Methfessel H D, Methfessel G
Zentralbl Gynakol. 1979;101(22):1453-62.
The action of certain drugs upon the urethra of clinically intact women was studied by measurement of the urethral profile. beta-adrenoreceptor stimulating and blocking agents, such as fenoterol, propanolol, as well as cholinergics, including carbachol and pyridostigmine, failed to exercise any effect on the urethral pressure profile. On the other hand, anticholinergics, such as atropine and N-butylscopolammonium-bromide, diazepam, and chlorpromazine, produced significant decrease in both maximum urethral pressure and maximum urethral closure pressure. N-butylscopolammonium-bromide and chlorpromazine also shortened the functional length of urethra. Drop of all parameters relating to the urethral pressure profile was observed to take place in response to application of succinylcholine. Phentolamine, an alpha-adrenoreceptor blocking agent, then was administered and caused further reduction of those parameters. The pressure values were elevated by ketamine. The above findings are discussed and compared to present concepts published in literature on medicamentous control of urethral function.
通过测量尿道轮廓,研究了某些药物对临床上无损伤女性尿道的作用。β-肾上腺素能受体激动剂和阻滞剂,如非诺特罗、普萘洛尔,以及胆碱能药物,包括卡巴胆碱和吡啶斯的明,对尿道压力轮廓均无任何影响。另一方面,抗胆碱能药物,如阿托品和溴丁东莨菪碱、地西泮和氯丙嗪,可使最大尿道压力和最大尿道闭合压力显著降低。溴丁东莨菪碱和氯丙嗪还缩短了尿道的功能长度。观察到琥珀酰胆碱应用后,所有与尿道压力轮廓相关的参数均下降。然后给予α-肾上腺素能受体阻滞剂酚妥拉明,导致这些参数进一步降低。氯胺酮使压力值升高。对上述发现进行了讨论,并与文献中发表的关于药物控制尿道功能的现有概念进行了比较。