Abstract

Simple SummaryThe treatment of urinary bladder dysfunction requires the knowledge of bladder function, which involves physiology, pathology, and even psychology. Several animal models are available to study a variety of bladder disorders. These models include animals from rodents, such as mice and rats, to nonhuman primates, such as rabbits, felines, canines, pigs, and mini pigs. This review adapted animal models to study bladder function according to facility, priority, and disease.The urinary bladder (UB) serves as a storage and elimination organ for urine. UB dysfunction can cause multiple symptoms of failure to store urine or empty the bladder, e.g., incontinence, frequent urination, and urinary retention. Treatment of these symptoms requires knowledge on bladder function, which involves physiology, pathology, and even psychology. There is no ideal animal model for the study of UB function to understand and treat associated disorders, as the complexity in humans differs from that of other species. However, several animal models are available to study a variety of other bladder disorders. Such models include animals from rodents to nonhuman primates, such as mice, rats, rabbits, felines, canines, pigs, and mini pigs. For incontinence, vaginal distention might mimic birth trauma and can be measured based on leak point pressure. Using peripheral and central models, inflammation, bladder outlet obstruction, and genetic models facilitated the study of overactive bladder. However, the larger the animal model, the more difficult the study is, due to the associated animal ethics issues, laboratory facility, and budget. This review aims at facilitating adapted animal models to study bladder function according to facility, priority, and disease.

Highlights

  • Overactive bladder (OAB) is a storage dysfunction of the urinary bladder (UB) that is defined as urinary urgency, usually with increased urination frequency and nocturia, with or without urgency of urinary incontinence [9]

  • Rats fed with a high fat diet in a hyperlipidemic model to study bladder function causing OAB, erectile dysfunction, and prostate enlargement is an example of a peripheral model

  • These are most commonly used in OAB studies to induce hypersensitivity and inflammation through the instillation of an external substance, such as acetic acid, citric acid, capsaicin, cyclophosphamide (CYP), and alpha-bungarotoxin [17]

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Summary

Introduction

Unlike most four-legged animals that sometimes urinate at random places, unless they are reared in a cage, humans usually void urine in an allocated place. This behavior implies that humans control bladder reflex by voluntarily contracting pelvic muscles and external urethral sphincter. This unwilling action might hinder the use of animal studies in research on human bladder function. No ideal animal model exists that completely mimics the voiding behavior in humans and provides a multifactorial basis of bladder function. It is beneficial to look for alternative methods before conducting an animal study

Bladder Function Study
Study Diseases
Overactive Bladder
Peripheral versus Central Model
BOO Model
Genetic Animal Model
Incontinence
Ketamine Cystitis
Limitations
Guinea Pigs
Rabbits
Canines
Mini Pigs
Conclusions
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