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Urination, also known as micturition, is the release of
urine Urine is a liquid by-product of metabolism in humans and in many other animals. Urine flows from the kidneys through the ureters to the urinary bladder. Urination results in urine being excretion, excreted from the body through the urethra. Cel ...
from the
urinary bladder The urinary bladder, or simply bladder, is a hollow organ in humans and other vertebrates that stores urine from the kidneys before disposal by urination. In humans the bladder is a distensible organ that sits on the pelvic floor. Urine enters ...
through the
urethra The urethra (from Greek οὐρήθρα – ''ourḗthrā'') is a tube that connects the urinary bladder to the urinary meatus for the removal of urine from the body of both females and males. In human females and other primates, the urethra con ...
to the outside of the body. It is the
urinary system The urinary system, also known as the urinary tract or renal system, consists of the kidneys, ureters, urinary bladder, bladder, and the urethra. The purpose of the urinary system is to eliminate waste from the body, regulate blood volume and bl ...
's form of
excretion Excretion is a process in which metabolic waste is eliminated from an organism. In vertebrates this is primarily carried out by the lungs, kidneys, and skin. This is in contrast with secretion, where the substance may have specific tasks after lea ...
. It is also known medically as micturition, voiding, uresis, or, rarely, emiction, and known colloquially by various names including peeing, weeing, and pissing. In healthy humans (and many other animals), the process of urination is under voluntary control. In infants, some elderly individuals, and those with neurological injury, urination may occur as a
reflex In biology, a reflex, or reflex action, is an involuntary, unplanned sequence or action and nearly instantaneous response to a stimulus. Reflexes are found with varying levels of complexity in organisms with a nervous system. A reflex occurs ...
. It is normal for adult humans to urinate up to seven times during the day. In some animals, in addition to expelling waste material, urination can mark territory or express submissiveness. Physiologically, urination involves coordination between the
central Central is an adjective usually referring to being in the center of some place or (mathematical) object. Central may also refer to: Directions and generalised locations * Central Africa, a region in the centre of Africa continent, also known as ...
, autonomic, and
somatic nervous system The somatic nervous system (SNS), or voluntary nervous system is the part of the peripheral nervous system associated with the voluntary control of body movements via skeletal muscles. The somatic nervous system consists of sensory nerves carryi ...
s. Brain centres that regulate urination include the
pontine micturition center The Pontine micturition center (PMC, also known as Barrington's nucleus) is a collection of neuronal cell bodies located in the rostral pons in the brainstem involved in the supraspinal regulation of micturition. When activated, the PMC relaxes th ...
,
periaqueductal gray The periaqueductal gray (PAG, also known as the central gray) is a brain region that plays a critical role in autonomic function, motivated behavior and behavioural responses to threatening stimuli. PAG is also the primary control center for d ...
, and the
cerebral cortex The cerebral cortex, also known as the cerebral mantle, is the outer layer of neural tissue of the cerebrum of the brain in humans and other mammals. The cerebral cortex mostly consists of the six-layered neocortex, with just 10% consisting of ...
. In
placental mammal Placental mammals (infraclass Placentalia ) are one of the three extant subdivisions of the class Mammalia, the other two being Monotremata and Marsupialia. Placentalia contains the vast majority of extant mammals, which are partly distinguishe ...
s, urine is drained through the
urinary meatus The urinary meatus, (, ) also known as the external urethral orifice, is the opening of the urethra. It is the point where urine exits the urethra in both sexes and where semen exits the urethra in males. The meatus has varying degrees of sensiti ...
, a urethral opening in the male
penis A penis (plural ''penises'' or ''penes'' () is the primary sexual organ that male animals use to inseminate females (or hermaphrodites) during copulation. Such organs occur in many animals, both vertebrate and invertebrate, but males do n ...
or female
vulval vestibule The vulval vestibule (or vulvar vestibule or vestibule of vagina) is a part of the vulva between the labia minora into which the urinary meatus (urethral opening) and the vaginal opening open. Its edge is marked by Hart's line. It represents the ...
.


Anatomy and physiology


Anatomy of the bladder and outlet

The main organs involved in urination are the
urinary bladder The urinary bladder, or simply bladder, is a hollow organ in humans and other vertebrates that stores urine from the kidneys before disposal by urination. In humans the bladder is a distensible organ that sits on the pelvic floor. Urine enters ...
and the
urethra The urethra (from Greek οὐρήθρα – ''ourḗthrā'') is a tube that connects the urinary bladder to the urinary meatus for the removal of urine from the body of both females and males. In human females and other primates, the urethra con ...
. The
smooth muscle Smooth muscle is an involuntary non-striated muscle, so-called because it has no sarcomeres and therefore no striations (''bands'' or ''stripes''). It is divided into two subgroups, single-unit and multiunit smooth muscle. Within single-unit mus ...
of the bladder, known as the
detrusor The detrusor muscle, also detrusor urinae muscle, muscularis propria of the urinary bladder and (less precise) muscularis propria, is smooth muscle found in the wall of the bladder. The detrusor muscle remains relaxed to allow the bladder to stor ...
, is innervated by
sympathetic nervous system The sympathetic nervous system (SNS) is one of the three divisions of the autonomic nervous system, the others being the parasympathetic nervous system and the enteric nervous system. The enteric nervous system is sometimes considered part of th ...
fibers from the
lumbar In tetrapod anatomy, lumbar is an adjective that means ''of or pertaining to the abdominal segment of the torso, between the diaphragm and the sacrum.'' The lumbar region is sometimes referred to as the lower spine, or as an area of the back i ...
spinal cord The spinal cord is a long, thin, tubular structure made up of nervous tissue, which extends from the medulla oblongata in the brainstem to the lumbar region of the vertebral column (backbone). The backbone encloses the central canal of the spi ...
and
parasympathetic The parasympathetic nervous system (PSNS) is one of the three divisions of the autonomic nervous system, the others being the sympathetic nervous system and the enteric nervous system. The enteric nervous system is sometimes considered part of t ...
fibers from the
sacral Sacral may refer to: *Sacred, associated with divinity and considered worthy of spiritual respect or devotion *Of the sacrum The sacrum (plural: ''sacra'' or ''sacrums''), in human anatomy, is a large, triangular bone at the base of the spi ...
spinal cord. 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 Male (symbol: ♂) is the sex of an organism that produces the gamete (sex cell) known as sperm, which fuses with the larger female gamete, or ovum, in the process of fertilization. A male organism cannot reproduce sexually without access to ...
or female external urethral sphincter, which is innervated by the somatic
pudendal nerve The pudendal nerve is the main nerve of the perineum. It carries sensation from the external genitalia of both sexes and the skin around the anus and perineum, as well as the motor supply to various pelvic muscles, including the male or fem ...
originating in the cord, in an area termed
Onuf's nucleus Onuf's nucleus is a distinct group of neurons located in the ventral part ( laminae IX) of the anterior horn of the sacral region of the human spinal cord involved in the maintenance of micturition and defecatory continence, as well as muscular c ...
. Smooth muscle bundles pass on either side of the urethra, and these fibers are sometimes called the
internal urethral sphincter The internal urethral sphincter is a urethral sphincter muscle which constricts the internal urethral orifice. It is located at the junction of the urethra with the urinary bladder and is continuous with the detrusor muscle, but anatomically and f ...
, 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 Transitional epithelium also known as urothelium is a type of stratified epithelium. Transitional epithelium is a type of tissue that changes shape in response to stretching (stretchable epithelium). The transitional epithelium usually appears ...
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 The Pontine micturition center (PMC, also known as Barrington's nucleus) is a collection of neuronal cell bodies located in the rostral pons in the brainstem involved in the supraspinal regulation of micturition. When activated, the PMC relaxes th ...
and, like
defecation Defecation (or defaecation) follows digestion, and is a necessary process by which organisms eliminate a solid, semisolid, or liquid waste material known as feces from the digestive tract via the anus. The act has a variety of names ranging f ...
, subject to voluntary facilitation and inhibition. 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. At low bladder volumes, afferent firing is low, resulting in excitation of the outlet (the sphincter and urethra), and relaxation of the bladder. 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. 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 The parasympathetic nervous system (PSNS) is one of the three divisions of the autonomic nervous system, the others being the sympathetic nervous system and the enteric nervous system. The enteric nervous system is sometimes considered part of t ...
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 2–3 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 .


