In some plants and cell types, after a maximum size or point in development has been reached, a secondary wall is constructed between the plasma membrane and primary wall. Unlike the primary wall, the microfibrils are aligned mostly in the same direction, and with each additional layer the orientation changes slightly.
In a word, YES! I have been treated for both urological and anxiety issues, and I've been told by doctors of both specialties that my problems feed off of each other. I find at times when I get extremely anxious about something, whether at work or home, it tends to make me feel the urinary symptoms a lot more.
Aetna considers multi-channel urodynamic studies medically necessary when the member has both symptoms and physical findings of urinary incontinence/voiding dysfunctions (such as stress incontinence, overactive bladder, lower urinary tract symptoms) and there is consideration by the provider to perform invasive, potentially morbid or irreversible treatments after conservative management has been tried and failed.