among women, a standing posture became impractical, but in some regions where women wear traditional skirts or robes, an upright posture is common.[40][41]

Males

 
A man uses a urinal, voiding urine in a standing position.

Cultures around the world differ regarding socially accepted voiding positions and preferences: in the Middle-East and Asia, the squatting position was more prevalent, while in the Western world the standing and sitting positions were more common.[42] For practising Muslim men, the genital modesty of squatting is also associated with proper cleanliness requirements or awrah.[43] In Western culture, the standing position is regarded as the more efficient option among healthy males.[citation needed] In restrooms without urinals, and sometimes at home, men may be urged to use the sitting position as to diminish spattering of urine.[42]

Elderly males with prostate gland enlargement may benefit from sitting down to urinate, with the seated voiding position found superior as compared with standing in elderly males with benign prostate hyperplasia.[44]

Females

 
Sit-down toilets are the most common type in Western countries.

In Western culture, females usually sit or squat for urination, depending on what type of toilet they use; a squat toilet is used for urination in a squatting position. Women averting contact with a toilet seat may employ a partial squatting position (or "hovering"), similar to using a female urinal. However, this may not completely void the bladder.[45]

Females may also urinate while standing, and while clothed.[26] It is common for women in various regions of Africa to use this position when they urinate,[46][47] as do women in Laos.[48] Herodotus described a similar custom in ancient Egypt.[49] An alternative method for women voiding while standing is to use a female urination device to assist.[50]

Talking about urination

In many societies and in many social classes, even mentioning the need to urinate is seen as a social transgression, despite it being a universal need. Many adults avoid stating that they need to urinate.[51][52]

Many expressions exist, some euphemistic and some vulgar. For example, centuries ago the standard English word (both noun and verb, for the product and the activity) was "piss", but subsequently "pee", formerly associated with children, has become more common in general public speech. Since elimination of bodily wastes is, of necessity, a subject talked about with toddlers during toilet training, other expressions considered suitable for use by and with children exist, and some continue to be used by adults, e.g. "weeing", "doing/having a wee-wee", "to tinkle", "go potty".[citation needed]

Other expressions include "squirting" and "taking a leak", and, predominantly by younger persons for outdoor female urination, "popping a squat", referring to the position many women adopt in such circumstances. National varieties of English show creativity. American English uses "to whiz".[53] Australian English has coined "I am off to take a Chinese singing lesson", derived from the tinkling sound of urination against the China porcelain of a toilet bowl.[54] British English uses "going to see my aunt", "going to see a man about a dog", "to piddle", "to splash (one's) boots", as well as "to have a slash", which originates from the Scottish term for a large splash of liquid.[55] One of the most common, albeit old-fashioned, euphemisms in British English is "to spend a penny", a reference to coin-operated pay toilets, which used (pre-decimalisation) to charge that sum.[56]

Use in language

References to urination are commonly used in slang. Usage in English includes:

  • Piss (someone) off (to anger someone; alternatively, to leave somewhere in a hurry)
  • Piss off! (to express contempt; see above)
  • Pissing down (to refer to heavy rain)
  • Pissing contest (an unproductive ego-driven battle)
  • Pisshead (vulgar way to refer to someone who drinks too much alcohol)
  • Piss ant (a worthless person; in non-slang usage the term refers to several species of ant whose colonies have a urine-like odor)
  • Pissing up a flagpole (to partake in a futile activity)
  • Pissing into the wind (to act in ways that cause self-harm)
  • Piss away (to squander or use wastefully)
  • Taking the piss (to take liberties, be unreasonable, or to mock another person)
  • Full of piss and vinegar (energetic or ambitious late adolescent or young adult male)
  • Piss up (British expression for drinking to get drunk)
  • Pissed (drunk in British English or angry in American English)

Urination and sexual activity

 
Male mammals detect estrus from chemical signals in the female's urine[57]

Urolagnia, a paraphilia, is an inclination to obtain sexual enjoyment by looking at or thinking of urine or urination.[58] Urine may be consumed, or the person may bathe in it; this is known colloquially as a golden shower. Drinking urine is known as urophagia, though uraphagia refers to the consumption of urine regardless of whether the context is sexual. Involuntary urination during sexual intercourse is common, but rarely acknowledged. In one survey, 24% of women reported involuntary urination during sexual intercourse; in 66% of patients urination occurred on penetration, while in 33% urine leakage was restricted to orgasm.[59] Female kob may exhibit urolagnia during sex; one female will urinate while the other sticks her nose in the stream.[60][61]

A male Patagonian mara, a type of rodent, will stand on his hind legs and urinate on a female's rump, to which the female may respond by spraying a jet of urine backwards into the face of the male.[62] The male's urination is meant to repel other males from his partner while the female's urination is a rejection of any approaching male when she is not receptive.[62] Both anal digging and urination are more frequent during the breeding season and are more commonly done by males.[63]

A male porcupine urinates on a female porcupine prior to mating, spraying the urine at high velocity.[64][65][66][67][68]

Electric shock injuries and deaths

In 2008 in London, a person died when they were urinating alongside a railway track at a train station and they received an electric shock.[69][70] The person received the electric shock when their stream of urine connected with the electric current from the live third rail.[69]

In 2010 in Washington state, a person who had died had received burns injuries on their body that were related to receiving an electric shock.[71] It is thought that an electric current had traveled through their stream of urine and into their body.[71] It is thought that the person had urinated into a roadside ditch and a live wire that was lying in the ditch gave the person an electric shock.[71]

In 2014 in Spain, a person died when they were urinating on a lamp post and they received an electric shock.[72] It was reported that an electric current may have traveled through the stream of urine and into the person's body.[72]

Other species

 
 
 
 
 
 
 
 
Urination postures of mammals

While the primary purpose of urination is the same across the animal kingdom, urination often serves a social purpose beyond the expulsion of waste material.[73][74] In dogs and other animals, urination can mark territory or express submissiveness.[57] In small rodents such as rats and mice, it marks familiar paths.

