Başar M M, Yildiz M, Başar H, Ak F, Akan H, Atan A
First Urology Clinic of Ankara Numune Hospital, Turkey.
Int J Urol. 1999 May;6(5):251-6. doi: 10.1046/j.1442-2042.1999.00055.x.
We evaluated the electrical activity of the corpus cavernosum after intracavernous papaverine injection in rats that had been denervated experimentally.
Twenty-four male adult Sprague Dawley rats were divided into three groups: (i) controls (n=8) (ii) unilateral cavernous nerve resection on the right side (n=8); and (iii) bilateral cavernous nerve resection (n=8). Through a suprapubic incision, the urinary bladder was retracted laterally to locate the major pelvic plexus on the lateral surface of the prostate. The major branch of the cavernous nerve, running caudally from the pelvic plexus, was isolated and excised using an operating microscope. Three weeks later, recording of the electrical activity of the corpus cavernosum (EACC) was performed by using a Neuropack-2 EMG unit (Nihon Kohden, Tokyo, Japan) and coencentric needle electrode. Changes in amplitude were evaluated before and after intracavernosal papaverine injection. The results in the flaccid state and after papaverine injection were compared by using the Mann Whitney U-test in all three groups and paired t-test between groups.
In the flaccid penis, the mean (+/- SD) amplitude of electrical activity of the corpus cavernosum was 17.42+/-2.05, 12.42+/-1.88, 9.71+/-1.59 and 5.85+/-0.96 microV in control rats, in unilaterally denervated rats (in which the cavernous nerve was intact on the left side), in unilaterally denervated rats in which the cavernous nerve was resected on the right side and in bilaterally denervated rats, respectively. In the flaccid state, EACC is lower in the bilaterally denervated group than in the control and unilaterally nerve-resected groups (P < or = 0.05). The recording of electrical activity of the corpus cavernosum was continued for 20 min after papaverine injection. In the control group and in both groups of unilaterally denervated rats, we observed a significant decrease in the electrical activity of the corpus cavernosum in the first 5 min after papaverine injection (P < or = 0.05). However, no difference was observed in bilaterally denervated rats after injection (P > or = 0.05).
We conclude that electrical activity of the corpus cavernosum continues after unilateral nerve injury in rats. Cross-innervation may play a role in penile innervation and corpus cavernosum electromyography shows electrical activity in denervated rats.
我们评估了实验性去神经大鼠海绵体内注射罂粟碱后海绵体的电活动。
24只成年雄性Sprague Dawley大鼠分为三组:(i)对照组(n = 8);(ii)右侧海绵体神经单侧切除术组(n = 8);(iii)双侧海绵体神经切除术组(n = 8)。通过耻骨上切口,将膀胱向外侧牵拉以在前列腺外侧表面定位主要盆腔丛。从盆腔丛向尾侧走行的海绵体神经主要分支,使用手术显微镜分离并切除。三周后,使用Neuropack - 2肌电图仪(日本东京光电公司)和同心针电极记录海绵体电活动(EACC)。评估海绵体内注射罂粟碱前后振幅的变化。在所有三组中使用Mann - Whitney U检验比较松弛状态和注射罂粟碱后的结果,并在组间使用配对t检验。
在松弛阴茎状态下,对照组大鼠、左侧海绵体神经完整的单侧去神经大鼠、右侧海绵体神经切除的单侧去神经大鼠以及双侧去神经大鼠的海绵体电活动平均(±标准差)振幅分别为17.42±2.05、12.42±1.88、9.71±1.59和5.85±0.96微伏。在松弛状态下,双侧去神经组的EACC低于对照组和单侧神经切除组(P≤0.05)。罂粟碱注射后继续记录海绵体电活动20分钟。在对照组和两组单侧去神经大鼠中,我们观察到罂粟碱注射后最初5分钟内海绵体电活动显著降低(P≤0.05)。然而,注射后双侧去神经大鼠未观察到差异(P≥0.05)。
我们得出结论,大鼠单侧神经损伤后海绵体电活动仍持续存在。交叉神经支配可能在阴茎神经支配中起作用,并且海绵体肌电图显示去神经大鼠存在电活动。