Evidence map›Paper›PMID 34453858›Full record

ArticleNeurourology and urodynamics2021

Dysfunctional voiding behavior and impaired muscle contractility in a rat model of detrusor underactivity.

Eric J Gonzalez, Michael R Odom, Johanna L Hannan, Warren M Grill

Abstract read
In one paragraph

Article in Neurourology and urodynamics, 2021. 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
–field-weighted citation impact
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.

  1. Article
  2. Article
  3. Pathways and parameters of sacral neuromodulation in rats.American journal of physiology. Renal physiology · 2023
    Article
  4. Article
  5. Effects of different diets used to induce obesity/metabolic syndrome on bladder function in rats.American journal of physiology. Regulatory, integrative and comparative physiology · 2023
    Article
  6. Article
  7. Article
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

4 authors.

Eric J GonzalezDepartment of Biomedical Engineering, Duke University, Durham, North Carolina, USA.ORCID 0000-0001-9680-2240
Michael R OdomDivision of Urology, Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA.ORCID 0000-0003-2524-9825
Johanna L HannanDepartment of Physiology, East Carolina University, Greenville, North Carolina, USA.ORCID 0000-0002-8469-8105
Warren M GrillDepartment of Biomedical Engineering, Duke University, Durham, North Carolina, USA.ORCID 0000-0001-5240-6588

Funding

Duke KURe ProgramK12DK100024 · NIDDK · DUKE UNIVERSITY · PI Cindy Amundsen · 2013 to 2026
$8.4M
Underactive Bladder: Mechanisms and Recovery of Sensation and FunctionK01DK120632 · NIDDK · DUKE UNIVERSITY · PI GONZALEZ, ERIC J · 2019 to 2022
$399k
NIDDK NIH HHS K01 DK120632NIDDK NIH HHS K12 DK100024
6 · The paper itself

Abstract

aimsDetrusor underactivity (DU) is an understudied health concern with inadequate clinical management. The pathophysiology of DU is unclear, and current therapies fail to improve symptoms. The current studies characterized voiding function and contractility of bladder and urethral tissues in a novel rat model of DU.

methodsFemale obese prone (OP) and obese resistant (OR) rats were fed a 60 kcal% fat diet at 8 weeks old. A subset of rats (n = 4/strain) underwent uroflowmetry biweekly for 18 weeks in metabolic cages. At 40-56 weeks old, rats (n = 9-10/strain) underwent instrumented cystometry under urethane anesthesia. Following cystometry, bladder and urethral tissues (n = 8-9/strain) were harvested for in vitro assessments of contractility in response to carbachol, electric field stimulation, atropine, alpha, beta-methylene ATP, and caffeine.

resultsOP rats exhibited increased urinary frequency (p = 0.0031), decreased voided volume (p = 0.0093), and urine flow rate (p = 0.0064) compared to OR rats during uroflowmetry. Bethanechol (10 mg/kg) did not alter uroflowmetry parameters. During cystometry, OP rats exhibited decreased bladder emptying efficiency (p < 0.0001), decreased pressure to generate a void (p < 0.0001), and increased EUS activity during filling (p = 0.0011). Bladder contractility was decreased in OP rats when exposed to carbachol (p < 0.0003) and ATP (p = 0.0004), whereas middle urethral contractility was increased when exposed to carbachol (p = 0.0014), EFS (p = 0.0289), and caffeine (p = 0.0031).

conclusionImpaired cholinergic and purinergic signaling in the bladder may contribute to poor voiding function in OP rats. In addition, increased urethral activity may engage a guarding reflex to augment continence and exacerbate incomplete emptying.

Indexed as

Urinary Bladder DiseasesUrinary Bladder, UnderactiveAnimalsFemaleMusclesRatsUrodynamicsdetrusor underactivitymyographyurethraurodynamics

Identifiers

PMID34453858
PMCPMC8556276

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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.