Skip to main content
Top
Published in: International Urology and Nephrology 12/2018

01-12-2018 | Urology - Original Paper

Excitatory and inhibitory effects of stimulation of sacral dorsal root ganglion on bladder reflex in cats

Authors: Zhaoxia Wang, Han Deng, Limin Liao, Tianji Lu, Xing Li

Published in: International Urology and Nephrology | Issue 12/2018

Login to get access

Abstract

Purpose

To explore the effects of electrical stimulation of the sacral dorsal root ganglion (DRG) on bladder reflexes in α-chloralose-anesthetized cats.

Methods

Bladder activity was recorded under isovolumetric conditions. A pair of hook electrodes was placed in the right S1 and S2 DRGs of 12 adult male cats, which were stimulated over a range of frequencies (0.25–30 Hz) and at threshold intensity.

Results

Stimulation of S1 and S2 DRGs inhibited or evoked bladder contractions under isovolumetric conditions depending on the frequency of stimulation in nine cats. Stimulation at low frequencies (3–7 Hz on S1 or S2 DRG) significantly inhibited isovolumetric rhythmic bladder contractions, while excitatory effects were observed at two frequency ranges, including lower frequencies (0.25–1.5 Hz on S1 DRG and 0.25–1.25 Hz on S2 DRG) and middle frequencies (15–30 Hz on S1 and S2 DRGs).

