TY - JOUR
T1 - Effects of periurethral neuromuscular electrical stimulation on the voiding frequency in rats
AU - Zhang, Yingchun
AU - Bicek, Andrew D.
AU - Wang, Guangjian
AU - Timm, Gerald W.
PY - 2010/10
Y1 - 2010/10
N2 - Introduction and hypothesis: This study aims to test the hypothesis that a urethra-to-bladder inhibitory pathway exists through which periurethral neuromuscular electrical stimulation (NMES) inhibits overactive bladder contractions in rats. Methods: Bladder overactivity was induced in 22 female Sprague Dawley rats by injection of ketamine/xylazine/acepromizine (K/X/A). A bipolar electrode was placed surgically in the periurethral region to deliver NMES. Intravesical pressure, bladder inter-contraction interval (ICI) and voided volume (VV) were monitored while the bladder was continuously infused with saline. Results: K/X/A induced more frequent bladder contractions (ICI=48.6±20.1 s, before cutting the pubo-symphasis) compared to a 10-min ICI induced by urethane. NMES significantly increased ICI (63.1±31.3 s before vs. 97.2± 42.9 s after NMES, p<0.001) and VV (0.063=0.041 ml before vs. 0.088=0.044 ml after NMES, p<0.02). Conclusions: Injection of K/X/A may potentially be used as a model of bladder overactivity. NMES inhibits bladder contractions in rats with bladder overactivity, which supports the existence of a urethra-to-bladder inhibitory pathway.
AB - Introduction and hypothesis: This study aims to test the hypothesis that a urethra-to-bladder inhibitory pathway exists through which periurethral neuromuscular electrical stimulation (NMES) inhibits overactive bladder contractions in rats. Methods: Bladder overactivity was induced in 22 female Sprague Dawley rats by injection of ketamine/xylazine/acepromizine (K/X/A). A bipolar electrode was placed surgically in the periurethral region to deliver NMES. Intravesical pressure, bladder inter-contraction interval (ICI) and voided volume (VV) were monitored while the bladder was continuously infused with saline. Results: K/X/A induced more frequent bladder contractions (ICI=48.6±20.1 s, before cutting the pubo-symphasis) compared to a 10-min ICI induced by urethane. NMES significantly increased ICI (63.1±31.3 s before vs. 97.2± 42.9 s after NMES, p<0.001) and VV (0.063=0.041 ml before vs. 0.088=0.044 ml after NMES, p<0.02). Conclusions: Injection of K/X/A may potentially be used as a model of bladder overactivity. NMES inhibits bladder contractions in rats with bladder overactivity, which supports the existence of a urethra-to-bladder inhibitory pathway.
KW - Bladder overactivity
KW - Intravesical pressure
KW - Ketamine/xylazine/acepromizine
KW - Periurethral neuromuscular electrical stimulation
KW - Urinary incontinence
KW - Voiding dysfunction
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U2 - 10.1007/s00192-010-1189-y
DO - 10.1007/s00192-010-1189-y
M3 - Article
C2 - 20532871
AN - SCOPUS:77956495225
VL - 21
SP - 1279
EP - 1284
JO - International Urogynecology Journal and Pelvic Floor Dysfunction
JF - International Urogynecology Journal and Pelvic Floor Dysfunction
SN - 0937-3462
IS - 10
ER -