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 Cystometry, also known as flow cystometry, is a clinical diagnostic procedure used to evaluate bladder function. Specifically, it measures contractile force of the bladder when voiding. The resulting chart generated from cystometric analysis is kno ...
), 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. 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 Diuresis () is increased urination (polyuria) or, in the related word senses more often intended, the physiological process that produces such an increase or the administration of medications to encourage that process. It involves extra urine pro ...
(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 The periaqueductal gray (PAG, also known as the central gray) is a brain region that plays a critical role in autonomic function, motivated behavior and behavioural responses to threatening stimuli. PAG is also the primary control center for d ...
, where they project both to the
pontine micturition center The Pontine micturition center (PMC, also known as Barrington's nucleus) is a collection of neuronal cell bodies located in the rostral pons in the brainstem involved in the supraspinal regulation of micturition. When activated, the PMC relaxes th ...
and to the cerebrum. 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 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. 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. Many men, and some women, may sometimes briefly shiver after or during urination. After urination, the
female urethra The urethra (from Greek οὐρήθρα – ''ourḗthrā'') is a tube that connects the urinary bladder to the urinary meatus for the removal of urine from the body of both females and males. In human females and other primates, the urethra con ...
empties partially by gravity, with assistance from muscles. Urine remaining in the
male urethra The urethra (from Greek οὐρήθρα – ''ourḗthrā'') is a tube that connects the urinary bladder to the urinary meatus for the removal of urine from the body of both females and males. In human females and other primates, the urethra con ...
is expelled by several contractions of the
bulbospongiosus muscle The bulbospongiosus muscle (bulbocavernosus in older texts) is one of the superficial muscles of the perineum. It has a slightly different origin, insertion and function in males and females. In males, it covers the bulb of the penis. In femal ...
, 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.New Law of Urination: Mammals Take 20 Seconds to Pee
Carrie Arnold, ''National Geographic,'' 23 October 2013
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. 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. One possibility is that the voluntary relaxation of the muscles of the pelvic floor causes a sufficient downward tug on the
detrusor muscle The detrusor muscle, also detrusor urinae muscle, muscularis propria of the urinary bladder and (less precise) muscularis propria, is smooth muscle found in the wall of the bladder. The detrusor muscle remains relaxed to allow the bladder to stor ...
to initiate its contraction. 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. 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 The abdomen (colloquially called the belly, tummy, midriff, tucky or stomach) is the part of the body between the thorax (chest) and pelvis, in humans and in other vertebrates. The abdomen is the front part of the abdominal segment of the torso. ...
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. 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


