Evidence map›Paper›PMID 24969474›Full record

ArticleCerebral cortex (New York, N.Y. : 1991)2015

Supraspinal Control of Urine Storage and Micturition in Men--An fMRI Study.

Lars Michels, Bertil F M Blok, Flavia Gregorini, Michael Kurz, Brigitte Schurch, Thomas M Kessler, Spyros Kollias, Ulrich Mehnert

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Cerebral cortex (New York, N.Y. : 1991), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03855930 (Phantom Limb Pain Triggered by Micturition, An Functional Magnetic Resonance Imaging), which is not on this map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03855930 unknown statusnot on this mapstarted 2019, after this paper: background citation

Phantom Limb Pain Triggered by Micturition, An Functional Magnetic Resonance Imaging (FMRI) Study in Lower Limb Amputees

TypeobservationalSponsorLoewenstein HospitalRan2019 to 2020Enrolled30ConditionsPhantom Limb PainArmsfunctional MRI
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

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  17. Observational
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  20. Functional brain imaging in voiding dysfunction.Current bladder dysfunction reports · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Lars MichelsInstitute of Neuroradiology, University Hospital Zurich, 8091 Zurich, Switzerland.
Bertil F M BlokDepartment of Urology, Erasmus Medical Center, Erasmus University, Rotterdam, The Netherlands.
Flavia GregoriniNeuro-Urology, Spinal Cord Injury Center & Research, University of Zurich, Balgrist University Hospital, 8008 Zurich, Switzerland.
Michael KurzDepartment of Urology, University Hospital Zurich, 8091 Zurich, Switzerland.
Brigitte SchurchNeuro-Urology, Department of Clinical Neurosciences, University Hospital Centre (CHUV), University of Lausanne, 1011 Lausanne, Switzerland.
Thomas M KesslerNeuro-Urology, Spinal Cord Injury Center & Research, University of Zurich, Balgrist University Hospital, 8008 Zurich, Switzerland.
Spyros KolliasInstitute of Neuroradiology, University Hospital Zurich, 8091 Zurich, Switzerland.
Ulrich MehnertNeuro-Urology, Spinal Cord Injury Center & Research, University of Zurich, Balgrist University Hospital, 8008 Zurich, Switzerland.
University Hospital of Zurich · CHUniversity of Zurich · CHErasmus University Rotterdam · NLUniversity Hospital of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the crucial role of the brain in the control of the human lower urinary tract, little is known about the supraspinal mechanisms regulating micturition. To investigate the central regulatory mechanisms activated during micturition initiation and actual micturition, we used an alternating sequence of micturition imitation/imagination, micturition initiation, and actual micturition in 22 healthy males undergoing functional magnetic resonance imaging. Subjects able to micturate (voiders) showed the most prominent supraspinal activity during the final phase of micturition initiation whereas actual micturition was associated with significantly less such activity. Initiation of micturition in voiders induced significant activity in the brainstem (periaqueductal gray, pons), insula, thalamus, prefrontal cortex, parietal operculum and cingulate cortex with significant functional connectivity between the forebrain and parietal operculum. Subjects unable to micturate (nonvoiders) showed less robust activation during initiation of micturition, with activity in the forebrain and brainstem particularly lacking. Our findings suggest that micturition is controlled by a specific supraspinal network which is essential for the voluntary initiation of micturition. Once this network triggers the bulbospinal micturition reflex via brainstem centers, micturition continues automatically without further supraspinal input. Unsuccessful micturition is characterized by a failure to activate the periaqueductal gray and pons during initiation.

Indexed as

AdolescentAdultBrainBrain MappingHumansImaginationMagnetic Resonance ImagingMaleMiddle AgedNeural PathwaysPsychomotor PerformanceUrinationUrineYoung Adultfunctional magnetic resonance imaginglower urinary tractmicturitionpontine micturition centersupraspinal control

Identifiers

PMID24969474
PMCPMC4585491
OpenAlexW2044800472

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.