Xu Shengfei, Li Xiaohui, Xu Lei, Chen Biao, Tan Huibing, Du Guanghui
Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, P. R. China.
Department of Anatomy, Liaoning Medical College, Jinzhou, Liaoning Province, P. R. China.
PLoS One. 2015 Oct 26;10(10):e0140851. doi: 10.1371/journal.pone.0140851. eCollection 2015.
Urethral pressure profile (UPP) and leak-point pressure (LPP) measurements as well as external urethral sphincter (EUS) electromyography (EMG) and videourodynamic analyses are the primary methods for evaluating urethral function in humans. However, UPP recording in female rats, a widely used animal model, is challenging due to their small body sizes. This study reports a novel method for recording UPP in female rats.
Seventeen anesthetized female rats were studied. LPP data for 14 rats were included. The other 3 rats were excluded because of death or abnormal urogenital organs. UPP curves were recorded using a modified water-perfusion catheter system, with the lateral hole facing the 3-, 6-, 9-, and 12-o'clock positions in a randomized sequence. LPP, functional urethral length (FUL) and maximum urethral closure pressure (MUCP) were analyzed.
The mean LPP was 64.39 ± 20.29 cm H2O. The mean FUL and MUCP values at the 3-, 6-, 9-, and 12-o'clock positions were 12.90 ± 1.20, 16.70 ± 1.95, 13.90 ± 2.42, and 11.60 ± 0.97 mm, respectively, and 38.70 ± 11.85, 33.90 ± 11.82, 37.40 ± 11.95, and 71.90 ± 23.01 cm H2O, respectively. The FUL at the 6-o'clock position and MUCP at the 12-o'clock position were significantly greater than those at the other 3 positions. The FUL and MUCP of repeated UPP recordings were not significantly different than those of the first recordings.
UPP recording using a modified method based on a water-perfusion catheter system is feasible and replicable in female rats. It produces UPP curves that sensitively and appreciably reflect detailed pressure changes at different points within the urethra and thus provides opportunity to evaluate urethral structures, especially the urethral sphincter, in detail. These results may enhance the utility of female rat models in research of urinary sphincter mechanisms.
尿道压力分布图(UPP)和漏点压力(LPP)测量以及尿道外括约肌(EUS)肌电图(EMG)和影像尿动力学分析是评估人类尿道功能的主要方法。然而,在广泛使用的动物模型雌性大鼠中进行UPP记录具有挑战性,因为它们体型小。本研究报告了一种在雌性大鼠中记录UPP的新方法。
对17只麻醉的雌性大鼠进行研究。纳入14只大鼠的LPP数据。另外3只大鼠因死亡或泌尿生殖器官异常而被排除。使用改良的水灌注导管系统记录UPP曲线,侧孔以随机顺序朝向3点、6点、9点和12点位置。分析LPP、功能性尿道长度(FUL)和最大尿道闭合压(MUCP)。
平均LPP为64.39±20.29 cm H2O。在3点、6点、9点和12点位置的平均FUL和MUCP值分别为12.90±1.20、16.70±1.95、13.90±2.42和11.60±0.97 mm,以及38.70±11.85、33.90±11.82、37.40±11.95和71.90±23.01 cm H2O。6点位置的FUL和12点位置的MUCP显著高于其他3个位置。重复UPP记录的FUL和MUCP与首次记录无显著差异。
基于水灌注导管系统的改良方法在雌性大鼠中记录UPP是可行且可重复的。它产生的UPP曲线能灵敏且明显地反映尿道内不同点的详细压力变化,从而为详细评估尿道结构,尤其是尿道括约肌提供了机会。这些结果可能会提高雌性大鼠模型在尿道括约肌机制研究中的实用性。