(February 2009). An episiotomy (/ÉËpiËziËËÉtÉmiË/ or /ÉËpÉsaÉªËÉtÉmiË/), also known as perineotomy, is a surgical incision of the perineum and the posterior vaginal wall generally done by a midwife or obstetrician during second stage of labor to quickly enlarge the opening for the baby to pass through.
Hyperreflexia. Hyperreflexia is defined as overactive or overresponsive reflexes. Examples of this can include twitching or spastic tendencies, which are indicative of upper motor neuron disease as well as the lessening or loss of control ordinarily exerted by higher brain centers of lower neural pathways.See Autonomic dysreflexia.xamples of this can include twitching or spastic tendencies, which are indicative of upper motor neuron disease as well as the lessening or loss of control ordinarily exerted by higher brain centers of lower neural pathways.
Detrusor hyperreflexia (DH) is a frequently. occurring condition. The symptomatology is characterized. by frequency, urgency and urge incontinence. DH is de-. fined as involuntary, uninhibited detrusor contractions. The physiology and pathophysiology of the micturition. reflex is reviewed. The balance between cerebral stimu-. lation and supraspinal inhibition is discussed. DH is. caused by disturbances in this balance.