Evidence map›Paper›PMID 29530711›Full record

ArticleExperimental neurology2018

Mapping and neuromodulation of lower urinary tract function using spinal cord stimulation in female rats.

Huiyi H Chang, Jih-Chao Yeh, Ronaldo M Ichiyama, Larissa V Rodriguez, Leif A Havton

Open access · bronzeAbstract read
In one paragraph

Article in Experimental neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.9field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 31 citations in OpenAlex.

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  12. Spinal interneurons of the lower urinary tract circuits.Autonomic neuroscience : basic & clinical · 2021
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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

5 authors at 4 institutions in 2 countries.

Huiyi H ChangUrology, University of California Irvine, CA, USA; Reeve-Irvine Research Center, University of California Irvine, CA, USA. Electronic address: Harriet.Chang@uci.edu.
Jih-Chao YehUrology, University of Southern California, CA, USA.
Ronaldo M IchiyamaInstitute of Membrane and Systems Biology, University of Leeds, UK.
Larissa V RodriguezUrology, University of Southern California, CA, USA.
Leif A HavtonNeurology and Neurobiology, University of California Los Angeles, CA, USA.
University of Southern California · USUniversity of California, Irvine · USUniversity of California, Los Angeles · USUniversity of Leeds · GB

Funding

USC RESEARCH CENTER FOR LIVER DISEASES: PILOT PROGRAMSP30DK048522 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI OOKHTENS, MURAD · 1995 to 2020
$21.8M
Spinal stimulation modulates urethral sphincter activation in neurogenic bladdersR01DK106181 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CHANG, HUIYI HARRIET · 2015 to 2017
$986k
NIDDK NIH HHS P30 DK048522NIDDK NIH HHS R01 DK106181
6 · The paper itself

Abstract

Spinal cord epidural stimulation (SCS) represents a form of neuromodulation for the management of spasticity and pain. This technology has recently emerged as a new approach for potentially augmenting locomotion and voiding function in humans and rodents after spinal cord injury. However, the effect of SCS on micturition has not been studied extensively. Here, SCS was first applied as a direct stimulus onto individual segmental levels of the lumbar spinal cord in rats to map evoked external urethral sphincter (EUS) electromyography activity and SCS-induced voiding contractions. SCS of L2-3 inhibited EUS tonic activity, and SCS on L3 (L3/SCS) inhibited EUS tonic activity and elicited EUS bursting. In contrast, SCS of L1 and L4-6 evoked EUS tonic contractions, which resembled the urethral guarding reflex during bladder storage. Next, the effects of a bilateral pelvic nerve crush (PNC) injury on urodynamic function were examined at 14 days post-operatively. The PNC injury resulted in decreased voiding efficiency and maximum intravesical pressure, whereas the post-voiding residual volume was increased, suggestive of an underactive bladder. Finally, L3/SCS was performed to induce a voiding contraction and enable voiding in rats with a PNC injury. Voiding efficiency was significantly increased, and the residual volume was decreased by L3/SCS in rats after the PNC injury. We conclude that L3/SCS may be used to induce micturition reflexes in a partially filled bladder, reduce urethral resistance, and augment bladder emptying after PNC injury.

Indexed as

AnimalsFemaleLumbar VertebraeRatsRats, Sprague-DawleySpinal CordSpinal Cord StimulationTranscutaneous Electric Nerve StimulationUrethraUrinary BladderUrinationElectromyographyExternal urethral sphincterPelvic nerveUnderactive bladder

Identifiers

PMID29530711
PMCPMC5955844
OpenAlexW2793026898

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.