Clinical conditions

Many clinical conditions can cause disturbances to normal urination, including: *
Urinary incontinence Urinary incontinence (UI), also known as involuntary urination, is any uncontrolled leakage of urine. It is a common and distressing problem, which may have a large impact on quality of life. It has been identified as an important issue in geria ...
, the inability to hold urine **
Stress incontinence Stress incontinence, also known as stress urinary incontinence (SUI) or effort incontinence is a form of urinary incontinence. It is due to inadequate closure of the bladder outlet by the urethral sphincter. Pathophysiology It is the loss of sma ...
, incontinence as a result of external mechanical disturbances **
Urge incontinence Overactive bladder (OAB) is a condition where there is a frequent feeling of needing to urinate to a degree that it negatively affects a person's life. The frequent need to urinate may occur during the day, at night, or both. If there is loss ...
, incontinence that occurs as a result of the uncontrollable urge to urinate ** Mixed incontinence, a combination of the two types of incontinence *
Urinary retention Urinary retention is an inability to completely empty the bladder. Onset can be sudden or gradual. When of sudden onset, symptoms include an inability to urinate and lower abdominal pain. When of gradual onset, symptoms may include loss of bladd ...
, the inability to initiate urination *
Overactive bladder Overactive bladder (OAB) is a condition where there is a frequent feeling of needing to urinate to a degree that it negatively affects a person's life. The frequent need to urinate may occur during the day, at night, or both. If there is loss ...
, a strong urge to urinate, usually accompanied by detrusor overactivity *
Interstitial cystitis Interstitial cystitis (IC), a type of bladder pain syndrome (BPS), is chronic pain in the bladder and pelvic floor of unknown cause. It is the urologic chronic pelvic pain syndrome of women. Symptoms include feeling the need to urinate right awa ...
, a condition characterized by urinary frequency, urgency, and pain *
Prostatitis Prostatitis is an umbrella term for a variety of medical conditions that incorporate bacterial and non-bacterial origin illnesses in the pelvic region. In contrast with the plain meaning of the word (which means "inflammation of the prostate"), the ...
, an inflammation of the prostate gland that can cause urinary frequency, urgency, and pain *
Benign prostatic hyperplasia Benign prostatic hyperplasia (BPH), also called prostate enlargement, is a noncancerous increase in size of the prostate gland. Symptoms may include frequent urination, trouble starting to urinate, weak stream, inability to urinate, or loss o ...
, an enlargement of the prostate that can cause urinary frequency, urgency, retention, and the dribbling of urine *
Urinary tract infection A urinary tract infection (UTI) is an infection that affects part of the urinary tract. When it affects the lower urinary tract it is known as a bladder infection (cystitis) and when it affects the upper urinary tract it is known as a kidney ...
, which can cause urinary frequency and
dysuria Dysuria refers to painful or uncomfortable urination. It is one of a constellation of ''irritative'' bladder symptoms (also sometimes referred to as lower urinary tract symptoms), which includes nocturia and urinary frequency. Diagnosis The clin ...
*
Polyuria Polyuria () is excessive or an abnormally large production or passage of urine (greater than 2.5 L or 3 L over 24 hours in adults). Increased production and passage of urine may also be termed diuresis. Polyuria often appears in conjunction with ...
, abnormally large production of urine, associated with, in particular,
diabetes mellitus Diabetes, also known as diabetes mellitus, is a group of metabolic disorders characterized by a high blood sugar level ( hyperglycemia) over a prolonged period of time. Symptoms often include frequent urination, increased thirst and increased ap ...
(types 1 and 2), and
diabetes insipidus Diabetes insipidus (DI), recently renamed to Arginine Vasopressin Deficiency (AVP-D) and Arginine Vasopressin Resistance (AVP-R), is a condition characterized by large amounts of dilute urine and increased thirst. The amount of urine produce ...
*
Oliguria Oliguria or hypouresis is the low output of urine specifically more than 80 ml/day but less than 400ml/day.Boon et al, Davidson's Principles & Practice of Medicine (20th Ed), p475 The decreased output of urine may be a sign of dehydration, kidney ...
, low urine output, usually due to a problem with the upper urinary tract *
Anuria Anuria is nonpassage of urine, in practice is defined as passage of less than 100Harrison's Principles of Internal Medicine, 19E PAGE 292 milliliters of urine in a day. Anuria is often caused by failure in the function of kidneys. It may also occu ...
refers to absent or almost absent urine output. *
Micturition syncope Micturition syncope or post-micturition syncope is the name given to the human phenomenon of fainting shortly after or during urination. The underlying cause is not fully understood, but it may be a result of vasovagal response, postural hypotension ...
, a vasovagal response which may cause fainting. *
Paruresis Paruresis, also known as shy bladder syndrome, is a type of phobia in which a person is unable to urinate in the real or imaginary presence of others, such as in a public restroom. The analogous condition that affects bowel movement is called p ...
, the inability to urinate in the presence of others, such as in a public toilet. *
Bladder sphincter dyssynergia Bladder sphincter dyssynergia (also known as detrusor sphincter dyssynergia (DSD) (the ICS standard terminology agreed 1998) and neurogenic detrusor overactivity (NDO)) is a consequence of a neurological pathology such as spinal injury or multip ...
, a discoordination between the bladder and external urethral sphincter as a result of brain or
spinal cord injury A spinal cord injury (SCI) is damage to the spinal cord that causes temporary or permanent changes in its function. Symptoms may include loss of muscle function, sensation, or autonomic function in the parts of the body served by the spinal cor ...
A drug that increases urination is called a
diuretic A diuretic () is any substance that promotes diuresis, the increased production of urine. This includes forced diuresis. A diuretic tablet is sometimes colloquially called a water tablet. There are several categories of diuretics. All diuretics in ...
, whereas
antidiuretic An antidiuretic is a substance that helps to control fluid balance in an animal's body by reducing urination, opposing diuresis. Its effects are opposite that of a diuretic. The major endogenous antidiuretics are antidiuretic hormone (ADH; also ca ...
s 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 Paruresis, also known as shy bladder syndrome, is a type of phobia in which a person is unable to urinate in the real or imaginary presence of others, such as in a public restroom. The analogous condition that affects bowel movement is called p ...
, 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 Tabes dorsalis is a late consequence of neurosyphilis, characterized by the slow degeneration (specifically, demyelination) of the neural tracts primarily in the dorsal root ganglia of the spinal cord (nerve root). These patients have lancinating n ...
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 The cauda equina () is a bundle of spinal nerves and spinal nerve rootlets, consisting of the second through fifth lumbar nerve pairs, the first through fifth sacral nerve pairs, and the coccygeal nerve, all of which arise from the lumbar enlargeme ...
or
filum terminale The filum terminale ("terminal thread") is a delicate strand of fibrous tissue, about 20 cm in length, proceeding downward from the apex of the conus medullaris. It is one of the modifications of pia mater. It gives longitudinal support to th ...
, 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 In the autonomic nervous system, fibers from the CNS to the ganglion are known as preganglionic fibers. All preganglionic fibers, whether they are in the sympathetic division or in the parasympathetic division, are cholinergic (that is, these f ...
rather than
postganglionic In the autonomic nervous system, fibers from the ganglion to the wikt:effector, effector organ are called postganglionic fibers. Neurotransmitters The neurotransmitters of postganglionic fibers differ: * In the parasympathetic division, neuro ...
.


=Spinal cord injury

= During
spinal shock Spinal shock was first explored by Whytt in 1750 as a loss of sensation accompanied by motor paralysis with initial loss but gradual recovery of reflexes, following a spinal cord injury (SCI) – most often a complete transection. Reflexes in the sp ...
, the bladder is flaccid and unresponsive. It becomes overfilled, and urine dribbles through the sphincters (
overflow incontinence Overflow incontinence is a concept of urinary incontinence, characterized by the involuntary release of urine from an overfull urinary bladder, often in the absence of any urge to urinate. This condition occurs in people who have a blockage of the ...
). 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

Due to the positions where the
urethra The urethra (from Greek οὐρήθρα – ''ourḗthrā'') is a tube that connects the urinary bladder to the urinary meatus for the removal of urine from the body of both females and males. In human females and other primates, the urethra con ...
exits the body, males and females often use different techniques for urination.


Male urination

Most males prefer to urinate standing while others prefer to urinate sitting or
squatting Squatting is the action of occupying an abandoned or unoccupied area of land or a building, usually residential, that the squatter does not own, rent or otherwise have lawful permission to use. The United Nations estimated in 2003 that there ...
. Elderly males with
prostate gland The prostate is both an accessory gland of the male reproductive system and a muscle-driven mechanical switch between urination and ejaculation. It is found only in some mammals. It differs between species anatomically, chemically, and physio ...
enlargement may benefit from sitting down while in healthy males, no difference is found in the ability to urinate. For practising
Muslim Muslims ( ar, المسلمون, , ) are people who adhere to Islam, a monotheistic religion belonging to the Abrahamic tradition. They consider the Quran, the foundational religious text of Islam, to be the verbatim word of the God of Abrah ...
men, the genital
modesty Modesty, sometimes known as demureness, is a mode of dress and deportment which intends to avoid the encouraging of sexual attraction in others. The word "modesty" comes from the Latin word ''wikt:modestus, modestus'' which means "keeping within ...
of squatting is also associated with proper
cleanliness Cleanliness is both the state of being clean and free from germs, dirt, trash, or waste, and the habit of achieving and maintaining that state. Cleanliness is often achieved through cleaning. Culturally, cleanliness is usually a good quality, as ...
requirements or
awrah The intimate parts ( ar, عورة ', ar, ستر, ') of the human body must, according to Islam, be covered by clothing. Exposing the intimate parts of the body is unlawful in Islam as the Quran instructs the covering of male and female genital ...
.


Female urination

In human females, the urethra opens straight into the
vulva The vulva (plural: vulvas or vulvae; derived from Latin for wrapper or covering) consists of the external sex organ, female sex organs. The vulva includes the mons pubis (or mons veneris), labia majora, labia minora, clitoris, bulb of vestibu ...
. Hence, urination can take place while sitting or squatting for
defecation Defecation (or defaecation) follows digestion, and is a necessary process by which organisms eliminate a solid, semisolid, or liquid waste material known as feces from the digestive tract via the anus. The act has a variety of names ranging f ...
. It is also possible for females to urinate while standing, and while clothed. It is common for women in various regions of Africa to use this method when they urinate, as do women in
Laos Laos (, ''Lāo'' )), officially the Lao People's Democratic Republic ( Lao: ສາທາລະນະລັດ ປະຊາທິປະໄຕ ປະຊາຊົນລາວ, French: République démocratique populaire lao), is a socialist ...
.
Herodotus Herodotus ( ; grc, , }; BC) was an ancient Greek historian and geographer from the Greek city of Halicarnassus, part of the Persian Empire (now Bodrum, Turkey) and a later citizen of Thurii in modern Calabria ( Italy). He is known f ...
described a similar custom in ancient Egypt. An alternative method for women to urinate standing is to use a tool known as a
female urination device A female urination device, female urination aid, or stand-to-pee device (STP) is a device which aids a woman to urinate while standing upright. Variations range from basic disposable funnels to more elaborate reusable designs. Female urination ...
to assist.


