The extracorporeal perfusion of the female pig detrusor as an experimental model for the study of bladder Contractility

被引:7
作者
Dittrich, Ralf
Beckmann, Matthias W.
Maake, Caroline
Oppelt, Patricia G.
Mueller, Andreas
Mueller, Siegfried
Hoffmann, Inge
Naumann, Gert
Koelbl, Heinz
Maltaris, Theodoros
机构
[1] Univ Erlangen Nurnberg, Dept Obstet & Gynecol, Erlangen Univ Hosp, D-91054 Erlangen, Germany
[2] Univ Zurich, Inst Anat, Zurich, Switzerland
[3] Mainz Univ Hosp, Dept Obstet & Gynecol, Mainz, Germany
关键词
pig; swine; detrusor; bladder; perfusion; pressure; anticholinergica; carbachol; incontinence; urodynamics; urgency; overactivity;
D O I
10.1002/nau.20443
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Aims: The objective of the study was to establish an experimental model for the extracorporeal perfusion of the pig detrusor. In order to validate this model we examined some biochemical parameters and determined the effect of carbachol on the contractility of perfused female pig bladders. Methods: Twenty-six pig bladders were perfused with Krebs-Ringer bicarbonate-glucose buffer for a period up to 5 hr with the aim to preserve a viable organ, which would be responsive to contract ion-inducing agents. The intravesical pressure of the bladder as well as the intraarterial pressure of the vesical arteries were recorded before and after administration of carbachol. Results: The perfusate pH, lactate, partial carbon dioxide tension, and the ATP content in the perfused tissue, all indicators of tissue ischemia or cell necrosis, showed a good preservation of the organ for up to 5 hr. Carbachol was able to induce contractions of the prefilled bladder with a complete draining of the bladder throughout the whole perfusion period. Conclusions: We could demonstrate that this perfusion system was able to preserve the pig bladder in a functional condition, appropriate for the study of physiological questions.
引用
收藏
页码:1024 / 1029
页数:6
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