The urine of animals of differing physiology or sex sometimes has different characteristics. For example, the urine of birds and reptiles is whitish, consisting of a pastelike suspension of uric acid crystals, and discharged with the feces of the animal via the cloaca, whereas mammals' urine is a yellowish colour, with mostly urea instead of uric acid, and is discharged via the urethra, separately from the feces. Some animals' (example: carnivores') urine possesses a strong odour, especially when it is used to mark territory or communicate in other ways.[clarify][citation needed]

Canids[75] and felids[76] mark their territories using urine. This behavior has been observed in gray wolves,[75] red foxes,[77] hoary foxes,[78] cape foxes,[79] and golden jackals.[80] Wolves mark their territories by urinating in a raised-leg posture and release preputial gland secretions in their urine. Male dogs mark their territories with urine more frequently than females.[75]

Young cattle can be toilet-trained to urinate in a "latrine" where their urine can be collected for wastewater treatment,[81][82] which could be used to reduce greenhouse gas emissions from the animals' urine in countries such as the Netherlands, the United States, and New Zealand.[83]

See also

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Further reading

  • Mech LD, Boitani L (2003). Wolves: Behaviour, Ecology and Conservation. University of Chicago Press. ISBN 978-0-226-51696-7.
  • Young SP, Jackson HH (1978). The Clever Coyote. University of Nebraska Press. ISBN 978-0-8032-5893-8.
  • de Groat WC, Griffiths D, Yoshimura N (17 January 2011). "Neural Control of the Lower Urinary Tract". Comprehensive Physiology. 5 (1): 327–396. doi:10.1002/cphy.c130056. PMC 4480926. PMID 25589273.

External links

  • Neurogenic Bladder at eMedicine, describes the neurophysiology of urination
  • "Urination" at HowStuffWorks.com

