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雄性比格犬同窝仔犬 4 月龄至 2 岁时下尿路的尿动力学和形态计量学特征。

Urodynamic and morphometric characteristics of the lower urogenital tract of male Beagle littermates from four months to two years of age.

出版信息

Am J Vet Res. 2021 Feb;82(2):144-151. doi: 10.2460/ajvr.82.2.144.

Abstract

OBJECTIVE

To describe functional and anatomic changes of the lower urogenital tract of healthy male dogs during the sexually immature period and up to 2 years of age by urodynamic and morphometric assessment.

ANIMALS

6 sexually intact male Beagle littermates.

PROCEDURES

Dogs underwent electromyography-coupled urodynamic tests, CT-assisted retrograde urethrography, prostatic washes, and blood sampling monthly from 4 through 12 months of age and then at 3-month intervals. Urodynamic and morphometric variables and serum canine prostate-specific esterase concentrations were analyzed by statistical methods.

RESULTS

Integrated pressure of the urethra was significantly increased beginning at 8 months of age, compared with earlier time points. Urethral pressure peak amplitudes varied among anatomic regions. During bladder filling, few electromyographic signals were concurrent with urethral pressure peaks; these were most commonly detected in the penile portion of the urethra. Urethral length and prostate gland volume were significantly greater from 7 to 24 months of age than at younger ages. Urethral length was approximately 26 to 27 cm after 9 months, and prostate gland volume was approximately 11 to 12 cm after 11 months of age. Serum canine prostate-specific esterase concentrations correlated with prostate gland volume. Urinary bladder threshold volume was significantly increased at 6 months of age, compared with that at 4 months, with a maximum of 197.7 mL at 24 months.

CONCLUSIONS AND CLINICAL RELEVANCE

Urethral resistance was acquired at approximately 8 months of age, when growth of the lower urinary tract was incomplete. Electromyographic and integrated pressure measurement results and the distribution and amplitude of urethral pressure peaks highlighted the potential role of the prostate gland and possibly the bulbocavernosus muscles in control of continence.

摘要

目的

通过尿动力和形态计量评估描述健康雄性犬在性未成熟期和 2 岁以内的下尿路的功能和解剖变化。

动物

6 只性完整的比格犬同窝雄性幼犬。

程序

犬在 4 至 12 月龄时每月进行肌电图耦联尿动力测试、CT 辅助逆行尿道造影、前列腺冲洗和采血,然后每 3 个月进行一次。通过统计方法分析尿动力和形态计量变量以及血清犬前列腺特异性酯酶浓度。

结果

与早期时间点相比,尿道整体压力从 8 月龄开始显著增加。尿道压力峰值幅度在解剖区域之间存在差异。在膀胱充盈期间,很少有肌电图信号与尿道压力峰值同时发生;这些信号最常出现在尿道的阴茎部分。7 至 24 月龄时,尿道长度和前列腺体积明显大于较小年龄时。尿道长度在 9 个月后约为 26 至 27 cm,前列腺体积在 11 个月后约为 11 至 12 cm。血清犬前列腺特异性酯酶浓度与前列腺体积相关。与 4 月龄相比,6 月龄时的膀胱阈容量显著增加,24 月龄时最大容量为 197.7 mL。

结论和临床相关性

大约在 8 月龄时,尿道阻力增加,此时下尿路的生长尚未完成。肌电图和整体压力测量结果以及尿道压力峰值的分布和幅度突出了前列腺和可能的球海绵体肌在控制尿失禁方面的潜在作用。

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