Evidence map›Paper›PMID 27437534›Full record

ArticleInvestigative and clinical urology2016

Progressive changes in detrusor function and micturition patterns with chronic bladder ischemia.

Zuohui Zhao, Roya Azad, Jing-Hua Yang, Mike B Siroky, Kazem M Azadzoi

Erratum issuedOpen access · diamondAbstract read
In one paragraph

Article in Investigative and clinical urology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.2field-weighted citation impact, top 9% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 35 citations in OpenAlex.

  1. Review
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  3. [Correlation between urination intermittences and urodynamic parameters in benign prostatic hyperplasia patients].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2025
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  13. Cellular Stress and Molecular Responses in Bladder Ischemia.International journal of molecular sciences · 2021
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Zuohui ZhaoDepartment of Urology, VA Boston Healthcare System and Boston University School of Medicine, Boston, MA, USA.
Roya AzadDepartment of Urology, VA Boston Healthcare System and Boston University School of Medicine, Boston, MA, USA.
Jing-Hua YangDepartment of Urology, VA Boston Healthcare System and Boston University School of Medicine, Boston, MA, USA.
Mike B SirokyDepartment of Urology, VA Boston Healthcare System and Boston University School of Medicine, Boston, MA, USA.
Kazem M AzadzoiDepartment of Urology, VA Boston Healthcare System and Boston University School of Medicine, Boston, MA, USA.
Boston University · US

Funding

Mechanism of Bladder Overactivity in Pelvic IschemiaI01BX001428 · VA · VA BOSTON HEALTH CARE SYSTEM · PI AZADZOI, KAZEM M · 2013 to 2016
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BLRD VA I01 BX001428
6 · The paper itself

Abstract

purposeLower urinary tract symptoms (LUTS) are bothersome constellation of voiding symptoms in men and women as they age. Multiple factors and comorbidities are attributed to this problem but underlying mechanisms of nonobstructive nonneurogenic detrusor overactivity, detrusor underactivity and LUTS remain largely unknown. Our goal was to characterize detrusor function and voiding patterns in relation to muscarinic receptors expression, nerve fiber density, and neural ultrastructure in chronic bladder ischemia. MATERIALS AND

methodsIliac artery atherosclerosis and bladder ischemia were produced in male Sprague-Dawley rats. At 8 and 16 weeks after ischemia, micturition patterns and cystometrograms were recorded in conscious rats then bladder blood flow and nonvoiding spontaneous contractions were measured under general anesthesia. Bladder tissues were processed for Western blotting, immunostaining, and transmission electron microscopy.

resultsBladder responses to ischemic insult depended on the duration of ischemia. Micturition patterns and cystometric changes at 8-week ischemia suggested detrusor overactivity, while voiding behavior and cystometrograms at 16-week ischemia implied abnormal detrusor function resembling underactivity. Upregulation of muscarinic M2 receptor was found after 8- and 16 weeks of ischemia. Downregulation of M3 and upregulation of M1 were detected at 16-week ischemia. Neural structural damage and marked neurodegeneration were found after 8 and 16 weeks of ischemia, respectively.

conclusionsProlonged ischemia may be a mediating variable in progression of overactive bladder to dysfunctional patterns similar to detrusor underactivity. The mechanism appears to involve differential expression of M1, M2, and M3 receptors, neural structural injury, and progressive loss of nerve fibers.

Indexed as

AnimalsAxonsChronic DiseaseDisease ProgressionIschemiaMaleMicroscopy, ElectronMuscle ContractionNerve FibersRats, Sprague-DawleyReceptors, MuscarinicRegional Blood FlowUrinary BladderUrinary Bladder, OveractiveUrinationReceptors, MuscarinicContractionIschemiaUrinary bladderUrination

Identifiers

PMID27437534
PMCPMC4949689
OpenAlexW2462836440

What OpenQuestion holds

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Registered trials

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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.