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
UT WoS
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.