Conclusions

These results suggest that the sacral DRG might be a potential valuable target for electrical stimulation in the treatment of bladder dysfunction.
Literature
1.
go back to reference Yoshimura N, de Groat WC (1997) Neural control of the lower urinary tract. Int J Urol 4:111–125CrossRef Yoshimura N, de Groat WC (1997) Neural control of the lower urinary tract. Int J Urol 4:111–125CrossRef
2.
go back to reference Zhang F, Zhao S, Shen B, Wang J, Nelson DE, Roppolo JR, de Groat WC, Tai C (2013) Neural pathways involved in sacral neuromodulation of reflex bladder activity in cats. Am J Physiol Renal Physiol 304:710–717CrossRef Zhang F, Zhao S, Shen B, Wang J, Nelson DE, Roppolo JR, de Groat WC, Tai C (2013) Neural pathways involved in sacral neuromodulation of reflex bladder activity in cats. Am J Physiol Renal Physiol 304:710–717CrossRef
3.
go back to reference Yoo PB, Woock JP, Grill WM (2008) Bladder activation by selective stimulation of pudendal nerve afferents in the cat. Exp Neurol 212:218–225CrossRef Yoo PB, Woock JP, Grill WM (2008) Bladder activation by selective stimulation of pudendal nerve afferents in the cat. Exp Neurol 212:218–225CrossRef
4.
go back to reference Fjorback MV, Rijkhoff N, Petersen T, Nohr M, Sinkjaer T (2006) Event driven electrical stimulation of the dorsal penile/clitoral nerve for management of neurogenic detrusor overactivity in multiple sclerosis. Neurourol Urodyn 25:349–355CrossRef Fjorback MV, Rijkhoff N, Petersen T, Nohr M, Sinkjaer T (2006) Event driven electrical stimulation of the dorsal penile/clitoral nerve for management of neurogenic detrusor overactivity in multiple sclerosis. Neurourol Urodyn 25:349–355CrossRef
5.
go back to reference Woock JP, Yoo PB, Grill WM (2008) Activation and inhibition of the micturition reflex by penile afferents in the cat. Am J Physiol Regul Integr Comp Physiol 294:1880–1889CrossRef Woock JP, Yoo PB, Grill WM (2008) Activation and inhibition of the micturition reflex by penile afferents in the cat. Am J Physiol Regul Integr Comp Physiol 294:1880–1889CrossRef
6.
go back to reference Boggs JW, Wenzel BJ, Gustafson KJ, Grill WM (2006) Bladder emptying by intermittent electrical stimulation of the pudendal nerve. J Neural Eng 3:43–51CrossRef Boggs JW, Wenzel BJ, Gustafson KJ, Grill WM (2006) Bladder emptying by intermittent electrical stimulation of the pudendal nerve. J Neural Eng 3:43–51CrossRef
7.
go back to reference Tai C, Wang J, Wang X, de Groat WC, Roppolo JR (2007) Bladder inhibition or voiding induced by pudendal nerve stimulation in chronic spinal cord injured cats. Neurourol Urodyn 26:570–577CrossRef Tai C, Wang J, Wang X, de Groat WC, Roppolo JR (2007) Bladder inhibition or voiding induced by pudendal nerve stimulation in chronic spinal cord injured cats. Neurourol Urodyn 26:570–577CrossRef
8.
go back to reference Creed KE, Tulloch AG (1978) The effect of pelvic nerve stimulation and some drugs on the urethra and bladder of the dog. Br J Urol 50:398–405CrossRef Creed KE, Tulloch AG (1978) The effect of pelvic nerve stimulation and some drugs on the urethra and bladder of the dog. Br J Urol 50:398–405CrossRef
9.
go back to reference Langdale CL, Hokanson JA, Sridhar A, Grill WM (2017) Stimulation of the pelvic nerve increases bladder capacity in the prostaglandin E2 rat model of overactive bladder. Am J Physiol Renal Physiol 313:657–665CrossRef Langdale CL, Hokanson JA, Sridhar A, Grill WM (2017) Stimulation of the pelvic nerve increases bladder capacity in the prostaglandin E2 rat model of overactive bladder. Am J Physiol Renal Physiol 313:657–665CrossRef
10.
go back to reference Dalmose AL, Rijkhoff NJ, Andersen IS, Stefania D, Jørgensen TM, Djurhuus JC (2002) Bladder and urethral responses to pelvic nerve stimulation in the pig. Scand J Urol Nephrol 210:34–45CrossRef Dalmose AL, Rijkhoff NJ, Andersen IS, Stefania D, Jørgensen TM, Djurhuus JC (2002) Bladder and urethral responses to pelvic nerve stimulation in the pig. Scand J Urol Nephrol 210:34–45CrossRef
11.
go back to reference Bruns TM, Weber DJ, Gaunt A (2015) Microstimulation of afferents in the sacral dorsal root ganglia can evoke reflex bladder activity. Neurourol Urodyn 34:65–71CrossRef Bruns TM, Weber DJ, Gaunt A (2015) Microstimulation of afferents in the sacral dorsal root ganglia can evoke reflex bladder activity. Neurourol Urodyn 34:65–71CrossRef
12.
go back to reference Snellings AE, Grill WM (2012) Effects of stimulation site and stimulation parameters on bladder inhibition by electrical nerve stimulation. BJU Int 110:136–143CrossRef Snellings AE, Grill WM (2012) Effects of stimulation site and stimulation parameters on bladder inhibition by electrical nerve stimulation. BJU Int 110:136–143CrossRef
13.
go back to reference Bremer N, Ruby J, Weyker PD, Webb CA (2016) Neuromodulation: a focus on dorsal root ganglion stimulation. Pain Manag 6:205–209CrossRef Bremer N, Ruby J, Weyker PD, Webb CA (2016) Neuromodulation: a focus on dorsal root ganglion stimulation. Pain Manag 6:205–209CrossRef
