Abstract

ABSTRACTObjective The study was designed to determine the effect of low frequency (2.5Hz) intraurethral electrical stimulation on bladder capacity and maximum voiding pressures.Materials and Methods The experiments were conducted in 15 virgin female Sprague-Dawley rats (220–250g). The animals were anesthetized by intraperitoneal injection of urethane (1.5g/kg). Animal care and experimental procedures were reviewed and approved by the Institutional Animal Care and Use Committee of Antwerp University (code: 2013-50). Unipolar square pulses of 0.06mA were used to stimulate urethra at frequency of 2.5Hz (0.2ms pulse width) in order to evaluate the ability of intraurethral stimulation to inhibit bladder contractions. Continuous stimulation and intermittent stimulation with 5sec ‘‘on’’ and 5sec ‘‘off’’ duty cycle were applied during repeated saline cystometrograms (CMGs). Maximum voiding pressures (MVP) and bladder capacity were investigated to determine the inhibitory effect on bladder contraction induced by intraurethral stimulation.Results The continuous stimulation and intermittent stimulation significantly (p<0.05) decreased MVP and increased bladder capacity. There was no significant difference in MVP and bladder capacity between continuous and intermittent stimulation group.Conclusions The present results suggest that 2.5Hz continuous and intermittent intraurethral stimulation can inhibit micturition reflex, decrease MVP and increase bladder capacity. There was no significant difference in MVP and bladder capacity between continuous and intermittent stimulation group.

Highlights

  • Neurogenic bladder (NB) dysfunction results from spinal cord injury (SCI), and is associated with neurogenic detrusor overactivity and detrusor sphincter dyssynergia

  • Bladder capacity was maximally increased to 116±8.5% of the control/baseline capacity (0.438±0.074mL) during continuous stimulation

  • There was no significant difference in Maximum voiding pressures (MVP) and bladder capacity between continuous and intermittent stimulation groups (Figure-2)

Read more

Summary

Introduction

Neurogenic bladder (NB) dysfunction results from spinal cord injury (SCI), and is associated with neurogenic detrusor overactivity and detrusor sphincter dyssynergia. Clean intermittent catheterization with concomitant anticholinergic medication is the most common therapy of bladder management for most individuals with SCI [2]. It is known that electrical stimulation of the pudendal nerve is an alternative approach to restore urinary function. Electrical stimulation of the pudendal nerve at 3-15Hz [4, 5] results in a robust inhibition of detrusor activity in persons with SCI. It is known that activation of afferents in the sensory pudendal nerve can reflexively induce efferent firing in the pudendal nerve to elicit sphincter muscle contractions that in turn can induce pudendal afferent firing via a motor–sensory coupling [7]

Methods
Results
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call