urination, urinate, redirects, here, confused, with, uranate, voiding, redirects, here, other, uses, void, disambiguation, pissing, redirects, here, other, uses, piss, disambiguation, release, urine, from, bladder, outside, body, urine, released, from, urethra. Urinate redirects here Not to be confused with Uranate Voiding redirects here For other uses see Void disambiguation Pissing redirects here For other uses see Piss disambiguation Urination is the release of urine from the bladder to the outside of the body Urine is released from the urethra through the penis or vulva in placental mammals 1 2 38 364 and through the cloaca in other vertebrates 3 1 It is the urinary system s form of excretion It is also known medically as micturition 4 voiding uresis or rarely emiction and known colloquially by various names including peeing weeing pissing and euphemistically going for a number one The process of urination is under voluntary control in healthy humans and other animals but may occur as a reflex in infants some elderly individuals and those with neurological injury It is normal for adult humans to urinate up to seven times during the day 5 Manneken Pis depicts a urinating boy puer mingens in a standing position Jeanneke Pis portrays a girl squatting to urinate In some animals in addition to expelling waste material urination can mark territory or express submissiveness Physiologically urination involves coordination between the central autonomic and somatic nervous systems Brain centres that regulate urination include the pontine micturition center periaqueductal gray and the cerebral cortex Contents 1 Anatomy and physiology 1 1 Anatomy of the bladder and outlet 1 2 Physiology 1 2 1 Storage phase 1 2 2 Voiding phase 1 2 3 Voluntary control 1 2 4 Experience of urination 1 3 Disorders 1 3 1 Clinical conditions 1 3 2 Experimentally induced disorders 1 3 2 1 Deafferentation 1 3 2 2 Denervation 1 3 2 3 Spinal cord injury 2 Techniques 2 1 Young children 2 2 Fetal urination 2 3 Urination after injury 2 4 Alternative urination tools 3 Social and cultural aspects 3 1 Art 3 2 Toilet training 3 3 Facilities 3 4 Urination without facilities 3 5 Sitting standing or squatting 3 5 1 Males 3 5 2 Females 3 6 Talking about urination 3 6 1 Use in language 3 7 Urination and sexual activity 4 Electric shock injuries and deaths 5 Other species 6 See also 7 References 8 Further reading 9 External linksAnatomy and physiologyAnatomy of the bladder and outlet nbsp The interior of the bladder nbsp Location of external urethral orifice in adult human male nbsp Location of the bladder and urethra in adult human female sagittal section Main articles Urinary bladder and Urethra The main organs involved in urination are the urinary bladder and the urethra The smooth muscle of the bladder known as the detrusor is innervated by sympathetic nervous system fibers from the lumbar spinal cord and parasympathetic fibers from the sacral spinal cord 6 Fibers in the pelvic nerves constitute the main afferent limb of the voiding reflex the parasympathetic fibers to the bladder that constitute the excitatory efferent limb also travel in these nerves Part of the urethra is surrounded by the male or female external urethral sphincter which is innervated by the somatic pudendal nerve originating in the cord in an area termed Onuf s nucleus 7 Smooth muscle bundles pass on either side of the urethra and these fibers are sometimes called the internal urethral sphincter although they do not encircle the urethra Further along the urethra is a sphincter of skeletal muscle the sphincter of the membranous urethra external urethral sphincter The bladder s epithelium is termed transitional epithelium which contains a superficial layer of dome like cells and multiple layers of stratified cuboidal cells underneath when evacuated When the bladder is fully distended the superficial cells become squamous flat and the stratification of the cuboidal cells is reduced in order to provide lateral stretching Physiology The physiology of micturition and the physiologic basis of its disorders are subjects about which there is much confusion especially at the supraspinal level Micturition is fundamentally a spinobulbospinal reflex facilitated and inhibited by higher brain centers such as the pontine micturition center and like defecation subject to voluntary facilitation and inhibition 8 In healthy individuals the lower urinary tract has two discrete phases of activity the storage or guarding phase when urine is stored in the bladder and the voiding phase when urine is released through the urethra The state of the reflex system is dependent on both a conscious signal from the brain and the firing rate of sensory fibers from the bladder and urethra 8 At low bladder volumes afferent firing is low resulting in excitation of the outlet the sphincter and urethra and relaxation of the bladder 9 At high bladder volumes afferent firing increases causing a conscious sensation of urinary urge Individual ready to urinate consciously initiates voiding causing the bladder to contract and the outlet to relax Voiding continues until the bladder empties completely at which point the bladder relaxes and the outlet contracts to re initiate storage 8 The muscles controlling micturition are controlled by the autonomic and somatic nervous systems During the storage phase the internal urethral sphincter remains tense and the detrusor muscle relaxed by sympathetic stimulation During micturition parasympathetic stimulation causes the detrusor muscle to contract and the internal urethral sphincter to relax The external urethral sphincter sphincter urethrae is under somatic control and is consciously relaxed during micturition In infants voiding occurs involuntarily as a reflex The ability to voluntarily inhibit micturition develops by the age of two three years as control at higher levels of the central nervous system develops In the adult the volume of urine in the bladder that normally initiates a reflex contraction is about 300 400 millilitres 11 14 imp fl oz 10 14 US fl oz Storage phase During storage bladder pressure stays low because of the bladder s highly compliant nature A plot of bladder intravesical pressure against the depressant of fluid in the bladder called a cystometrogram will show a very slight rise as the bladder is filled This phenomenon is a manifestation of the law of Laplace which states that the pressure in a spherical viscus is equal to twice the wall tension divided by the radius In the case of the bladder the tension increases as the organ fills but so does the radius Therefore the pressure increase is slight until the organ is relatively full The bladder s smooth muscle has some inherent contractile activity however when its nerve supply is intact stretch receptors in the bladder wall initiate a reflex contraction that has a lower threshold than the inherent contractile response of the muscle Action potentials carried by sensory neurons from stretch receptors in the urinary bladder wall travel to the sacral segments of the spinal cord through the pelvic nerves 8 Since bladder wall stretch is low during the storage phase these afferent neurons fire at low frequencies Low frequency