Reichler Iris Margaret, Barth Andrea, Piché Claude A, Jöchle Wolfgang, Roos Malgorzata, Hubler Madeleine, Arnold Susi
Section of Small Animal Reproduction, Clinic of Reproductive Medicine, Vetsuisse Faculty, University of Zurich, Winterthurerstr. 260, 8057 Zurich, Switzerland.
Theriogenology. 2006 Dec;66(9):2127-36. doi: 10.1016/j.theriogenology.2006.06.009. Epub 2006 Jul 31.
The pathophysiology of urinary incontinence due to spaying remains unknown. Incontinent bitches can be treated successfully with depot preparations of GnRH-analogues and there are differences in plasma gonadotropin levels between continent and incontinent spayed bitches. It is therefore assumed that the supraordinated hormones, GnRH, FSH, and/or LH, have an effect on the urodynamic parameters. In this study, the potential influence of these hormones on the lower urinary tract was investigated by measuring urethral pressure profiles and cystometry. Simultaneously, plasma concentrations in 10 spayed Beagle bitches were determined 5 weeks prior to and 8 weeks after treatment with the GnRH analogue leuprolide. Within 1 week of GnRH analogue administration, plasma FSH and LH levels decreased from 72.5 and 7.7 to 7.75 and 0.72ng/mL, respectively. These plasma gonadotropin levels correspond with those of intact bitches during anoestrus. Urethral pressure profiles indicated that the treatment had no significant effect on maximum urethral closure pressure, functional and total length of the urethra, or area of the closure pressure curve. The data obtained by cystometry regarding mean bladder threshold volume showed a significant increase from 109 to 172mL. The improvement in bladder function after the application of GnRH-application is presumably a direct effect of the GnRH as a relationship between the plasma gonadotropin levels and the urodynamic parameters could not demonstrated.
绝育所致尿失禁的病理生理学仍不清楚。失禁母犬可通过GnRH类似物的长效制剂成功治疗,且绝育后有尿失禁和无尿失禁的母犬血浆促性腺激素水平存在差异。因此推测,上级激素GnRH、FSH和/或LH对尿动力学参数有影响。在本研究中,通过测量尿道压力曲线和膀胱测压来研究这些激素对下尿路的潜在影响。同时,在10只绝育的比格母犬用GnRH类似物亮丙瑞林治疗前5周和治疗后8周测定血浆浓度。在给予GnRH类似物的1周内,血浆FSH和LH水平分别从72.5和7.7降至7.75和0.72ng/mL。这些血浆促性腺激素水平与处于乏情期的未绝育母犬的水平相当。尿道压力曲线表明,该治疗对最大尿道闭合压、尿道功能长度和总长度或闭合压曲线面积无显著影响。膀胱测压获得的数据显示,平均膀胱阈值容积从109mL显著增加到172mL。应用GnRH后膀胱功能的改善可能是GnRH的直接作用,因为血浆促性腺激素水平与尿动力学参数之间的关系未得到证实。