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雄性大鼠尿道相关特定横纹肌去神经支配诱导的尿和射精功能障碍。

Urinary and ejaculatory dysfunction induced by denervation of specific striated muscles anatomically related to the urethra in male rats.

机构信息

Maestría en Ciencias Biológicas, Universidad Autónoma de Tlaxcala, Tlaxcala, México.

出版信息

Neurourol Urodyn. 2014 Apr;33(4):437-42. doi: 10.1002/nau.22432. Epub 2013 Jun 11.

DOI:10.1002/nau.22432
PMID:23754444
Abstract

AIMS

The purpose of the present study was to determine the contribution of the external urethral sphincter (EUS), the ischiocavernous (IC), or the bulbospongiosus (BS) on the control of micturition, copulatory behavior and semen expulsion in male rats. We hypothesized that the EUS contributes to maintain urinary continence, while all three muscles participate in expulsive urethral functions.

METHODS

In Experiment 1, it was analyzed the effects of bilateral denervation of IC, BS or EUS, or sham surgery, on voiding behavior and urinary parameters measured before surgery and 2 and 10 days post-surgery. In Experiment 2, copulatory behavior and the weight of the seminal plug expelled during ejaculation were recorded before and after sham surgery or bilateral denervation of the aforementioned muscles. Immediately after ejaculation, the animals were anesthetized to confirm the denervation and determine whether seminal material had accumulated in the lower urinary tract.

RESULTS

In IC-denervated animals, voiding duration and the number of mounts was increased, and intromission or ejaculation patterns were absent. Denervation of BS induced signs of post-micturition dribble, decreased voiding frequency, increased urine volume and reduced the amount of semen ejaculated. Denervation of EUS induced signs of post-micturition dribble and urinary incontinence, as well as retrograde ejaculation.

CONCLUSIONS

Striated muscles anatomically related to the urethra contribute differentially to the control of continence and expulsive urethral functions. Damages to the muscles or to their innervation, as may occur during pelvic surgery, would result in sexual and urinary dysfunctions.

摘要

目的

本研究旨在确定尿道外括约肌(EUS)、坐骨海绵体肌(IC)或球海绵体肌(BS)在雄性大鼠排尿、交配行为和精液排出的控制中的作用。我们假设 EUS 有助于维持尿控,而所有这三种肌肉都参与了尿道的排出功能。

方法

在实验 1 中,分析了双侧 IC、BS 或 EUS 神经切断或假手术对术前和术后 2 天和 10 天排尿行为和尿参数的影响。在实验 2 中,记录了交配行为和射精时排出的精液栓的重量,分别在假手术或上述肌肉双侧神经切断前后进行。射精后,动物立即麻醉以确认神经切断,并确定是否在下尿路中积聚了精液。

结果

在 IC 神经切断的动物中,排尿持续时间和交配次数增加,而插入或射精模式不存在。BS 神经切断导致排尿后滴沥的迹象,排尿频率降低,尿量增加,射精量减少。EUS 神经切断导致排尿后滴沥和尿失禁以及逆行射精的迹象。

结论

与尿道解剖相关的横纹肌对尿控和尿道排出功能的控制有不同的贡献。骨盆手术中可能发生的肌肉或其神经支配损伤会导致性功能和尿功能障碍。

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