afferent signals cause relaxation of the bladder by inhibiting sacral parasympathetic preganglionic neurons and exciting lumbar sympathetic preganglionic neurons Conversely afferent input causes contraction of the sphincter through excitation of Onuf s nucleus and contraction of the bladder neck and urethra through excitation of the sympathetic preganglionic neurons Diuresis production of urine by the kidney occurs constantly and as the bladder becomes full afferent firing increases yet the micturition reflex can be voluntarily inhibited until it is appropriate to begin voiding Voiding phase Voiding begins when a voluntary signal is sent from the brain to begin urination and continues until the bladder is empty Bladder afferent signals ascend the spinal cord to the periaqueductal gray where they project both to the pontine micturition center and to the cerebrum 10 At a certain level of afferent activity the conscious urge to void or urination urgency becomes difficult to ignore Once the voluntary signal to begin voiding has been issued neurons in the pontine micturition center fire maximally causing excitation of sacral preganglionic neurons The firing of these neurons causes the wall of the bladder to contract as a result a sudden sharp rise in intravesical pressure occurs The pontine micturition center also causes inhibition of Onuf s nucleus resulting in relaxation of the external urinary sphincter 11 When the external urinary sphincter is relaxed urine is released from the urinary bladder when the pressure there is great enough to force urine to flow out of the urethra The micturition reflex normally produces a series of contractions of the urinary bladder The flow of urine through the urethra has an overall excitatory role in micturition which helps sustain voiding until the bladder is empty 12 Many men and some women may sometimes briefly shiver after or during urination 13 After urination the female urethra empties partially by gravity with assistance from muscles clarification needed Urine remaining in the male urethra is expelled by several contractions of the bulbospongiosus muscle and by some men manual squeezing along the length of the penis to expel the rest of the urine For land mammals over 1 kilogram the duration of urination does not vary with body mass being dispersed around an average of 21 seconds standard deviation 13 seconds despite a 4 order of magnitude 1000 difference in bladder volume 14 15 This is due to increased urethra length of large animals which amplifies gravitational force hence flow rate and increased urethra width which increases flow rate For smaller mammals a different phenomenon occurs where urine is discharged as droplets and urination in smaller mammals such as mice and rats can occur in less than a second 15 The posited benefits of faster voiding are decreased risk of predation while voiding and decreased risk of urinary tract infection Voluntary control The mechanism by which voluntary urination is initiated remains unsettled 16 One possibility is that the voluntary relaxation of the muscles of the pelvic floor causes a sufficient downward tug on the detrusor muscle to initiate its contraction 17 Another possibility is the excitation or disinhibition of neurons in the pontine micturition center which causes concurrent contraction of the bladder and relaxation of the sphincter 8 There is an inhibitory area for micturition in the midbrain After transection of the brain stem just above the pons the threshold is lowered and less bladder filling is required to trigger it whereas after transection at the top of the midbrain the threshold for the reflex is essentially normal There is another facilitatory area in the posterior hypothalamus In humans with lesions in the superior frontal gyrus the desire to urinate is reduced and there is also difficulty in stopping micturition once it has commenced However stimulation experiments in animals indicate that other cortical areas also affect the process The bladder can be made to contract by voluntary facilitation of the spinal voiding reflex when it contains only a few milliliters of urine Voluntary contraction of the abdominal muscles aids the expulsion of urine by increasing the pressure applied to the urinary bladder wall but voiding can be initiated without straining even when the bladder is nearly empty Voiding can also be consciously interrupted once it has begun through a contraction of the perineal muscles The external sphincter can be contracted voluntarily which will prevent urine from passing down the urethra Experience of urination The need to urinate is experienced as an uncomfortable full feeling It is highly correlated with the fullness of the bladder 18 In many males the feeling of the need to urinate can be sensed at the base of the penis as well as the bladder even though the neural activity associated with a full bladder comes from the bladder itself and can be felt there as well In females the need to urinate is felt in the lower abdomen region when the bladder is full When the bladder becomes too full the sphincter muscles will involuntarily relax allowing urine to pass from the bladder Release of urine is experienced as a lessening of the discomfort Disorders See also Category Urological conditions nbsp Painting showing the physician Constantine the African accepting urine samples for diagnosis Clinical conditions Many clinical conditions can cause disturbances to normal urination including Urinary incontinence the inability to hold urine Stress incontinence incontinence as a result of external mechanical disturbances Urge incontinence incontinence that occurs as a result of the uncontrollable urge to urinate Mixed incontinence a combination of the two types of incontinence Urinary retention the inability to initiate urination Overactive bladder a strong urge to urinate usually accompanied by detrusor overactivity Interstitial cystitis a condition characterized by urinary frequency urgency and pain Prostatitis an inflammation of the prostate gland that can cause urinary frequency urgency and pain Benign prostatic hyperplasia an enlargement of the prostate that can cause urinary frequency urgency retention and the dribbling of urine Urinary tract infection which can cause urinary frequency and dysuria Polyuria abnormally large production of urine associated with in particular diabetes mellitus types 1 and 2 and diabetes insipidus Oliguria low urine output usually due to a problem with the upper urinary tract Anuria refers to absent or almost absent urine output Micturition syncope a vasovagal response which may cause fainting Paruresis the inability to urinate in the presence of others such as in a public toilet Bladder sphincter dyssynergia a discoordination between the bladder and external urethral sphincter as a result of brain or spinal cord injury A drug that increases urination is called a diuretic whereas antidiuretics decrease the production of urine by the kidneys Experimentally induced disorders This section does not cite any sources Please help improve this section by adding citations to reliable sources Unsourced material may be challenged and removed February 2013 Learn how and when to remove this template