14.
go back to reference Liem L (2016) Stimulation of the dorsal root ganglion. Prog Neurol Surg 29:213–224CrossRef Liem L (2016) Stimulation of the dorsal root ganglion. Prog Neurol Surg 29:213–224CrossRef
15.
go back to reference Koopmeiners AS, Mueller S, Kramer J, Hogan QH (2013) Effect of electrical field stimulation on dorsal root ganglion neuronal function. Neuromodulation 16:304–311CrossRef Koopmeiners AS, Mueller S, Kramer J, Hogan QH (2013) Effect of electrical field stimulation on dorsal root ganglion neuronal function. Neuromodulation 16:304–311CrossRef
16.
go back to reference de Groat WC (1990) Central neural control of the lower urinary tract. Ciba Found Symp 151:27–44PubMed de Groat WC (1990) Central neural control of the lower urinary tract. Ciba Found Symp 151:27–44PubMed
17.
go back to reference Fowler CJ, Griffiths D, de Groat WC (2008) The neural control of micturition. Nat Rev Neurosci 9:453CrossRef Fowler CJ, Griffiths D, de Groat WC (2008) The neural control of micturition. Nat Rev Neurosci 9:453CrossRef
18.
go back to reference Lu Y, Inokuchi H, Tanaka E, Li JS, Higashi H (2000) A spinal cord slice preparation for analyzing synaptic responses to stimulation of pelvic and pudendal nerves in mature rats. J Neurosci Methods 100:71–78CrossRef Lu Y, Inokuchi H, Tanaka E, Li JS, Higashi H (2000) A spinal cord slice preparation for analyzing synaptic responses to stimulation of pelvic and pudendal nerves in mature rats. J Neurosci Methods 100:71–78CrossRef
19.
go back to reference de Groat WC, Booth AM, Milne RJ, Roppolo JR (1982) Parasympathetic preganglionic neurons in the sacral spinal cord. J Auton Nerv Syst 5:23–43CrossRef de Groat WC, Booth AM, Milne RJ, Roppolo JR (1982) Parasympathetic preganglionic neurons in the sacral spinal cord. J Auton Nerv Syst 5:23–43CrossRef
20.
go back to reference Angel MJ, Fyda D, Mccrea DA, Shefchyk SJ (1994) Primary afferent depolarization of cat pudendal afferents during micturition and segmental afferent stimulation. J Physiol 479:451–461CrossRef Angel MJ, Fyda D, Mccrea DA, Shefchyk SJ (1994) Primary afferent depolarization of cat pudendal afferents during micturition and segmental afferent stimulation. J Physiol 479:451–461CrossRef
21.
go back to reference Xiao Z, Reese J, Schwen Z, Shen B, Wang J, Roppolo JR, de Groat WC, Tai C (2014) Role of spinal GABAA receptors in pudendal inhibition of nociceptive and nonnociceptive bladder reflexes in cats. Am J Physiol Renal Physiol 306:781–789CrossRef Xiao Z, Reese J, Schwen Z, Shen B, Wang J, Roppolo JR, de Groat WC, Tai C (2014) Role of spinal GABAA receptors in pudendal inhibition of nociceptive and nonnociceptive bladder reflexes in cats. Am J Physiol Renal Physiol 306:781–789CrossRef
22.
go back to reference Chen ML, Shen B, Wang J, Liu H, Roppolo JR, de Groat WC (2010) Influence of naloxone on inhibitory pudendal-to-bladder reflex in cats. Exp Neurol 224:282–291CrossRef Chen ML, Shen B, Wang J, Liu H, Roppolo JR, de Groat WC (2010) Influence of naloxone on inhibitory pudendal-to-bladder reflex in cats. Exp Neurol 224:282–291CrossRef
23.
go back to reference Peters KM, Feber KM, Bennett RC (2007) A prospective, single-blind, randomized crossover trial of sacral vs pudendal nerve stimulation for interstitial cystitis. BJU Int 100:835–839CrossRef Peters KM, Feber KM, Bennett RC (2007) A prospective, single-blind, randomized crossover trial of sacral vs pudendal nerve stimulation for interstitial cystitis. BJU Int 100:835–839CrossRef
24.
go back to reference Goldman HB, Amundsen CL, Mangel J, Grill J, Bennett M, Gustafson KJ, Grill WM (2008) Dorsal genital nerve stimulation for the treatment of overactive bladder symptoms. Neurourol Urodyn 27:499–503CrossRef Goldman HB, Amundsen CL, Mangel J, Grill J, Bennett M, Gustafson KJ, Grill WM (2008) Dorsal genital nerve stimulation for the treatment of overactive bladder symptoms. Neurourol Urodyn 27:499–503CrossRef
25.
go back to reference Boggs JW, Wenzel BJ, Gustafson KJ, Grill WM (2006) Frequency-dependent selection of reflexes by pudendal afferents in the cat. J Physiol 577:115–126CrossRef Boggs JW, Wenzel BJ, Gustafson KJ, Grill WM (2006) Frequency-dependent selection of reflexes by pudendal afferents in the cat. J Physiol 577:115–126CrossRef
Metadata
Title
Excitatory and inhibitory effects of stimulation of sacral dorsal root ganglion on bladder reflex in cats
Authors
Zhaoxia Wang
Han Deng
Limin Liao
Tianji Lu
Xing Li
Publication date
01-12-2018
Publisher
Springer Netherlands
Published in
International Urology and Nephrology / Issue 12/2018
Print ISSN: 0301-1623
Electronic ISSN: 1573-2584
DOI
https://doi.org/10.1007/s11255-018-2004-9

Other articles of this Issue 12/2018

International Urology and Nephrology 12/2018 Go to the issue