!Mucosa in Renal Pelvis, Bladder and Urinary Ducts (Urothelium)
!!Anatomy
In the bladder, the urine produced in the kidneys is __collected and stored__ before __excretion__.
The bladder is a hollow organ with elastic walls and ((Organ Walls - Smooth Muscle Layer|smooth muscle)), situated on the pelvis floor. The urine is lead from the renal pelvis via 2 urethers into the bladder at the ((Urinary - Bladder - Trigon Mucosa|trigon)), and leaves the bladder via the urethra controlled by ((Urinary - Bladder muscle and Sphincters|sphincter muscles)).
The__ urothelium__ is the epithelium that lines much of the urinary tract. It is a layer of tissue that lines the renal pelvis, the ureters, the bladder, and parts of the urethra. Urothelial tissue is highly specific to the urinary tract, and has high elasticity and trans-epithelial electrical resistance.
Urothelium consists of approximately 3-5 cell layers, accompanied by a thick layer of __protective glycoprotein__, and is __highly elastic__: the cuboidal cells become high-prismatic in empty state, in filled state they flatten, while their cell walls have elastic folds.

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!!Brain
{img fileId="355" thumb="box"}insular cortex 
graphic: wikipedia, Henry Gray

!!!Relay:
__Cerebral Cortex__ ( - / + ) dorsal territorial relays left & right in "5 and 7 o'clock"
{img fileId="125" thumb="box"}Cut through cerebral cortex at the level of the insula

!!Mind
!!!Theme:
Territory-Marking, Boundaries: combines identity & protection aspects
The male perception is directed to the "__outer territory__" like work or friends, while the female perception rather means one's home, the "__inner territory__".

!!!Emotions, Thoughts:
Being unable to define or assert one's own position and possession.
*Don't you dare touch that!
*This is my seat!
*I have to defend my position!
*I need more room for myself.
*Leave me alone!
!!!META-Meaning:
*I now have the means to communicate my needs and my boundaries.
*I am in axactly the right place.
*I respect and I'm being respected.
*I am my place.

!!Organ
Sensitivity changes according to OS/epidermis pattern with hyperesthesia, itch or pain appear during __regeneration phase__.

!!!Stress Phase Symptoms:
Widening of the urinary ducts allows for more urine to flow through, while sensitivity is reduced. Inconspicious weakening or ulceration in the tissue, no bleeding. Enhanced excretion and __incontinence__ when accompanied by slackening of the ((Urinary - Bladder muscle and Sphincters|sphincter muscles)).

Ruptures are possible when ((Organ Walls - Submucosa Layer|organ walls)) (also ((Organ Walls - Smooth Muscle Layer|muscle)) & ((Musculoskeletal - Connective Tissue|connective tissues))) are weakened.

!!!Regeneration Phase A:
Inflammatory swelling with hyperesthesia and burning pain, __urge to urinate but only small amounts are expelled__. Blood in urine (hematuria). __Obstruction__ of urinary vessels is possible by swelling and stones. Often virus or bacterial infection facilitating repair and tissue growth, which can lead to cysts or bladder carcinoma. Possible diagnoses: urinary infection, __pyelonephritis, urocystitis__, urothelium carcinoma, papillary carcinoma. 
During longer or chronic phases with swelling, renal od bladder stones (__uroliths__) can be built.

!!!Healing Peak:
Short unconsciousness/absence with numbness, often accompanied by spasms of the smooth bladder muscle and paralysis of the sphincter, pushing out urine (e. g. bedwetting,__ incontinence__). Painful discharge of uroliths possible.

!!!Regeneration Phase B:
Sscarring processes can lead to __urothelium metaplasia__. The tissue becomes less elastic, which may show through an __irritable bladder__ with frequent urgency.

!!!Biological Meaning:
Widening and cell loss in bladder and urinary vessels in stress phase, accompanied by slackening of the sphincter muscles, lead to "compulsory" territory marking through increased urination.

!!Social
!!!Examples:
*An elderly woman needs to join a nursing home and has to leave many belongings behind. Before she feels at home there, she is incontinent. Because she enjoys the care by the nurses, there is a certain secondary gain through her symptoms. 

*A woman is irritated about smelling cat's excrements in the house. It is winter time and the cats don't want to go out as they are used to. When the woman enters the house, she immediately feels the urge to urinate. (Klapp) 

*A CEO and mother had a very stressy time promoting the company and caring for her children. When the company moves, she has to change her office, and also some of her tasks are transferred to others. She feels upset, disappointed and mistreated by her partners. She becomes incontinent. Eventually she decides to be "bought out", which resolves the conflict. (Joborn, MHU archive)

*A young woman who is on a spiritual and physical journey asserts her own needs and has her way. In the evening, she experiences a painful urinary infection, a pattern which she recognizes from other times before. When she realizes the biological and META meanings of her symptoms, she recuperates in much less time than expected. (Klapp)

!!Additional Information
This relay belongs to the "__territorial relays__" in the peri-insular cerebral cortex, with the theme of social position and affiliation. Special rules apply for the meaning of side dominance. Conflicts affect the sexual and social "hormonal scale" and can promote manic or depressive episodes (see "territorial constellations" related to the function of the ((Endocrine - Pituitary Gland - Posterior Lobe|neurohypophysis))).
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!!!Constellations:
__Territory-Marking Constellation__ (CC territorial relays of Urothelium both sides): manic and depressive states; Claustrophobia, Agoraphobia, fear of displacement, possibly racism. __Positive: justice, responsibility__.  
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!!!Differential Diagnosis:
__Bladder - ((Urinary - Bladder - Trigon Mucosa|Trigon Mucosa))__ (Brain Stem, +/-): Hyperesthesia and -secretion or adenoma growth in stress phase (excretion, ugly), inflammation and tuberculous degradation in regeneration phase.

__Bladder - ((Urinary - Bladder muscle and Sphincters|Smooth Muscle))__ (Midbrain, +/-) stress phase (boundaries/excretion): irritable bladder, hypertonus, urge to urinate, hypertrophy; Regeneration phase: tonus normalization

__Bladder - ((Urinary - Bladder muscle and Sphincters|Urethral Sphincter))__ (Cerebral Medulla, -/+) stress phase (boundaries/control): slackening, incontinence, necrosis; Regeneration phase: replenishment, hypertonus, urinary retention possible; Healing Peak: spasms

__((Urinary - Kidneys - Collecting Tubules|Kidney Collecting Tubules))__ (Brain Stem +/-) Stress phase (abandonment): enhanced water reabsorption & retention, reduced urination, renal duct carcinoma possible; Regeneration phase: enhanced urination, oedema normalization, tumor decomposition with proteinuria, nightly sweating

__((Urinary - Kidneys - Parenchyma|Kidney Parenchyma))__ (Cerebral Medulla, -/+) Stress phase (drowning): uremia , hypertension; Regeneration phase: glomerulonephritis, hematuria, proteinuria, renal cysts; 
chronic: cirrhotic kidney

Incontinence can be caused by pressure from other organs (like the uterus) on the bladder due to weakened __((Musculoskeletal - Connective Tissue|ligament)) structure__.