message There are three major types of bladder dysfunction due to neural lesions 1 the type due to interruption of the afferent nerves from the bladder 2 the type due to interruption of both afferent and efferent nerves and 3 the type due to interruption of facilitatory and inhibitory pathways descending from the brain In all three types the bladder contracts but the contractions are generally not sufficient to empty the viscus completely and residual urine is left in the bladder Paruresis also known as shy bladder syndrome is an example of a bladder interruption from the brain that often causes total interruption until the person has left a public area These people males may have difficulty urinating in the presence of others and will consequently avoid using urinals without dividers or those directly adjacent to another person Alternatively they may opt for the privacy of a stall or simply avoid public toilets altogether Deafferentation When the sacral dorsal roots are cut in experimental animals or interrupted by diseases of the dorsal roots such as tabes dorsalis in humans all reflex contractions of the bladder are abolished The bladder becomes distended thin walled and hypotonic but there are some contractions because of the intrinsic response of the smooth muscle to stretch Denervation When the afferent and efferent nerves are both destroyed as they may be by tumors of the cauda equina or filum terminale the bladder is flaccid and distended for a while Gradually however the muscle of the decentralized bladder becomes active with many contraction waves that expel dribbles of urine out of the urethra The bladder becomes shrunken and the bladder wall hypertrophied The reason for the difference between the small hypertrophic bladder seen in this condition and the distended hypotonic bladder seen when only the afferent nerves are interrupted is not known The hyperactive state in the former condition suggests the development of denervation hypersensitization even though the neurons interrupted are preganglionic rather than postganglionic Spinal cord injury During spinal shock the bladder is flaccid and unresponsive It becomes overfilled and urine dribbles through the sphincters overflow incontinence After spinal shock has passed a spinally mediated voiding reflex ensues although there is no voluntary control and no inhibition or facilitation from higher centers Some paraplegic patients train themselves to initiate voiding by pinching or stroking their thighs provoking a mild mass reflex In some instances the voiding reflex becomes hyperactive Bladder capacity is reduced and the wall becomes hypertrophied This type of bladder is sometimes called the spastic neurogenic bladder The reflex hyperactivity is made worse and may be caused by infection in the bladder wall TechniquesYoung children Further information Open crotch pants A common technique used in many developing nations involves holding the child by the backs of the thighs above the ground facing outward in order to urinate citation needed Fetal urination source source source source source source source Ultrasound scan of male fetal micturition at 19 weeks of pregnancy The fetus urinates hourly and produces most of the amniotic fluid in the second and third trimester of pregnancy The amniotic fluid is then recycled by fetal swallowing 19 Urination after injury Occasionally if a male s penis is damaged or removed or a female s genitals urinary tract is damaged other urination techniques must be used Most often in such cases doctors will reposition the urethra to a location where urination can still be accomplished usually in a position that would promote urination only while seated squatting though a permanent urinary catheter may be used in rare cases citation needed Alternative urination tools See also Female urination device Sometimes urination is done in a container such as a bottle urinal bedpan or chamber pot also known as a gazunder A container or wearable urine collection device may be used so that the urine can be examined for medical reasons or for a drug test for a bedridden patient when no toilet is available or there is no other possibility to dispose of the urine immediately An alternative solution for traveling stakeouts etc is a special disposable bag containing absorbent material that solidifies the urine within seconds making it convenient and safe to store and dispose of later citation needed It is possible for both sexes to urinate into bottles in case of emergencies The technique can help children to urinate discreetly inside cars and in other places without being seen by others 20 A female urination device can assist women and girls in urinating while standing or into a bottle 21 In microgravity excrement tends to float freely so astronauts use a specially designed space toilet which uses suction to collect and recycle urine the space toilet also has a receptacle for defecation 22 Social and cultural aspectsArt A puer mingens 23 is a figure in a work of art depicted as a prepubescent boy in the act of urinating either actual or simulated The puer mingens could represent anything from whimsy and boyish innocence to erotic symbols of virility and masculine bravado 24 nbsp Woodcut of a puer mingens from the Hypnerotomachia Poliphili 1499 nbsp Lapis lynxurius in a medieval bestiary nbsp Urinating dog statue at the Chateau de Fontainebleau nbsp Het Zinneke in Brussels nbsp Painting of a ram by Abraham Teerlink nbsp Ein stallender Schimmel mit einem Bauern der einen Sattel aufhangt by Francesco Casanova nbsp Paard in een weiland dat aan een hek gebonden is by Wouter Johannes van Troostwijk Toilet training Main article Toilet training Babies have little socialized control over urination within traditions or families that do not practice elimination communication and instead use diapers Toilet training is the process of learning to restrict urination to socially approved times and situations Consequently young children sometimes develop nocturnal enuresis 25 full citation needed Facilities It is socially more accepted and more environmentally hygienic for those who are able especially when indoors and in outdoor urban or suburban areas to urinate in a toilet Public toilets may have urinals usually for males although female urinals exist designed to be used in various ways 26 Urination without facilities Further information Urinal Urine deflector Public toilet and Telescopic toilet Acceptability of outdoor urination in a public place other than at a public urinal varies with the situation and with customs Potential disadvantages include a dislike of the smell of urine and exposure of genitals 27 It can be avoided or mitigated by going to a quiet place and or facing a tree or wall if urinating standing up or while squatting hiding the back behind walls bushes or a tree citation needed Portable toilets port a potties are frequently placed in outdoor situations where no immediate facility is available These need to be serviced cleaned out on a regular basis Urination in a heavily wooded area is generally harmless actually saves water and may be condoned for males and less commonly females in certain situations as long as common sense is used Examples