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.


Fetal urination

The fetus urinates hourly and produces most of the
amniotic fluid The amniotic fluid is the protective liquid contained by the amniotic sac of a gravid amniote. This fluid serves as a cushion for the growing fetus, but also serves to facilitate the exchange of nutrients, water, and biochemical products betwee ...
in the second and third trimester of pregnancy. The amniotic fluid is then recycled by fetal swallowing.


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 In urinary catheterization a latex, polyurethane, or silicone tube known as a urinary catheter is inserted into the bladder through the urethra to allow urine to drain from the bladder for collection. It may also be used to inject liquids used ...
may be used in rare cases.


Alternative urination tools

Sometimes urination is done in a container such as a bottle,
urinal A urinal (, ) is a sanitary plumbing fixture for urination only. Urinals are often provided in public toilets for male users in Western countries (less so in Muslim countries). They are usually used in a standing position. Urinals can be with ...
, bedpan, or
chamber pot A chamber pot is a portable toilet, meant for nocturnal use in the bedroom. It was common in many cultures before the advent of indoor plumbing and flushing toilets. Names and etymology "Chamber" is an older term for bedroom. The chamber pot ...
(also known as a gazunder). A container or wearable
urine collection device A urine collection device or UCD is a device that allows the collection of urine for analysis (as in medical or forensic urinalysis) or for purposes of simple elimination (as in vehicles engaged in long voyages and not equipped with toilets, pa ...
may be used so that the urine can be examined for medical reasons or for a
drug test A drug test is a technical analysis of a biological specimen, for example urine, hair, blood, breath, sweat, or oral fluid/saliva—to determine the presence or absence of specified parent drugs or their metabolites. Major applications of drug ...
, for a
bedridden Being bedridden is a form of immobility that can present as the inability to move or even sit upright. It differs from bed-rest, a form of non-invasive treatment that is usually part of recovery or the limitation of activities. Some of the more ser ...
patient, when no toilet is available, or there is no other possibility to dispose of the urine immediately. An alternative solution (for traveling,
stakeout Surveillance is the monitoring of behavior, many activities, or information for the purpose of information gathering, influencing, managing or directing. This can include observation from a distance by means of electronic equipment, such as c ...
s, 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. 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. A
female urination device A female urination device, female urination aid, or stand-to-pee device (STP) is a device which aids a woman to urinate while standing upright. Variations range from basic disposable funnels to more elaborate reusable designs. Female urination ...
can assist women in girls in urinating while standing or into a bottle.


Social and cultural aspects


Art

A
puer mingens A puer mingēns (; plural puerī mingentēs ) 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 sym ...
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.


Toilet training

Babies have little socialized control over urination within traditions or families that do not practice
elimination communication Elimination communication (EC) is a practice in which a caregiver uses timing, signals, cues, and intuition to address an infant's need to eliminate waste. Caregivers try to recognize and respond to babies' bodily needs and enable them to urinate ...
and instead use
diaper A diaper /ˈdaɪpə(r)/ (American and Canadian English) or a nappy ( Australian English, British English, and Hiberno-English) is a type of underwear that allows the wearer to urinate or defecate Defecation (or defaecation) follows dig ...
s.
Toilet training Toilet training (also potty training or toilet learning) is the process of training someone, particularly a toddler or infant, to use the toilet for urination and defecation. Attitudes toward training in recent history have fluctuated substantial ...
is the process of learning to restrict urination to socially approved times and situations. Consequently, young children sometimes develop
nocturnal enuresis Nocturnal enuresis, also informally called bedwetting, is urinary incontinence, involuntary urination while sleep, asleep after the age at which bladder control usually begins. Bedwetting in children and adults can result in emotional stress. Com ...
.


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 A toilet is a piece of sanitary hardware that collects human urine and feces, and sometimes toilet paper, usually for disposal. Flush toilets use water, while dry or non-flush toilets do not. They can be designed for a sitting position popu ...
. Public toilets may have
urinal A urinal (, ) is a sanitary plumbing fixture for urination only. Urinals are often provided in public toilets for male users in Western countries (less so in Muslim countries). They are usually used in a standing position. Urinals can be with ...
s, usually for males, although
female urinal A female urinal is a urinal designed for the female anatomy to allow for ease of use by women and girls. Different models enable urination in standing, semi-squatting, or squatting postures, but usually without direct bodily contact with the toil ...
s exist, designed to be used in various ways.


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 some exposure of genitals. The latter can be unpleasant for the one who exposes them (modesty, lack of privacy) and/or those who can see them; 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.
Portable toilet A portable or mobile toilet (colloquial terms: thunderbox, portaloo, porta-john or porta-potty) is any type of toilet that can be moved around, some by one person, some by mechanical equipment such as a truck and crane. Most types do not require ...
s (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 beverage An alcoholic beverage (also called an alcoholic drink, adult beverage, or a drink) is a drink that contains ethanol, a type of alcohol that acts as a drug and is produced by fermentation of grains, fruits, or other sources of sugar. The c ...
s, which causes production of additional urine as well as a reduction of
inhibition Inhibitor or inhibition may refer to: In biology * Enzyme inhibitor, a substance that binds to an enzyme and decreases the enzyme's activity * Reuptake inhibitor, a substance that increases neurotransmission by blocking the reuptake of a neurotra ...
s. One proposed way to inhibit public urination due to drunkenness is the
Urilift A urinal (, ) is a sanitary plumbing fixture for urination only. Urinals are often provided in public toilets for male users in Western countries (less so in Muslim countries). They are usually used in a standing position. Urinals can be with ...
, 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.The new ourselves, growing older: women aging with knowledge and power, Paula Brown Doress-Worters, Diana Laskin Siegal, Boston Women's Health Book Collective, Simon & Schuster, 1994, Page 301 The 5th-century BC historian
Herodotus Herodotus ( ; grc, , }; BC) was an ancient Greek historian and geographer from the Greek city of Halicarnassus, part of the Persian Empire (now Bodrum, Turkey) and a later citizen of Thurii in modern Calabria ( Italy). He is known f ...
, writing on the culture of the
ancient Persians The Achaemenid Empire or Achaemenian Empire (; peo, 𐎧𐏁𐏂, , ), also called the First Persian Empire, was an ancient Iranian empire founded by Cyrus the Great in 550 BC. Based in Western Asia, it was contemporarily the largest emp ...
and highlighting the differences with those of the
Greeks The Greeks or Hellenes (; el, Έλληνες, ''Éllines'' ) are an ethnic group and nation indigenous to the Eastern Mediterranean and the Black Sea regions, namely Greece, Cyprus, Albania, Italy, Turkey, Egypt, and, to a lesser extent, oth ...
, noted that to urinate in the presence of others was prohibited among Persians. There was 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. Public urination still remains more accepted by males in the UK, although British cultural tradition itself seems to find such practices objectionable. In
Islamic toilet etiquette Islamic toilet etiquette is a set of personal hygiene rules in Islam that concerns going to the toilet. This code of Islamic hygienical jurisprudence is called ''Qaḍāʾ al-Ḥāǧa'' (). Personal hygiene is mentioned in a single verse of al- ...
, it is
haram ''Haram'' (; ar, حَرَام, , ) is an Arabic term meaning 'Forbidden'. This may refer to either something sacred to which access is not allowed to the people who are not in a state of purity or who are not initiated into the sacred knowle ...
to urinate while facing the
Qibla The qibla ( ar, قِبْلَة, links=no, lit=direction, translit=qiblah) is the direction towards the Kaaba in the Sacred Mosque in Mecca, which is used by Muslims in various religious contexts, particularly the direction of prayer for the s ...
, 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. When toilets are unavailable, females can relieve themselves in
Laos Laos (, ''Lāo'' )), officially the Lao People's Democratic Republic ( Lao: ສາທາລະນະລັດ ປະຊາທິປະໄຕ ປະຊາຊົນລາວ, French: République démocratique populaire lao), is a socialist ...
,
Russia Russia (, , ), or the Russian Federation, is a List of transcontinental countries, transcontinental country spanning Eastern Europe and North Asia, Northern Asia. It is the List of countries and dependencies by area, largest country in the ...
and
Mongolia Mongolia; Mongolian script: , , ; lit. "Mongol Nation" or "State of Mongolia" () is a landlocked country in East Asia, bordered by Russia to the north and China to the south. It covers an area of , with a population of just 3.3 million, ...
in emergency, but it remains less accepted for females in
India India, officially the Republic of India (Hindi: ), is a country in South Asia. It is the seventh-largest country by area, the second-most populous country, and the most populous democracy in the world. Bounded by the Indian Ocean on the so ...
even when circumstances make this a highly desirable option. Women generally need to urinate more frequently than men, but as opposed to the common misconception, it is not due to having smaller bladders. Resisting the urge to urinate because of lack of facilities can promote
urinary tract infection A urinary tract infection (UTI) is an infection that affects part of the urinary tract. When it affects the lower urinary tract it is known as a bladder infection (cystitis) and when it affects the upper urinary tract it is known as a kidney ...
s which can lead to more serious infections and, in rare situations, can cause renal damage in women.
Female urination device A female urination device, female urination aid, or stand-to-pee device (STP) is a device which aids a woman to urinate while standing upright. Variations range from basic disposable funnels to more elaborate reusable designs. Female urination ...
s are available to help women to urinate discreetly, as well to help them urinate while standing.


