Depto. de Toxicología de la Reproducción, Instituto de Ciencias, Benemérita Universidad Autónoma de Puebla, Puebla, México.
Doctorado en Ciencias Biológicas, Universidad Autónoma de Tlaxcala, Tlaxcala, México.
Neurourol Urodyn. 2018 Nov;37(8):2406-2413. doi: 10.1002/nau.23594. Epub 2018 Apr 17.
To determine the impact of hypothyroidism on the bladder and urethral functions as well as in the activation of the pubococcygeous (Pcm) and bulbospongiosus (Bsm) during micturition.
Age-matched control and methimazole-induced hypothyroid female rabbits were used to simultaneously record cystometrograms, urethral pressure, and the reflex activation of Pcm and Bsm during the induced micturition. Urodynamic and urethral variables were measured. Activation or no activation of the Pcm and Bsm during the storage and voiding phases of micturition were categorized as 1 or 0. Significant differences (P ≤ 0.05) between control and hypothyroid groups were determined with unpaired Student-t or Mann-Whitney tests.
One-month induced hypothyroidism increased the residual volume and threshold pressure while the opposite was true for the voided volume, maximal pressure, and voiding efficiency. Urethral pressure was also affected as supported by a notorious augmentation of the urethral resistance, among other changes in the rest of measured variables. Hypothyroidism also affected the reflex activation of the Pcm in the voiding phase of micturition.
Our findings demonstrate hypothyroidism impairs the bladder and, urethral functions, and reflex activation of Pcm and Bsm affecting the micturition in female rabbits.
确定甲状腺功能减退症对膀胱和尿道功能的影响,以及在排尿过程中对耻骨尾骨肌(Pcm)和球海绵体肌(Bsm)的激活作用。
使用年龄匹配的对照组和甲巯咪唑诱导的甲状腺功能减退症雌性兔,同时记录排尿期间的膀胱测压、尿道压力和 Pcm 和 Bsm 的反射激活情况。测量尿动力学和尿道变量。将排尿过程中储存和排空阶段 Pcm 和 Bsm 的激活或不激活分类为 1 或 0。使用未配对的学生 t 检验或曼-惠特尼检验确定对照组和甲状腺功能减退组之间的差异是否具有统计学意义(P≤0.05)。
1 个月的诱导性甲状腺功能减退症增加了残余尿量和阈值压力,而排空量、最大压力和排空效率则相反。尿道压力也受到影响,因为除了其他测量变量的变化外,尿道阻力明显增加。甲状腺功能减退症还影响了排尿阶段 Pcm 的反射激活。
我们的发现表明,甲状腺功能减退症会损害膀胱和尿道功能,以及 Pcm 和 Bsm 的反射激活,从而影响雌性兔的排尿。