Department of Urology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China.
J Spinal Cord Med. 2022 Mar;45(2):270-279. doi: 10.1080/10790268.2020.1778353. Epub 2020 Jun 16.
Spinal cord injury often leads to the loss of penile sensation, and severely affects the individual's sexual function. The present study aimed to restore the penile sensory pathway through end-to-side dorsal root (DR) transfer neurorrhaphy in rats, and preliminarily verified the feasibility of the operation. 40 male adult Sprague-Dawley rats were divided into three groups. In the model ( = 20) and resection ( = 10) groups, the right L6 DR, S1 DR, and the contralateral branch of the dorsal nerve of the penis (DNP) were transected. The distal stump of L6 DR in the model group was then anastomosed to the intact L4 DR. The sham group ( = 10) was not subjected to neural damage. Four months later, retrograde and transganglionic neural labeling, morphological examination, immunofluorescence (IF), and ultrastructural observation were carried out to test the reconstruction of the afferent pathway. Reflective erection (RE) was assessed by detecting the intracavernous pressure elicited by DNP stimulation. The neural labeling tests indicated the integrity of the entire rebuilt penile afferent pathway. The morphological studies, IF, and ultrastructural observation showed that the regeneration of L6 axons in the model group was significantly better than that in the resection group; however, it had not reached the level of the sham group. The sham group rats exhibited typical RE following DNP stimulation, while the model and resection groups produced negative results. Our studies demonstrated the feasibility of end-to-side DR transfer neurorrhaphy for restoring the penile sensory pathway in rats.
脊髓损伤常导致阴茎感觉丧失,严重影响个体的性功能。本研究旨在通过大鼠背根神经节(DR)端侧吻合术来恢复阴茎感觉通路,并初步验证该手术的可行性。将 40 只雄性成年 Sprague-Dawley 大鼠分为三组。在模型组(n=20)和切除组(n=10)中,切断右侧 L6 DR、S1 DR 和阴茎背神经(DNP)的对侧分支。然后将模型组 L6 DR 的远端残端吻合到完整的 L4 DR 上。假手术组(n=10)不进行神经损伤。四个月后,进行逆行和跨神经节神经标记、形态学检查、免疫荧光(IF)和超微结构观察,以测试传入通路的重建。通过检测 DNP 刺激引起的海绵体内压来评估反射性勃起(RE)。神经标记测试表明整个重建的阴茎传入通路完整。形态学研究、IF 和超微结构观察表明,模型组 L6 轴突的再生明显优于切除组,但尚未达到假手术组的水平。假手术组大鼠在 DNP 刺激后表现出典型的 RE,而模型组和切除组则产生阴性结果。我们的研究表明,大鼠背根神经节端侧吻合术恢复阴茎感觉通路是可行的。