Standing versus sitting or squatting


Males

In Western culture, the
standing position Anatomical terminology is a form of scientific terminology used by anatomists, zoologists, and health professionals such as doctors. Anatomical terminology uses many unique terms, suffixes, and prefixes deriving from Ancient Greek and Latin. The ...
is regarded by some as more comfortable and more masculine than the sitting or squatting option. However, in public restrooms without urinals and sometimes at home, men may be urged to use the sitting position as to diminish spattering of urine. A systematic review
meta-analysis A meta-analysis is a statistical analysis that combines the results of multiple scientific studies. Meta-analyses can be performed when there are multiple scientific studies addressing the same question, with each individual study reporting me ...
of the effect of voiding position on the quality of urination found that in elderly males with
benign prostate hyperplasia Benign prostatic hyperplasia (BPH), also called prostate enlargement, is a noncancerous increase in size of the prostate gland. Symptoms may include frequent urination, trouble starting to urinate, weak stream, inability to urinate, or loss o ...
, the sitting position was superior compared with the standing. Healthy males were not influenced by voiding position. A literature review found cultural differences in socially accepted voiding positions around the world and found differences in preferred position: in the Middle-East and Asia, the
squatting position Squatting is a versatile posture where the weight of the body is on the feet but the knees and hips are bent. In contrast, sitting involves taking the weight of the body, at least in part, on the buttocks against the ground or a horizontal object. ...
was more prevalent, while in the Western world the standing and sitting positions were more common.


Females

Females usually sit or squat for urination, depending on what type of toilet they use: A
squat toilet A squat toilet (or squatting toilet) is a toilet used by squatting, rather than sitting. This means that the defecation posture used is to place one foot on each side of the toilet drain or hole and to squat over it. There are several types of sq ...
is used for urination in a squatting position. If there is no toilet available then a squatting or a half squat position is common. A partial
squatting position Squatting is a versatile posture where the weight of the body is on the feet but the knees and hips are bent. In contrast, sitting involves taking the weight of the body, at least in part, on the buttocks against the ground or a horizontal object. ...
(or "hovering") is taken up during urination by some women to avoid sitting on a potentially contaminated
toilet seat A toilet seat is a hinged unit consisting of a round or oval open seat, and usually a lid, which is bolted onto the bowl of a toilet used in a sitting position (as opposed to a squat toilet). The seat can be either for a flush toilet or a dry toi ...
or when using a
female urinal A female urinal is a urinal designed for the female anatomy to allow for ease of use by women and girls. Different models enable urination in standing, semi-squatting, or squatting postures, but usually without direct bodily contact with the toil ...
. However, this may leave urine behind in the
bladder The urinary bladder, or simply bladder, is a hollow organ in humans and other vertebrates that stores urine from the kidneys before disposal by urination. In humans the bladder is a distensible organ that sits on the pelvic floor. Urine enters ...
. It can also result in urine landing on the
toilet seat A toilet seat is a hinged unit consisting of a round or oval open seat, and usually a lid, which is bolted onto the bowl of a toilet used in a sitting position (as opposed to a squat toilet). The seat can be either for a flush toilet or a dry toi ...
.


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. Even today, many adults avoid stating that they need to urinate. Many expressions exist, some
euphemistic A euphemism () is an innocuous word or expression used in place of one that is deemed offensive or suggests something unpleasant. Some euphemisms are intended to amuse, while others use bland, inoffensive terms for concepts that the user wishes t ...
and some vulgar. For example, centuries ago the standard English word (both noun and verb, for the product and the activity) was "
piss Piss is a profanity, swear word. Piss(es) or pissing may refer to: * Urine, a liquid by-product of the body that is secreted by the kidneys and excreted through the urethra ** Urination, the ejection of urine to the outside of the body * Piss (alb ...
", 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 Toilet training (also potty training or toilet learning) is the process of training someone, particularly a toddler or infant, to use the toilet for urination and defecation. Attitudes toward training in recent history have fluctuated substantial ...
, 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". 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 Dialects are linguistic varieties that may differ in pronunciation, vocabulary, spelling and grammar. For the classification of varieties of English only in terms of pronunciation, see regional accents of English. Overview Dialects can be defi ...
show creativity.
American English American English, sometimes called United States English or U.S. English, is the set of variety (linguistics), varieties of the English language native to the United States. English is the Languages of the United States, most widely spoken lan ...
uses "to whiz".
Australian English Australian English (AusE, AusEng, AuE, AuEng, en-AU) is the set of varieties of the English language native to Australia. It is the country's common language and ''de facto'' national language; while Australia has no official language, Engli ...
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.
British English British English (BrE, en-GB, or BE) is, according to Lexico, Oxford Dictionaries, "English language, English as used in Great Britain, as distinct from that used elsewhere". More narrowly, it can refer specifically to the English language in ...
uses "going to see my aunt", "going to
see a man about a dog To see a man about a dog or horse or duck is an idiom, especially British, of apology for one's imminent departure or absence, generally to euphemistically conceal one's true purpose, such as going to use the toilet or going to buy a drink. The ...
", "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. One of the most common, albeit old-fashioned, euphemisms in British English is "to spend a penny", a reference to coin-operated
pay toilet A pay toilet is a public toilet that requires the user to pay. It may be street furniture or be inside a building, e.g. a shopping mall, department store, or railway station. The reason for charging money is usually for the maintenance of the equ ...
s, which used ( pre-decimalisation) to charge that sum.