depending on circumstances include activities such as camping hiking delivery driving cross country running rural fishing amateur baseball golf etc The more developed and crowded a place is the more public urination tends to be objectionable In the countryside it is more acceptable than in a street in a town where it may be a common transgression Often this is done after the consumption of alcoholic beverages which causes production of additional urine as well as a reduction of inhibitions One proposed way to inhibit public urination due to drunkenness is the Urilift which is disguised as a normal manhole by day but raises out of the ground at night to provide a public restroom for bar goers In many places public urination is punishable by fines though attitudes vary widely by country In general females are less likely to urinate in public than males Women and girls unlike men and boys are restricted in where they can urinate conveniently and discreetly 28 The 5th century BC historian Herodotus writing on the culture of the ancient Persians and highlighting the differences with those of the Greeks noted that to urinate in the presence of others was prohibited among Persians 29 30 There was when a popular belief in the UK that it was legal for a man to urinate in public so long as it occurred on the rear wheel of his vehicle and he had his right hand on the vehicle but this is not true 31 Public urination still remains more accepted by males in the UK although British cultural tradition itself seems to find such practices objectionable 32 In Islamic toilet etiquette it is haram to urinate while facing the Qibla or to turn one s back to it when urinating or relieving bowels but modesty requirements for females make it impossible for girls to relieve themselves without facilities 33 34 When toilets are unavailable females can relieve themselves in Laos Russia and Mongolia in emergency 35 but it remains less accepted for females in India even when circumstances make this a highly desirable option 36 Women generally need to urinate more frequently than men but as opposed to the common misconception it is not due to having smaller bladders 37 Resisting the urge to urinate because of lack of facilities can promote urinary tract infections which can lead to more serious infections and in rare situations can cause renal damage in women 38 39 Female urination devices are available to help women to urinate discreetly as well to help them urinate while standing Sitting standing or squatting Techniques and body postures while urinating vary across cultures Different anatomical conditions in men and women may presume different postures yet these are largely shaped by cultural norms types of clothing and the sanitary facilities available While sitting toilets are the most common form in Western countries squat toilets are common in Asia Africa and the Arab world Urinals for men are widespread worldwide although women s urinals are available in some countries recently becoming more common in Western countries With the spread of pants among women a standing posture became impractical but in some regions where women wear traditional skirts or robes an upright posture is common 40 41 Males nbsp A man uses a urinal voiding urine in a standing position Cultures around the world differ regarding socially accepted voiding positions and preferences in the Middle East and Asia the squatting position was more prevalent while in the Western world the standing and sitting positions were more common 42 For practising Muslim men the genital modesty of squatting is also associated with proper cleanliness requirements or awrah 43 In Western culture the standing position is regarded as the more efficient option among healthy males citation needed In restrooms without urinals and sometimes at home men may be urged to use the sitting position as to diminish spattering of urine 42 Elderly males with prostate gland enlargement may benefit from sitting down to urinate with the seated voiding position found superior as compared with standing in elderly males with benign prostate hyperplasia 44 Females nbsp Sit down toilets are the most common type in Western countries In Western culture females usually sit or squat for urination depending on what type of toilet they use a squat toilet is used for urination in a squatting position Women averting contact with a toilet seat may employ a partial squatting position or hovering similar to using a female urinal However this may not completely void the bladder 45 Females may also urinate while standing and while clothed 26 It is common for women in various regions of Africa to use this position when they urinate 46 47 as do women in Laos 48 Herodotus described a similar custom in ancient Egypt 49 An alternative method for women voiding while standing is to use a female urination device to assist 50 Talking about urination In many societies and in many social classes even mentioning the need to urinate is seen as a social transgression despite it being a universal need Many adults avoid stating that they need to urinate 51 52 Many expressions exist some euphemistic and some vulgar For example centuries ago the standard English word both noun and verb for the product and the activity was piss but subsequently pee formerly associated with children has become more common in general public speech Since elimination of bodily wastes is of necessity a subject talked about with toddlers during toilet training other expressions considered suitable for use by and with children exist and some continue to be used by adults e g weeing doing having a wee wee to tinkle go potty citation needed Other expressions include squirting and taking a leak and predominantly by younger persons for outdoor female urination popping a squat referring to the position many women adopt in such circumstances National varieties of English show creativity American English uses to whiz 53 Australian English has coined I am off to take a Chinese singing lesson derived from the tinkling sound of urination against the China porcelain of a toilet bowl 54 British English uses going to see my aunt going to see a man about a dog to piddle to splash one s boots as well as to have a slash which originates from the Scottish term for a large splash of liquid 55 One of the most common albeit old fashioned euphemisms in British English is to spend a penny a reference to coin operated pay toilets which used pre decimalisation to charge that sum 56 Use in language Further information Wiktionary Appendix English toilet slang Urination This section does not cite any sources Please help improve this section by adding citations to reliable sources Unsourced material may be challenged and removed March 2013 Learn how and when to remove this template message References to urination are commonly used in slang Usage in English includes Piss someone off to anger someone alternatively to leave somewhere in a hurry Piss off to express contempt see above Pissing down to refer to heavy rain Pissing contest an unproductive ego driven battle Pisshead vulgar way to refer to someone who drinks too much alcohol Piss ant a worthless person in non slang usage the term refers to several