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EXCRETION: URETERS AND THE URINARY BLADDER
After what is necessary has been returned to the body, the remaining urine is delivered through the multitudinous tubules and carried away by the ureters, practically always one to each kidney. A ureter is a long, narrow, muscular tube with wavelike motions traveling down it at intervals and propelling the urine which enters the bladder in spurts. The bladder is a thick-walled muscular sac and is far from being merely an inert receptacle for fluid. The ureters enter it at an angle so that over a half inch of each is embedded in the wall. Hence, when pressure is made for voiding, the valve-like action prevents urine from being forced back into the kidneys.
With normal conditions the bladder is under the control of the will, despite any acute desire to urinate. It has the capacity to adjust itself to the volume of its contents with little change in internal pressure. Of course this varies with different persons and naturally with local disease.
We should take a most charitable view of this beneficent organ. When we find trouble here, investigation will show that it starts elsewhere and the bladder is the innocent bystander that suffers. Tuberculosis of the kidney usually causes great irritation of the bladder. Infections lower down in the lower tract react on the bladder. In severe injuries of the spinal cord the bladder sooner or later suffers.
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