Use in language

References to urination are commonly used in
slang Slang is vocabulary (words, phrases, and linguistic usages) of an informal register, common in spoken conversation but avoided in formal writing. It also sometimes refers to the language generally exclusive to the members of particular in-gro ...
. 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 A pissing contest, pissing duel, or pissing match, is a game in which participants compete to see who can urinate the highest, the farthest, for the longest, or the most accurately. Although the practice is usually associated with adolescent boys, ...
(an unproductive ego-driven battle) *'' Pisshead'' (vulgar way to refer to someone who drinks too much
alcohol Alcohol most commonly refers to: * Alcohol (chemistry), an organic compound in which a hydroxyl group is bound to a carbon atom * Alcohol (drug), an intoxicant found in alcoholic drinks Alcohol may also refer to: Chemicals * Ethanol, one of sev ...
) *'' 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 ''Taking the piss'' is a colloquial term meaning to mock at the expense of others, or to be joking, without the element of offence. (Compare with the American "fuck with.") It is a shortening of the idiom taking the piss out of, which is an expr ...
(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

Urolagnia Urolagnia (also urophilia, and, more colloquially, a golden shower or watersports) associates sexual excitement with the sight or thought of urine or urination, and may also refer to such behaviours or acts. It is a paraphilia. The term has o ...
, a
paraphilia Paraphilia (previously known as sexual perversion and sexual deviation) is the experience of intense sexual arousal to atypical objects, situations, fantasies, behaviors, or individuals. It has also been defined as sexual interest in anything ot ...
, is an inclination to obtain sexual enjoyment by looking at or thinking of urine or urination. Urine may be consumed, or the person may bathe in it. Drinking urine is known as
urophagia Urophagia is the consumption of urine. Urine was used in several ancient cultures for various health, healing, and cosmetic purposes; urine drinking is still practiced today. In extreme cases, people may drink urine if no other fluids are availab ...
, 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. Female
kob The kob (''Kobus kob'') is an antelope found across Central Africa and parts of West Africa and East Africa. Together with the closely related reedbucks, waterbucks, lechwe, Nile lechwe, and puku, it forms the Reduncinae tribe. Found along the ...
may exhibit urolagnia during sex; one female will
urinate Urination, also known as micturition, is the release of urine from the urinary bladder through the urethra to the outside of the body. It is the urinary system's form of excretion. It is also known medically as micturition, voiding, uresis, ...
while the other sticks her nose in the stream.Kick (2001)Imaginova (2007e) A male
Patagonian mara The Patagonian mara (''Dolichotis patagonum'') is a relatively large rodent in the mara genus ''Dolichotis''. It is also known as the Patagonian cavy, Patagonian hare, or dillaby. This herbivorous, somewhat rabbit-like animal is found in open an ...
, 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. 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. Both anal digging and urination are more frequent during the breeding season and are more commonly done by males. A male porcupine urinates on a female porcupine prior to mating, spraying the urine at high velocity.


Electric shock injuries and deaths

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. It is thought that an electrical current had traveled through their stream of urine and into their body. 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. In 2014 in Spain a person died when they were urinating on a lamp post and they received an electric shock. It was reported that it is thought possible the person received the electric shock when an electric current traveled through the stream of urine and into the person's body.


