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Distributed transient contractions and MMs yield a balanced dynamic plastic state of the regions of the bladder wall. An almost constant detrusor pressure can be attributed to the active accommodation of detrusor pressure to changes in bladder volume. Localized contractile activity and MMs that change the plastic elongated state of varying bladder regions are biomechanically effective in the active accommodation of detrusor pressure to changes in bladder volume. According to this concept, autonomous bladder wall activity as a source of

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