Rocha Jeová Nina
Departamento de Urologia Hospital das Clínicas da FMRP-USP Ribeirão Preto, São Paulo, Brasil.
Int Braz J Urol. 2017 Jan-Feb;43(1):112-120. doi: 10.1590/S1677-5538.IBJU.2015.0117.
cystometric evaluation of the bladder after autotransplant and isogeneic transplant in female rats.
two groups were constituted: (A) bladder autotransplant with two subgroups: R1 - (control) and R2 - (bladder transplant); (B) isogeneic bladder transplant with three subgroups; T1 - (control); T2-T3, two subgroups observed for 30 and 60 days after transplant, respectively. All animals underwent cystometric evaluation. Afterwards, the bladders were removed for histological study.
the transplanted bladders did not show significant changes in filling/storage and emptying/micturition functions after 30 and 60 days of evolution. Upon macroscopical evaluation, there was good revascularization and the tissue was well preserved. Cystometry results: did not show significant differences in the micturition pressure in subgroups T2-T3, but did between subgroups R1-R2, T1-T2, and T1-T3. Significant differences were verified in the micturition interval between T1-T3, T2-T3, but not between R1-R2, T1-T2. There was significant difference in the micturition duration between T1-T3 but not between R1-R2, T1-T2 and T2-T3. No fistula was noted on the suture site nor leakage of urine in the abdominal cavity or signs of necrosis or retraction were observed.
transplant of the bladder was shown to be a viable procedure. The results indicate that there was structural and functional regeneration of transplanted bladders, and these results indicate that it is possible that vascular endothelium growth and neurogenesis factors are involved and activated in the process of the preservation or survival of the transplanted organ.
对雌性大鼠自体移植和同基因移植后的膀胱进行膀胱测压评估。
分为两组:(A)膀胱自体移植,有两个亚组:R1 - (对照组)和R2 - (膀胱移植组);(B)同基因膀胱移植,有三个亚组;T1 - (对照组);T2 - T3,分别在移植后30天和60天观察的两个亚组。所有动物均接受膀胱测压评估。之后,取出膀胱进行组织学研究。
在30天和60天的观察期后,移植的膀胱在充盈/储存和排空/排尿功能方面未显示出显著变化。宏观评估显示,血管再生良好,组织保存完好。膀胱测压结果:T2 - T3亚组之间的排尿压力无显著差异,但R1 - R2、T1 - T2和T1 - T3亚组之间有差异。T1 - T3、T2 - T3亚组之间的排尿间隔有显著差异,但R1 - R2、T1 - T2亚组之间无差异。T1 - T3亚组之间的排尿持续时间有显著差异,但R1 - R2、T1 - T2和T2 - T3亚组之间无差异。缝合部位未发现瘘管,腹腔内无尿液渗漏,也未观察到坏死或回缩迹象。
膀胱移植是一种可行的手术。结果表明移植的膀胱有结构和功能的再生,这些结果表明血管内皮生长和神经发生因子可能参与并激活了移植器官的保存或存活过程。