Other species

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. In dogs and other animals, urination can mark territory or express submissiveness. In small
rodent Rodents (from Latin , 'to gnaw') are mammals of the order Rodentia (), which are characterized by a single pair of continuously growing incisors in each of the upper and lower jaws. About 40% of all mammal species are rodents. They are na ...
s such as rats and mice, it marks familiar paths. The urine of animals of differing
physiology Physiology (; ) is the scientific study of functions and mechanisms in a living system. As a sub-discipline of biology, physiology focuses on how organisms, organ systems, individual organs, cells, and biomolecules carry out the chemical ...
or
sex Sex is the trait that determines whether a sexually reproducing animal or plant produces male or female gametes. Male plants and animals produce smaller mobile gametes (spermatozoa, sperm, pollen), while females produce larger ones (ova, oft ...
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 Feces ( or faeces), known colloquially and in slang as poo and poop, are the solid or semi-solid remains of food that was not digested in the small intestine, and has been broken down by bacteria in the large intestine. Feces contain a relati ...
of the animal via the
cloaca In animal anatomy, a cloaca ( ), plural cloacae ( or ), is the posterior orifice that serves as the only opening for the digestive, reproductive, and urinary tracts (if present) of many vertebrate animals. All amphibians, reptiles and birds, a ...
, whereas mammals' urine is a yellowish colour, with mostly
urea Urea, also known as carbamide, is an organic compound with chemical formula . This amide has two amino groups (–) joined by a carbonyl functional group (–C(=O)–). It is thus the simplest amide of carbamic acid. Urea serves an important r ...
instead of uric acid, and is discharged via the urethra, separately from the
feces Feces ( or faeces), known colloquially and in slang as poo and poop, are the solid or semi-solid remains of food that was not digested in the small intestine, and has been broken down by bacteria in the large intestine. Feces contain a relati ...
. Some animals' (example:
carnivore A carnivore , or meat-eater (Latin, ''caro'', genitive ''carnis'', meaning meat or "flesh" and ''vorare'' meaning "to devour"), is an animal or plant whose food and energy requirements derive from animal tissues (mainly muscle, fat and other sof ...
s') urine possesses a strong odour, especially when it is used to mark territory or Stallions sometimes exhibit the
Flehmen response The flehmen response (; from German ''flehmen'', to bare the upper teeth, and Upper Saxon German ''flemmen'', to look spiteful), also called the flehmen position, flehmen reaction, flehmen grimace, flehming, or flehmening, is a behavior in whic ...
by smelling the urine of a mare in heat. A stallion sometimes
scent mark In ethology, territory is the sociographical area that an animal consistently defends against conspecific competition (or, occasionally, against animals of other species) using agonistic behaviors or (less commonly) real physical aggression. A ...
s his urination spots to make his position as herd stallion clear. A male
horse's penis A stallion is a male horse that has not been gelded (castrated). Stallions follow the conformation and phenotype of their breed, but within that standard, the presence of hormones such as testosterone may give stallions a thicker, "cresty" neck ...
is protected by a
sheath Sheath pronounced as , may refer to: * Scabbard, a sheath for holding a sword, knife, or other large blade, as well as guns, such as rifles. * The outer covering of a cable * Condom, a kind of contraception * Debye sheath, a layer of a plasma in ...
when it is not in use for urination."Cut Through Smegma." ''Horse Journal'', August 2007, p. 19-20.
Ring-tailed lemur The ring-tailed lemur (''Lemur catta'') is a large strepsirrhine primate and the most recognized lemur due to its long, black and white ringed tail. It belongs to Lemuridae, one of five lemur families, and is the only member of the ''Lemur'' ge ...
s have also been shown to mark using urine. Behaviorally, there is a difference between regular urination, where the tail is slightly raised and a stream of urine is produced, and marking behavior, where the tail is held up in display and only a few drops are used. The urine-marking behavior is typically used by females to mark territory, and has been observed primarily at the edges of the troop's territory and in areas where other troops may frequent. The urine marking behavior is also most frequent during the mating season, and may play a role in reproductive communication between groups. Many
loris Loris is the common name for the strepsirrhine mammals of the subfamily Lorinae (sometimes spelled Lorisinae) in the family Lorisidae. ''Loris'' is one genus in this subfamily and includes the slender lorises, ''Nycticebus'' is the genus contain ...
species also use urine for scent-marking. The
white-headed capuchin White-faced capuchin, or white headed capuchin, can refer to either of two species of gracile capuchin monkey: * ''Cebus imitator'', the Panamanian white-faced capuchin, also known as the Panamanian white-headed capuchin or Central American whi ...
sometimes engages in a practice known as "urine washing", in which the monkey rubs urine on its feet. Urine washing, in which urine is rubbed on the hands and feet, is also used by the Panamanian night monkey. In some cases,
strepsirrhine Strepsirrhini or Strepsirhini (; ) is a suborder of primates that includes the lemuriform primates, which consist of the lemurs of Madagascar, galagos ("bushbabies") and pottos from Africa, and the lorises from India and southeast Asia. Collec ...
s may also anoint themselves with urine. Hyenas do not raise their legs as canids do when urinating, as urination serves no territorial function for them. Instead, hyenas mark their territories using their anal glands, a trait found also in
viverrid Viverridae is a family of small to medium-sized, feliform mammals. The viverrids () comprise 33 species placed in 14 genera. This family was named and first described by John Edward Gray in 1821. Viverrids occur all over Africa, southern Europe, ...
s and
mustelid The Mustelidae (; from Latin ''mustela'', weasel) are a family of carnivorous mammals, including weasels, badgers, otters, ferrets, martens, minks and wolverines, among others. Mustelids () are a diverse group and form the largest family in ...
s, but not
canid Canidae (; from Latin, ''canis'', "dog") is a biological family of dog-like carnivorans, colloquially referred to as dogs, and constitutes a clade. A member of this family is also called a canid (). There are three subfamilies found within the ...
s and
felid Felidae () is the family of mammals in the order Carnivora colloquially referred to as cats, and constitutes a clade. A member of this family is also called a felid (). The term "cat" refers both to felids in general and specifically to the dom ...
s. Unlike other female mammals, female
spotted hyena The spotted hyena (''Crocuta crocuta''), also known as the laughing hyena, is a hyena species, currently classed as the sole extant member of the genus ''Crocuta'', native to sub-Saharan Africa. It is listed as being of least concern by the IUC ...
s urinate, copulate, and give birth through an organ called the
pseudo-penis A pseudo-penis is any structure found on an animal that, while superficially appearing to be a penis, is derived from a different developmental path. Mammals In mammals, all intact developmentally typical males have a penis, but the clitoris in ...
. Young cattle can be toilet-trained to urinate in a "latrine" where their urine can be collected for
wastewater treatment Wastewater treatment is a process used to remove contaminants from wastewater and convert it into an effluent that can be returned to the water cycle. Once returned to the water cycle, the effluent creates an acceptable impact on the environme ...
, which could be used to reduce
greenhouse gas emissions Greenhouse gas emissions from human activities strengthen the greenhouse effect, contributing to climate change. Most is carbon dioxide from burning fossil fuels: coal, oil, and natural gas. The largest emitters include coal in China and lar ...
from the animals' urine in countries such as the Netherlands, the United States, and New Zealand.


Dog-like mammals (''Canidae'')

All
canid Canidae (; from Latin, ''canis'', "dog") is a biological family of dog-like carnivorans, colloquially referred to as dogs, and constitutes a clade. A member of this family is also called a canid (). There are three subfamilies found within the ...
s (with the possible exception of
dhole The dhole (''Cuon alpinus''; ) is a canid native to Central, South, East and Southeast Asia. Other English names for the species include Asian wild dog, Asiatic wild dog, Indian wild dog, whistling dog, red dog, red wolf, and mountain wolf. It ...
s) use urine (combined with
preputial gland Preputial glands are exocrine glands that are located in the folds of skin front of the genitals of some mammals. They occur in several species, including mice, ferrets, rhinoceroses, and even-toed ungulates and produce pheromones. The glands play ...
secretions) to mark their territories. Many species of canids, including
hoary fox The hoary fox or hoary zorro (''Lycalopex vetulus''), also known as ''raposinha-do-campo'' in Brazil (Portuguese for "little meadow fox"), is a species of zorro or "false" fox endemic to Brazil. Unlike many other foxes, it feeds primarily on sma ...
es,
cape fox The Cape fox (''Vulpes chama''), also called the asse, cama fox or the silver-backed fox, is a small species of fox, native to southern Africa. It is also called a South African version of a fennec fox due to its similarly big ears. It is the ...
es, and
golden jackal The golden jackal (''Canis aureus''), also called common jackal, is a wolf-like canid that is native to Southeast Europe, Southwest Asia, South Asia, and regions of Southeast Asia. The golden jackal's coat varies in color from a pale creamy y ...
s, use a raised-leg posture when urinating. The scent of their urine is usually strongest in the winter, before the
mating season Seasonal breeders are animal species that successfully mate only during certain times of the year. These times of year allow for the optimization of survival of young due to factors such as ambient temperature, food and water availability, and cha ...
.
Domestic dogs The dog (''Canis familiaris'' or ''Canis lupus familiaris'') is a domesticated descendant of the wolf. Also called the domestic dog, it is derived from the extinct Pleistocene wolf, and the modern wolf is the dog's nearest living relative. Do ...
mark their territories by urinating on vertical surfaces (usually at nose level), sometimes marking over the urine of other dogs. When one dog marks over another dog's urine, this is known as "counter-marking" or "overmarking". Male dogs urine-mark more frequently than female dogs, typically beginning after the onset of
sexual maturity Sexual maturity is the capability of an organism to reproduce. In humans it might be considered synonymous with adulthood, but here puberty is the name for the process of biological sexual maturation, while adulthood is based on cultural definitio ...
. Male dogs, as well as wolves, sometimes lift a leg and attempt to urinate even when their bladders are empty – this is known as a "raised-leg display", "shadow-urination", or "pseudo-urination". They typically mark their territory due to the presence of new stimuli or social triggers in a dog's environment, as well as out of anxiety. Marking behavior is present in both male and female dogs, and is especially pronounced in male dogs that have not been
neutered Neutering, from the Latin ''neuter'' ('of neither sex'), is the removal of an animal's reproductive organ, either all of it or a considerably large part. The male-specific term is castration, while spaying is usually reserved for female animals. C ...
. Raised-leg urination is the most significant form of
scent marking in wolves The wolf (''Canis lupus''; plural, : wolves), also known as the gray wolf or grey wolf, is a large Canis, canine native to Eurasia and North America. More than thirty subspecies of Canis lupus, subspecies of ''Canis lupus'' have been reco ...
, and is most frequent around the breeding season. Wolves urine-mark more frequently when they detect the scent of other wolves, or other canid species. Leg-lifting is more common in male wolves than female wolves, although dominant females also use the raised-leg posture. Other types of urine-marking in wolves are FLU (flexed-leg urination), STU (standing urination), and SQU (squatting urination). Breeding pairs of wolves will sometimes urinate on the same spot: this is known as "double-marking". Double-marking is practiced by both coyotes and wolves., and also by foxes. Coyotes mark their territories by urinating on bushes, trees, or rocks. Male coyotes usually lift their legs when scent-marking. However, females sometimes also raise their legs, and males sometimes squat. Urine marking is also associated with pair bonding in coyotes Coyotes sometimes urinate on their food, possibly to claim ownership over it.
Red fox The red fox (''Vulpes vulpes'') is the largest of the true foxes and one of the most widely distributed members of the Order (biology), order Carnivora, being present across the entire Northern Hemisphere including most of North America, Europe ...
es use their urine to mark their territories. A male fox raises one hind leg and his urine is sprayed forward in front of him, whereas a female fox squats down so that the urine is sprayed in the ground between the hind legs. Urine is also used to mark empty cache sites, as reminders not to waste time investigating them. Red foxes use to urinate, depending on where they are leaving a scent mark. As in most other canids, male
bush dog The bush dog (''Speothos venaticus'') is a canine found in Central and South America. In spite of its extensive range, it is very rare in most areas except in Suriname, Guyana and Peru; it was first identified by Peter Wilhelm Lund from fossils ...
s lift their hind legs when urinating. However, female bush dogs use a kind of handstand posture, which is less common in other canids. When male bush dogs urinate, they create a spray instead of a stream. Both male and female
maned wolves The maned wolf (''Chrysocyon brachyurus'') is a large canine of South America. It is found in Argentina, Brazil, Bolivia, Peru, and Paraguay, and is almost extinct in Uruguay. Its markings resemble those of foxes, but it is neither a fox nor a w ...
use their urine to communicate, e.g. mark their hunting paths or places where they have buried hunted prey. The urine has a very distinctive smell, which some people liken to
hops Hops are the flowers (also called seed cones or strobiles) of the hop plant ''Humulus lupulus'', a member of the Cannabaceae family of flowering plants. They are used primarily as a bittering, flavouring, and stability agent in beer, to whi ...
or
cannabis ''Cannabis'' () is a genus of flowering plants in the family Cannabaceae. The number of species within the genus is disputed. Three species may be recognized: ''Cannabis sativa'', '' C. indica'', and '' C. ruderalis''. Alternatively ...
. The responsible substance is very likely a
pyrazine Pyrazine is a heterocyclic aromatic organic compound with the chemical formula C4H4N2. It is a symmetrical molecule with point group D2h. Pyrazine is less basic than pyridine, pyridazine and pyrimidine. It is a ''"deliquescent crystal or wax-lik ...
, which occurs in both plants. (At the
Rotterdam Zoo ( ''Blijdorp Zoo''), officially Rotterdam Zoo, is a zoo located in the northwestern part of Rotterdam. It is one of the oldest zoos in the Netherlands, and has been operated by the ("Royal Rotterdam Zoo Foundation"). Divided into several zoogeog ...
, this smell once set the police on a hunt for cannabis smokers.)


