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This video shows a Trabeculated urinary bladder with ureteric stenosis at a ureterovesical junction, & loss of renal function on the affected side. Trabeculation of the bladder affects the amount of urine that your bladder can hold and the way that it's emptied. A trabeculated bladder is no longer able to expand when filled with urine and contract when emptied. This cycle can lead to urinary incontinence, infection, and kidney damage. The normal bladder wall had a mean thickness of 2.76 mm when the bladder is almost empty and 1.55 mm when it is distended. There is a linear relationship between bladder fullness and bladder wall thickness; the upper limits are 3 and 5 mm for a full or empty bladder respectively. The normal bladder capacity before you feel any sensation of urge is about 300 cc's (10 oz.). Normal voiding volumes are 210-300 cc's (7-10 oz.) with the first-morning voiding usually being the largest at 400-500 cc's. The stretching of the bladder wall can increase the size of the bladder from about 2 inches to more than 6 inches long, depending on the amount of liquid. The typical human bladder reaches its capacity between 16 to 24 ounces of urine, but the urge to urinate comes when the bladder is about one-quarter full. The symptoms of an enlarged bladder can be frustrating, but the condition on its own is not a grave health concern. Once an enlarged bladder has been developed, it is unlikely to return to its former state. However, the symptoms can be managed so that they cause less stress to the person affected. Bladder outlet obstruction can arise from a number of conditions affecting the urethra and/or bladder outlet but is most commonly encountered in elderly men due to Prostate enlargement. Obstruction can be caused by multiple etiologies but is most often seen from urethral strictures, mass lesions within the periurethral region, prostate enlargement, and congenital urethral valves. The bladder can regenerate like nobody's business and now we know why. The bladder is a master at self-repair. When damaged by infection or injury, the organ can mend itself quickly, calling upon specialized cells in its lining to repair tissue and restore a barrier against harmful materials concentrated in the urine. Increased bladder wall thickness is associated with severe symptoms and reduced bladder capacity in patients with bladder pain syndrome. Interstitial cystitis (IC) is a painful condition in which the bladder wall becomes irritated and inflamed. Chronic irritation can cause scarring and thickening of the bladder wall, making the bladder very stiff and unable to hold a normal amount of urine. Radiographic features On radiographic evaluation, the bladder wall appears thickened and trabeculated. Urinary retention is noted with increased post-void residual on sonographic or voiding studies. A ureteric stricture is a narrowing of the ureter that causes an obstruction in the flow of urine. This narrowing causes an obstruction in the flow of urine. It can also be caused by kidney stones, upper urinary tract inflammation, or a tumor. Ureterovesical junction (UVJ) obstruction refers to a blockage to this area. The obstruction impedes the flow of urine down to the bladder, causing the urine to back up into and dilate the ureters and kidney (megaureter and hydronephrosis). Ureterovesical junction (UVJ) obstruction refers to a blockage to this area. The obstruction impedes the flow of urine down to the bladder, causing the urine to back up into and dilate the ureters and kidney (megaureter and hydronephrosis). Because BPH is so common in older men, obstruction is more common among men. Other common causes of obstruction include strictures (narrowing caused by scar tissue) of the ureter or urethra that develop after radiation therapy, surgery, or procedures done on the urinary tract. A ureterovesical junction (UVJ) obstruction is a blockage to the area where the ureter meets the bladder. Ureterovesical junction obstruction (UVJO) is the result of an anatomic or functional abnormality in the distal segment of the ureter. What is the ureterovesical junction (UVJ) obstruction? The ureterovesical junction is located where the ureter (the tube that drains urine from the kidney) meets the bladder. Ureterovesical junction (UVJ) obstruction refers to a blockage to this area. Stones that block the ureter or any of the kidney's drainage tubes may cause symptoms that include: Severe, intermittent (comes and goes) pain in the upper flank (in the back, under the lower ribs) that can radiate (spread) to the lower abdomen, and; Nausea and vomiting. Treatment for ureteric stricture may include surgical implantation of a stent to open the narrowed section of the ureter or minimally invasive robotic surgery to reconstruct the urinary tract. The goal is to fix the stricture permanently and avoid the long-term use of stents, whenever possible.