In this book we attempt a synthesis of knowledge from two
investigative extremes. On the one hand, neurophysiology and
neuropharmacology are progressing via the single neuron to a
subcellular level; on the other, clinicians are studying the
function ofthe human urinary system in vivo as a whole. A special
effort must be made over the next decade to bridge this gap. We
hope that the information summarized here will catalyse the
process. In 1968, de Groat and Ryall published a group of papers in
the Journal of Physiology in which modern quantitative
electrophysiological techniques were applied to the study ofthe
reflexes that regulate bladder Junction. These papers represent
alandmark in the history of bladder neurophysiology, forming a
dividing li ne between old and new. The earlier techniques of
lesioning and stimulation of nervous structures yielded mainly
qualitative information which was open to criticism because of lack
of precise control over what was actually being destroyed or
stimulated. Much of this earlier work was reviewed in an
authoritative volume by Bors and Comarr in 1971, entitled
Neurolqgical Urology. The 16 years have seen great advances in our
understanding ofthe control oflower subsequent urinary tract
function.
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