species of ant whose colonies have a urine like odor Pissing up a flagpole to partake in a futile activity Pissing into the wind to act in ways that cause self harm Piss away to squander or use wastefully Taking the piss to take liberties be unreasonable or to mock another person Full of piss and vinegar energetic or ambitious late adolescent or young adult male Piss up British expression for drinking to get drunk Pissed drunk in British English or angry in American English Urination and sexual activity nbsp Male mammals detect estrus from chemical signals in the female s urine 57 Urolagnia a paraphilia is an inclination to obtain sexual enjoyment by looking at or thinking of urine or urination 58 Urine may be consumed or the person may bathe in it this is known colloquially as a golden shower Drinking urine is known as urophagia though uraphagia refers to the consumption of urine regardless of whether the context is sexual Involuntary urination during sexual intercourse is common but rarely acknowledged In one survey 24 of women reported involuntary urination during sexual intercourse in 66 of patients urination occurred on penetration while in 33 urine leakage was restricted to orgasm 59 Female kob may exhibit urolagnia during sex one female will urinate while the other sticks her nose in the stream 60 61 A male Patagonian mara a type of rodent will stand on his hind legs and urinate on a female s rump to which the female may respond by spraying a jet of urine backwards into the face of the male 62 The male s urination is meant to repel other males from his partner while the female s urination is a rejection of any approaching male when she is not receptive 62 Both anal digging and urination are more frequent during the breeding season and are more commonly done by males 63 A male porcupine urinates on a female porcupine prior to mating spraying the urine at high velocity 64 65 66 67 68 Electric shock injuries and deathsIn 2008 in London a person died when they were urinating alongside a railway track at a train station and they received an electric shock 69 70 The person received the electric shock when their stream of urine connected with the electric current from the live third rail 69 In 2010 in Washington state a person who had died had received burns injuries on their body that were related to receiving an electric shock 71 It is thought that an electric current had traveled through their stream of urine and into their body 71 It is thought that the person had urinated into a roadside ditch and a live wire that was lying in the ditch gave the person an electric shock 71 In 2014 in Spain a person died when they were urinating on a lamp post and they received an electric shock 72 It was reported that an electric current may have traveled through the stream of urine and into the person s body 72 Other speciesSee also Scent marking and Self anointing in animals Ungulates nbsp nbsp nbsp nbsp nbsp nbsp nbsp nbsp Urination postures of mammals While the primary purpose of urination is the same across the animal kingdom urination often serves a social purpose beyond the expulsion of waste material 73 74 In dogs and other animals urination can mark territory or express submissiveness 57 In small rodents such as rats and mice it marks familiar paths The urine of animals of differing physiology or sex sometimes has different characteristics For example the urine of birds and reptiles is whitish consisting of a pastelike suspension of uric acid crystals and discharged with the feces of the animal via the cloaca whereas mammals urine is a yellowish colour with mostly urea instead of uric acid and is discharged via the urethra separately from the feces Some animals example carnivores urine possesses a strong odour especially when it is used to mark territory or communicate in other ways clarify citation needed Canids 75 and felids 76 mark their territories using urine This behavior has been observed in gray wolves 75 red foxes 77 hoary foxes 78 cape foxes 79 and golden jackals 80 Wolves mark their territories by urinating in a raised leg posture and release preputial gland secretions in their urine Male dogs mark their territories with urine more frequently than females 75 Young cattle can be toilet trained to urinate in a latrine where their urine can be collected for wastewater treatment 81 82 which could be used to reduce greenhouse gas emissions from the animals urine in countries such as the Netherlands the United States and New Zealand 83 See alsoDefecation Human positions Post void dribbling Post micturition convulsion syndrome SanitationReferences a b Marvalee H Wake 15 September 1992 Hyman s Comparative Vertebrate Anatomy University of Chicago Press p 583 ISBN 978 0 226 87013 7 Retrieved 6 May 2013 Roughgarden J 2004 Evolution s Rainbow Diversity Gender and Sexuality in Nature and People University of California Press p 38 ISBN 978 0 520 24073 5 Retrieved 17 October 2013 Feder ME Burggren WW 15 October 1992 Environmental Physiology of the Amphibians University of Chicago Press ISBN 978 0 226 23944 6 Micturition ScienceDirect Retrieved 8 May 2022 American Urological Association 2014 Diagnosis and Treatment of Overactive Bladder Non Neurogenic in Adults AUA SUFU Guideline PDF Archived from the original PDF on 21 September 2013 Retrieved 1 June 2015 Heidi K Wennemer 7 July 2008 Urinary Incontinence Part 2 United States Department of Veterans Affairs Archived from the original on 25 September 2008 Retrieved 24 March 2013 Rajaofetra N Passagia JG Marlier L Poulat P Pellas F Sandillon F Verschuere B Gouy D Geffard M Privat A 1992 Serotoninergic noradrenergic and peptidergic innervation of Onuf s nucleus of normal and transected spinal cords of baboons Papio papio J Comp Neurol 318 1 1 17 doi 10 1002 cne 903180102 PMID 1374763 S2CID 23190313 subscription required a b c d e Yoshimura N Chancellor MB 2003 Neurophysiology of Lower Urinary Tract Function and Dysfunction Rev Urol 5 Suppl 8 S3 S10 PMC 1502389 PMID 16985987 de Groat WC Ryall RW January 1969 Reflexes to sacral parasympathetic neurones concerned with micturition in the cat J Physiol 200 1 87 108 doi 10 1113 jphysiol 1969 sp008683 PMC 1350419 PMID 5248885 Blok BF Holstege G January 1994 Direct projections from the periaqueductal gray to the pontine micturition center M region An anterograde and retrograde tracing study in the cat Neurosci Lett 166 1 93 6 doi 10 1016 0304 3940 94 90848 6 PMID 7514777 S2CID 41146134 Sie JA Blok BF de Weerd H Holstege G 2001 Ultrastructural evidence for direct projections from the pontine micturition center to glycine immunoreactive neurons in the sacral dorsal gray commissure in the cat J Comp Neurol 429 4 631 7 doi 10 1002 1096 9861 20010122 429 4 lt 631 AID CNE9 gt 3 0 CO 2 M PMID 11135240 S2CID 7570375 Elsevier dead link Pee shivers You know you re curious NBC News 9 April 2012 Retrieved 7 May 2021 Yang PJ Pham JC Choo J Hu DL 2013 Law of Urination all mammals empty their bladders over the same duration arXiv 1310 3737 physics a b New Law of Urination Mammals Take 20 Seconds to Pee Carrie Arnold National Geographic 23 October 2013 DasGupta R Kavia RB Fowler CJ 2007 Cerebral mechanisms and voiding function BJU Int 99 4 731 4 doi 