Ga. Vankoeveringe et al., EFFECT OF PARTIAL URETHRAL OBSTRUCTION ON FORCE DEVELOPMENT OF THE GUINEA-PIG BLADDER, Neurourol. urodyn., 12(6), 1993, pp. 555-566
We created gradual partial urethral obstruction in 20 guinea pigs usin
g silver jeweler's jump rings. After 4 or 8 weeks obstruction all anim
als underwent cystometry and were assigned to one of five urodynamic c
ategories: normal, high pressure voiding, unstable, low compliance, or
decompensated. After sacrifice, the contractile responses of bladder
strips to electrical field stimulation of intramural nerves, direct el
ectrical muscle stimulation, 0.1 mM carbachol, and high K+ solution we
re sampled by computer for phase plot analysis. Following 8 weeks obst
ruction, the value of the phase plot parameter Fiso, indicative of the
number of contractile muscle units, was reduced to 60% of the control
response to nerve stimulation (P < 0.05) and to 77% of the control re
sponse to carbachol stimulation (P < 0.05). Parameter C, the slope of
the phase plot (indicative of unit recruitment during force developmen
t), was unchanged for all forms of stimulation. Although in the latter
case not statistically significant, obstruction affected responses to
nerve and muscle stimulation similarly suggesting that muscle change
may possibly be a common denominator of dysfunction. In view of the re
duction in Fiso and the increase in bladder weight, instability may re
present a more advanced form of dysfunction due to obstruction than hi
gh pressure voiding, (C) 1993 Wiley-Liss, Inc.