Demir Omer, Esen Emre Cem, Murat Nergis, Aslan Guven, Gidener Sedef
Department of Urology, School of Medicine, Dokuz Eylul University, Izmir, Turkey.
Urol Int. 2008;81(1):101-6. doi: 10.1159/000137649. Epub 2008 Jul 16.
It has been well established that erectile dysfunction (ED) is a common incident in patients with benign prostate hyperplasia. Animal models have been described to investigate the relationship between bladder obstruction and ED. In this study, we aimed to investigate whether partial bladder outlet obstruction (PBOO) induces changes in the contraction and relaxation response of corpus cavernosum smooth muscle (CCSM) of the penis in the rabbit model. Partial bladder obstruction was performed in rabbits as previously described. After 2 and 4 weeks of follow-up, control, sham-operated (2- and 4-week duration) and partial bladder outlet obstructed (obstruction of 2- and 4-week duration) rabbits were sacrificed and their bladder masses determined. Then CCSM tissue was obtained. Contraction responses induced by 124 mM KCl, phenylephrine (10(-6) to 10(-4)M) and relaxation responses induced by doxazosin (10(-7) to 10(-5)M) in CCSM of rabbits were determined. The obtained contraction and relaxation responses of all groups were compared. Bladder weight was significantly higher in PBOO groups than in control and sham-operated rabbits. Contraction responses induced by KCl and phenylephrine were statistically enhanced in the 4-week PBOO groups than controls. However, there was no statistically significant difference in any KCl, phenylephrine and doxazosin responses between 2- and 4-week sham-operated and PBOO groups. The rabbit model of PBOO described for the studies which examine bladder responses is useful for creating bladder outlet obstruction. However, this model is not suitable for the investigation of outlet obstruction-related ED.
勃起功能障碍(ED)是良性前列腺增生患者的常见病症,这一点已得到充分证实。人们已描述了动物模型来研究膀胱梗阻与ED之间的关系。在本研究中,我们旨在调查部分膀胱出口梗阻(PBOO)是否会在兔模型中诱导阴茎海绵体平滑肌(CCSM)的收缩和舒张反应发生变化。如前所述,对兔子进行部分膀胱梗阻手术。在随访2周和4周后,处死对照、假手术(持续2周和4周)以及部分膀胱出口梗阻(梗阻持续2周和4周)的兔子,并测定它们的膀胱质量。然后获取CCSM组织。测定兔子CCSM中由124 mM氯化钾、去氧肾上腺素(10(-6)至10(-4)M)诱导的收缩反应以及由多沙唑嗪(10(-7)至10(-5)M)诱导的舒张反应。比较所有组获得的收缩和舒张反应。PBOO组的膀胱重量显著高于对照组和假手术组的兔子。4周PBOO组中由氯化钾和去氧肾上腺素诱导的收缩反应在统计学上比对照组增强。然而,在持续2周和4周的假手术组与PBOO组之间,任何氯化钾、去氧肾上腺素和多沙唑嗪反应在统计学上均无显著差异。用于研究膀胱反应的PBOO兔模型对于造成膀胱出口梗阻是有用的。然而,该模型不适用于研究与出口梗阻相关的ED。