Evidence map›Paper›PMID 30947371›Full record

ArticleNeurourology and urodynamics2019

An external compress-release protocol induces dynamic elasticity in the porcine bladder: A novel technique for the treatment of overactive bladder?

Andrea Balthazar, Zachary E Cullingsworth, Naveen Nandanan, Uzoma Anele, Natalie R Swavely, John E Speich, Adam P Klausner

Open access · greenAbstract read
In one paragraph

Article in Neurourology and urodynamics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Andrea BalthazarDepartment of Surgery/Division of Urology, Virginia Commonwealth University School of Medicine, Richmond, Virginia.
Zachary E CullingsworthDepartment of Mechanical and Nuclear Engineering, Virginia Commonwealth University College of Engineering, Richmond, Virginia.ORCID 0000-0002-4087-9764
Naveen NandananDepartment of Surgery/Division of Urology, Virginia Commonwealth University School of Medicine, Richmond, Virginia.
Uzoma AneleDepartment of Surgery/Division of Urology, Virginia Commonwealth University School of Medicine, Richmond, Virginia.
Natalie R SwavelyDepartment of Surgery/Division of Urology, Virginia Commonwealth University School of Medicine, Richmond, Virginia.
John E SpeichDepartment of Mechanical and Nuclear Engineering, Virginia Commonwealth University College of Engineering, Richmond, Virginia.ORCID 0000-0002-8824-4098
Adam P KlausnerDepartment of Surgery/Division of Urology, Virginia Commonwealth University School of Medicine, Richmond, Virginia.ORCID 0000-0003-3849-7131
Virginia Commonwealth University · US

Funding

The Detrusor Tension Sensor: A Model for Novel Cystometrics in Overactive BladderR01DK101719 · NIDDK · VIRGINIA COMMONWEALTH UNIVERSITY · PI KLAUSNER, ADAM PHILIP, SPEICH, JOHN E · 2015 to 2023
$2.4M
NIDDK NIH HHS R01 DK101719
6 · The paper itself

Abstract

introductionDynamic elasticity is an acutely regulated bladder material property through which filling and passive emptying produce strain softening, and active voiding restores baseline pressure. The aim of this study was to test the hypothesis that strain softening produced by filling-passive emptying is equivalent to that produced by compression-release in a porcine bladder model. METHODS/MATERIALS: Latex balloons and ex vivo perfused pig bladders were used for a series of alternating fill-passive emptying ("Fill") and external compress-release ("Press") protocols. For the Fill protocol balloons/bladders were (1) filled to defined volumes (prestrain softening), (2) filled to capacity to strain soften (reference), and (3) passively emptied to the original volume (poststrain softening). For the Press protocol, balloons/bladders were (1) filled to defined volumes (prestrain softening), (2) externally compressed to reference pressure and then released for five cycles (poststrain softening). After each protocol, bladders were voided with high-KCl buffer to induce "active" voiding.

resultsIn both balloons and porcine bladder, both the Fill and Press protocols produced significant strain softening (P < 0.05) and poststrain softening pressures were not different for Fill and Press protocols (P > 0.05), indicating a similar degree of strain softening with both methods.

conclusionsRepeated external compression can induce bladder strain softening similar to filling and passive emptying. This technique may represent a means to acutely regulate bladder compliance and potentially be used as a mechanical treatment for urinary urgency.

Indexed as

AnimalsBiomechanical PhenomenaElasticityFemaleMalePotassium ChloridePressureSwineUrinary BladderUrinary Bladder, OveractiveUrodynamicsPotassium Chlorideanimal modelbiomechanicsbladdercomplianceelasticityoveractive bladderurodynamics

Identifiers

PMID30947371
PMCPMC6581567
OpenAlexW2931741241

What OpenQuestion holds

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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.