You have accessJournal of UrologyCME1 Apr 2023MP60-06 INCREASE IN AFFERENT PELVIC NERVE FIRING DURING CONTINUOUS FILLING IN AN ISOLATED PERFUSED PORCINE BLADDER MODEL Devin Rogers, R. Hart Moore, Mina P. Ghatas, Christopher Bednarz, Gabrielle Grob, Michael Shields, Linda S. Burkett, Selvaraj Muthusamy, John E. Speich, and Adam P. Klausner Devin RogersDevin Rogers More articles by this author , R. Hart MooreR. Hart Moore More articles by this author , Mina P. GhatasMina P. Ghatas More articles by this author , Christopher BednarzChristopher Bednarz More articles by this author , Gabrielle GrobGabrielle Grob More articles by this author , Michael ShieldsMichael Shields More articles by this author , Linda S. BurkettLinda S. Burkett More articles by this author , Selvaraj MuthusamySelvaraj Muthusamy More articles by this author , John E. SpeichJohn E. Speich More articles by this author , and Adam P. KlausnerAdam P. Klausner More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003318.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: While urodynamics testing is routinely used to evaluate voiding dysfunction, the tests are expensive, invasive, poorly reproducible, and prone to artifacts. There is a pressing need to develop next-generation urodynamics. The purpose of this study was to develop an ex-vivo porcine bladder model to measure afferent pelvic nerve signaling that can be used as a platform for novel urodynamic tools. METHODS: Porcine bladders with attached ureters and vascular supply were harvested from local abattoirs and perfused with physiologic buffer. Micro-hook electrodes were attached to the pelvic nerve on the posterior of the bladder and electroneurogram (ENG) signals were recorded at 20KHz. Each bladder was filled with 1 liter of saline over 10 minutes using standard urodynamics equipment which simultaneously recorded intravesical pressure (Figure 1A). Nerve amplitude was calculated as the area under the curve (AUC) for each minute and nerve firing rate was calculated as number of nerve spikes (above baseline threshold) per minute. At the conclusion of the experiment, samples of the nerve were collected and processed for histological analysis (H&E and S100 stains). RESULTS: A total of 9 pig bladders were used. A pathologist confirmed the presence of nerve in all adequately processed samples. Vesical pressure, nerve firing rate, and nerve amplitude were all found to increase with bladder filling (Figure 1B). During filling tertiles (low fill: min 1-3, med fill: min 4-6, and high fill: min 7-10), pressures were 0.22±0.04, 0.38±0.05 and 0.72±0.07 (cmH20). Nerve firing rates were 0.08±0.03, 0.31±0.06 and 0.43±0.04 spikes/minute, respectively, and nerve amplitudes were 0.11±0.06, 0.39±0.06 and 0.56±0.14 μV. There were strong relationships between average normalized pressure values and averaged normalized nerve firing rate (r2=0.66) as well as average normalized nerve amplitude (r2=0.8). CONCLUSIONS: The ex-vivo perfused porcine bladder model can reproducibly measure afferent nerve activity that correlates with intravesical pressure during filling. This protocol can be used as a preclinical model for the development of next-generation urodynamics technologies and could potentially be used as a surrogate measure of bladder sensation. Source of Funding: NIH R01-DK101719 & VCU Endeavour Legacy Foundation © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e844 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Devin Rogers More articles by this author R. Hart Moore More articles by this author Mina P. Ghatas More articles by this author Christopher Bednarz More articles by this author Gabrielle Grob More articles by this author Michael Shields More articles by this author Linda S. Burkett More articles by this author Selvaraj Muthusamy More articles by this author John E. Speich More articles by this author Adam P. Klausner More articles by this author Expand All Advertisement PDF downloadLoading ...
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