10 1111 j 1464 410X 2007 06749 x PMID 17378838 S2CID 12318860 Kinder MV Bastiaanssen EH Janknegt RA Marani E 1995 Neuronal circuitry of the lower urinary tract central and peripheral neuronal control of the micturition cycle Anat Embryol 192 3 195 209 doi 10 1007 BF00184744 PMID 8651504 S2CID 2045001 Oliver S Fowler C Mundy A Craggs M 2003 Measuring the sensations of urge and bladder filling during cystometry in urge incontinence and the effects of neuromodulation Neurourol Urodyn 22 1 7 16 doi 10 1002 nau 10082 PMID 12478595 S2CID 37724763 Underwood MA Gilbert WM Sherman MP 2005 Amniotic Fluid Not Just Fetal Urine Anymore Journal of Perinatology 25 5 341 348 doi 10 1038 sj jp 7211290 PMID 15861199 Maloney L 5 January 2019 Can I Pee in a Bottle If I m Stuck in a Tent TripSavvy Retrieved 11 May 2022 The Complete Guide to Female Urination Devices Backpacker 10 September 2015 Retrieved 11 May 2022 Elburn D 2 August 2019 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UTI Prevention Urinary Tract Infection UTI Urologychannel com Archived from the original on 3 February 2011 Retrieved 10 February 2013 B Mollring 2003 Toiletten und Urinale fur Frauen und Manner die Gestaltung von Sanitarobjekten und ihre Verwendung in offentlichen und privaten Bereichen Publication of the Berlin University of the Arts German Gershenson O amp Penner B Eds 2009 Ladies and gents Public toilets and gender Temple University Press a b Y de Jong Influence of voiding posture on urodynamic parameters in men a literature review in Dutch PDF Nederlands Tijdschrift voor urologie Retrieved 2 July 2014 Mustafa Umar Standing up and urinating in Islam Iman Suhaib Webb USA Archived from the original on 30 May 2013 Retrieved 11 June 2013 de Jong Y Pinckaers JH Ten Brinck RM Lycklama A Nijeholt AA Dekkers OM 2014 Urinating Standing versus Sitting Position Is of Influence in Men with Prostate Enlargement A Systematic Review and Meta Analysis PLOS ONE 9 7 e101320 Bibcode 2014PLoSO 9j1320D 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english stackexchange com Definition of WHIZ www merriam webster com 17 March 2024 have Chinese singing lesson Definition of com Retrieved 10 February 2013 have a slash Dictionary of sexual terms Sex lexis com Retrieved 10 February 2013 Martin G Spend a penny Phrases org uk Retrieved 10 February 2013 a b Richard Estes 1991 The Behavior Guide to African Mammals Including Hoofed Mammals Carnivores Primates University of California Press ISBN 978 0 520 08085 0 urine Definition of urolagnia Oxforddictionaries com Archived from the original on 9 July 2012 Retrieved 10 February 2013 Hilton P 1988 Urinary incontinence during sexual intercourse a common but rarely volunteered symptom BJOG An International Journal of Obstetrics amp Gynaecology 95 4 377 381 doi 10 1111 j 1471 0528 1988 tb06609 x PMID 3382610 S2CID 26659249 Kick 2001 Imaginova 2007e a b Genest H Dubost G 1974 Pair living in the mara Dolichotis paragonum Z Mammalia 38 2 155 162 doi 10 1515 mamm 1974 38 2 155 S2CID 86771537 TABER B E MACDONALD D W 1984 Scent dispersing papillae and associated behaviour in the mara Dolichotis patagonum Rodentia Caviomorpha Journal of Zoology 203 2 298 301 doi 10 1111 j 1469 7998 1984 tb02333 x Charles Fergus 1 September 2000 Wildlife of Pennsylvania And the Northeast Stackpole Books pp 75 ISBN 978 0 8117 2899 7 Retrieved 31 March 2013 Uldis Roze 28 September 2012 Porcupines The Animal Answer Guide JHU Press pp 97 ISBN 978 1 4214 0735 7 Retrieved 31 March 2013 Marshall Cavendish 2007 EXPLORING MAMMALS Marshall Cavendish pp 1088 ISBN 978 0 7614 7719 8 Retrieved 31 March 2013 Donna Naughton 2012 A Natural History of Canadian Mammals University of Toronto Press pp 214 ISBN 978 1 4426 4483 0 Retrieved 31 March 2013 Trevor Carnaby 30 January 2008 Beat About the Bush Mammals Jacana Media ISBN 978 1 77009 240 2 Retrieved 21 May 2013 a b Polish tourist killed by urinating on 750 volt electric railway line Evening Standard 13 April 2012 Retrieved 10 March 2024 Urinating on electric track kills man Nine News Australia 23 July 2008 Retrieved 10 March 2024 a b c Man electrocuted by urinating on power line NBC News 2 March 2010 Archived from the original on 12 December 2021 Retrieved 5 July 2022 a b Rkaina S 31 August 2014 Teenage reveller dies after being electrocuted while URINATING on lamp post during festival Irish Mirror Archived from the original on 12 December 2021 Retrieved 5 July 2022 Gosling L M 1982 A reassessment of the function of scent marking in territories PDF Zeitschrift fur Tierpsychologie 60 2 89 118 doi 10 1111 j 1439 0310 1982 tb00492 x Archived from the original PDF on 27 March 2018 Richard Doty 2 December 2012 Mammalian Olfaction Reproductive Processes and Behavior Elsevier Science ISBN 978 0 323 15450 5 a b c L David Mech Luigi Boitani 1 October 2010 Wolves Behavior Ecology and Conservation University of Chicago Press p 85 ISBN 978 0 226 51698 1 Retrieved 23 February 2013 R F Ewer 1973 The Carnivores Cornell University Press pp 116 ISBN 978 0 8014 8493 3 Retrieved 8 February 2013 Henry J David 1977 The Use of Urine Marking in the Scavenging Behavior of the Red Fox Vulpes vulpes PDF Behaviour 61 1 2 82 106 doi 10 1163 156853977X00496 JSTOR 4533812 PMID 869875 Sillero Zubiri C Hoffmann M Macdonald DW 2004 Canids Foxes Wolves Jackals and Dogs Status Survey and Conservation Action Plan IUCN p 74 ISBN 978 2 8317 0786 0 Retrieved 17 October 2013 Apps P 2000 Wild Ways Field Guide to the Behaviour of Southern African Mammals Struik p 87 ISBN 978 1 86872 443 7 Retrieved 17 October 2013 Grzimek B 1972 Grzimek s Animal life encyclopedia Van Nostrand Reinhold Co Retrieved 17 October 2013 Dirksen N Langbein J Schrader L Puppe B Elliffe D Siebert K Rottgen V Matthews L 13 September 2021 Learned control of urinary reflexes in cattle to help reduce greenhouse gas emissions Current Biology 31 17 R1033 R1034 Bibcode 2021CBio 31R1033D doi 10 1016 j cub 2021 07 011 PMID 34520709 Retrieved 16 September 2021 Cows toilet trained to reduce greenhouse gas emissions BBC 14 September 2021 Retrieved 16 September 2021 Hassan J Pannett R 15 September 2021 Cow pee is an environmental problem But now scientists say calves can be potty trained The Washington Post Retrieved 16 September 2021 Further readingMech LD Boitani L 2003 Wolves Behaviour Ecology and Conservation University of Chicago Press ISBN 978 0 226 51696 7 Young SP Jackson HH 1978 The Clever Coyote University of Nebraska Press ISBN 978 0 8032 5893 8 de Groat WC Griffiths D Yoshimura N 17 January 2011 Neural Control of the Lower Urinary Tract Comprehensive Physiology 5 1 327 396 doi 10 1002 cphy c130056 PMC 4480926 PMID 25589273 External links nbsp Look up urination in Wiktionary the free dictionary nbsp Wikimedia Commons has media related to Urination nbsp Wikimedia Commons has media related to Human male urination nbsp Wikimedia Commons has media related to Human female urination Neurogenic Bladder at eMedicine describes the neurophysiology of urination Urination at HowStuffWorks com Retrieved from https en wikipedia org w index php title Urination amp oldid 1220816187 Urination without facilities, wikipedia, wiki, book, books, library,

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