J. Weiss et al., Electrical signals of the urinary bladder under neurostimulation and anticholinergics: Real EMG or chaos?, AKT UROL, 31(6), 2000, pp. 376-381
Signals recorded from the detrusor vesicae in vivo cannot be proven to orig
inate from smooth muscle since the abolition of all possible influences on
the signal is impossible. Our objective was to gain additional information
about the underlying dynamic system using algorithms from digital speech an
alysis and nonlinear dynamics. Previously recorded signals from the detruso
r in 10 minipigs under sacral anterior root stimulation (SARS), before and
after administration of anticholinergics, were re-analyzed with Wavelet-Tra
nsformation (WT). After reconstruction of the attractors, correlation dimen
sion (CD, complexity), central tendency measure (CTM, variability) and Lyap
unov exponents (LE, chaoticity) were calculated. The signal under SARS appe
ars less complex, less chaotic, but more variable than the native signal. U
nder the influence of anticholinergics, the base line values for CD and LE
are about doubled. The dynamic system generating these signals obviously re
sponds in a characteristic manner to the experimental settings. SAPS brings
order to the system, whereas this order is disturbed by anticholinergics.
This and the correlation with bladder pressure indicate that signals record
ed from the urinary bladder are at least in part myogenic and hence a real
detrusor EMG.