Elevating glucocorticoids in the amygdala produces colorectal hypersensitivity through activation of lumbosacral spinal neurons. The aim of this study was to determine if descending modulation from the amygdala affects spinal processing of input from urinary bladder afferents. Fischer-344 rats received cholesterol- (inactive control), corticosterone-, or aldosterone-containing micropellets placed stereotaxically on the dorsal margin of the left and right amygdala (n=10 for each group). Seven days following amygdaloid implantation, extracellular potentials of single L₆-S₁ spinal neurons were examined for the response to graded (0.5-2.0 ml, 20 s) urinary bladder distension (UBD). Spontaneous activity of neurons with excitatory responses to UBD in aldosterone-implanted rats (11.0±1.7imp/s), but not in corticosterone-implanted rats, was higher than in the cholesterol-implanted group (6.6±1.1 imp/s, P<0.05). Noxious UBD (1.5 ml) produced a greater excitatory response (21.6±2.6 imp/s) in aldosterone-implanted rats compared to cholesterol- or corticosterone-implanted rats (15.1±1.5 and 13.6±1.4 imp/s; P<0.05). In contrast, the duration of excitatory responses to UBD in corticosterone-implanted rats (38.5±3.4 imp/s) was significantly longer than those in the aldosterone or control groups (26.8±1.8 and 24.7±1.5 imp/s). Neurons with low thresholds for excitatory responses to UBD were seen more frequently in aldosterone-implanted rats than in corticosterone or cholesterol treated rats (74% vs 44% and 39%, P<0.05). No difference in somatic field properties of spinal neurons responsive or non-responsive to UBD was found among the three groups. These findings suggest that both mineralocorticoid- and glucocorticoid-mediated mechanisms in the amygdala are involved in descending modulation to lumbosacral spinal neurons receiving inputs from the urinary bladder; and this mechanism may play a role in the activation and maintenance of primary central sensitization to noxious visceral stimuli.