J 2016

Experimental Electrophysiological and Pressure Responses of Urinary Bladder Detrusor to Lumbar to Sacral Nerve Rerouting - An Animal Study with Negative Results

ZERHAU, Pavel; Zdeněk MACKERLE; Matej HUSÁR; Daniela SOCHŮRKOVÁ; Eva BRICHTOVÁ et al.

Základní údaje

Originální název

Experimental Electrophysiological and Pressure Responses of Urinary Bladder Detrusor to Lumbar to Sacral Nerve Rerouting - An Animal Study with Negative Results

Autoři

ZERHAU, Pavel; Zdeněk MACKERLE; Matej HUSÁR; Daniela SOCHŮRKOVÁ; Eva BRICHTOVÁ; Eduard GOPFERT; Martin FALDYNA; Martin KUBÁT ORCID a Ladislav PLÁNKA

Vydání

Urologia Internationalis, Basel, Karger, 2016, 0042-1138

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30000 3. Medical and Health Sciences

Stát vydavatele

Švýcarsko

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 1.611

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/16:00092507

Organizační jednotka

Lékařská fakulta

EID Scopus

Klíčová slova anglicky

Detrusor response; Micturition reflex arc; Nerve rerouting; Neurostimulation; Ventral spinal roots

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 5. 1. 2017 16:41, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Background/Aims/Objectives: To verify the transfer of evoked potentials through anastomosis of an experimentally created micturition reflex arc and to detect said potentials directly on the detrusor and sphincter of rabbit urinary bladder. Methods: During 2013-2015, 17 rabbits were operated upon and measurement followed during reoperation 3-16 months later. Suitable ventral spinal roots were electrophysiologically detected following laminectomy, and a somatic-central nervous system-Autonomic micturition reflex arc was created. During reoperation, the ventral root was stimulated above and below the anastomosis, the evoked potentials on the bladder detrusor and sphincter were measured, and intravesical pressure was monitored. Results: With stimulation above the anastomosis, 9 animals (53%) displayed a urinary bladder detrusor response and 7 (41%) a sphincter response. Four rabbits (24%) had elevated intravesical pressure. During the control stimulation below the anastomosis, we detected a detrusor response in 7 animals (41%), a sphincter response in 5 (29%), and elevated pressure in 4 (24%). Neither induction of micturition nor decrease in external sphincter activity occurred. Conclusions: Creation of a somatic-CNS-Autonomic reflex arc is technically possible. However reflex activity transferring through the anastomosis is detectable on the detrusor only in some individuals, and is unable to induce a micturition reflex with or without accompanying detrusor-sphincter dyssynergia.