Cats (''Felidae'')

Within the
Felidae Felidae () is the family of mammals in the order Carnivora colloquially referred to as cats, and constitutes a clade. A member of this family is also called a felid (). The term "cat" refers both to felids in general and specifically to the ...
, males can urinate backwards by curving the tip of the
glans penis In male human anatomy, the glans penis, commonly referred to as the glans, is the bulbous structure at the distal end of the human penis that is the human male's most sensitive erogenous zone and their primary anatomical source of sexual p ...
backward. Urine marking by felids is also known as "spray-urinating" or "spray-marking". To identify their territories, male tigers mark trees by spraying urine and
anal gland Anal may refer to: Related to the anus *Related to the anus of animals: ** Anal fin, in fish anatomy ** Anal vein, in insect anatomy ** Anal scale, in reptile anatomy *Related to the human anus: ** Anal sex, a type of sexual activity involving s ...
secretions, as well as marking trails with scat. Males show a grimacing face, called the
Flehmen response The flehmen response (; from German ''flehmen'', to bare the upper teeth, and Upper Saxon German ''flemmen'', to look spiteful), also called the flehmen position, flehmen reaction, flehmen grimace, flehming, or flehmening, is a behavior in whic ...
, when identifying a female's reproductive condition by sniffing their urine markings. Lions use urine to mark their territories. They often scrape the ground while urinating, and the urine often flows in short spurts, instead of flowing continuously. They often urinate on vegetation, or on tree trunks at least one meter high. Male lions spray 1–20 jets of urine at an angle of 20–30 degrees upward, at a range of up to 4 meters behind them. Male cheetahs mark their territory by urinating on objects that stand out, such as trees, logs, or
termite Termites are small insects that live in colonies and have distinct castes (eusocial) and feed on wood or other dead plant matter. Termites comprise the infraorder Isoptera, or alternatively the epifamily Termitoidae, within the order Blattode ...
mounds. The whole coalition contributes to the scent. Males will attempt to kill any intruders, and fights result in serious
injury An injury is any physiological damage to living tissue caused by immediate physical stress. An injury can occur intentionally or unintentionally and may be caused by blunt trauma, penetrating trauma, burning, toxic exposure, asphyxiation, o ...
or
death Death is the irreversible cessation of all biological functions that sustain an organism. For organisms with a brain, death can also be defined as the irreversible cessation of functioning of the whole brain, including brainstem, and brain ...
. When male cheetahs urine-mark their territories, they stand a meter away from a tree or rock surface with the tail raised, pointing the penis either horizontally backward or 60° upward. The odor of cheetah urine (unlike that of other large felids) cannot be easily detected by humans.
Black-footed cat The black-footed cat (''Felis nigripes''), also called the small-spotted cat, is the smallest wild cat in Africa, having a head-and-body length of . Despite its name, only the soles of its feet are black or dark blackish brown. With its bold s ...
s use scent marking throughout their ranges, with males spraying urine up to 12 times an hour.


See also

*
Defecation Defecation (or defaecation) follows digestion, and is a necessary process by which organisms eliminate a solid, semisolid, or liquid waste material known as feces from the digestive tract via the anus. The act has a variety of names ranging f ...
*
Human positions Human positions refer to the different physical configurations that the human body can take. There are several synonyms that refer to human positioning, often used interchangeably, but having specific nuances of meaning. *''Position'' is a gen ...
*
Post micturition convulsion syndrome In neurourology, post-micturition convulsion syndrome (PMCS), also known informally as pee shivers, is the experience of shivering during or after urination. The syndrome appears to be more frequently experienced by males. The term was coined in 1 ...
*
Sanitation Sanitation refers to public health conditions related to clean drinking water and treatment and disposal of human excreta and sewage. Preventing human contact with feces is part of sanitation, as is hand washing with soap. Sanitation systems ...


References


Further reading

* * *


External links

* , describes the neurophysiology of urination
"Urination" at HowStuffWorks.com
{{Authority control Articles containing video clips Excretion Human positions Medical signs Partial squatting position Urine Urology