With increasing interest in detrusor disorders and possible detrusor myopat
hies, a method for recording the detrusor electromyogram (detrusor-EMG) wou
ld probably greatly assist the diagnosis of various bladder dysfunctions. T
herefore, we investigated the electromyographic activity of the detrusor du
ring sacral root stimulation and during spontaneous bladder contractions in
six anesthetized dogs.
In all experiments, a high correlation of detrusor-EMG recordings with blad
der contraction was observed. Analysis in the time domain and power spectru
m analysis revealed the most clear correlation of detrusor-EMG with intrave
sical pressure rise in a frequency band above 3 Hz. The spike duration was
100 to 250 ms with an amplitude of 100 to 500 mu V. Low-frequency activity
below 1 Hz was mainly presumed to be artifacts due to fluid movement under
the electrode.
Our trials indicate that smooth muscle EMG recordings from the detrusor smo
oth musculature are possible. The exact physiological relevance of the sign
al in the sub-Hertz domain (<1 Hz) is still uncertain. The presented animal
model allows the pathophysiologic investigation of various pathologies of
bladder dysfunction and detrusor myopathies. (C) 1999 Wiley-Liss, Inc.