Bladder and bowel responses to lumbosacral epidural stimulation in uninjured and transected anesthetized rats.

Bladder and bowel responses to lumbosacral epidural stimulation in uninjured and transected anesthetized rats.
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DOI:
10.1038/s41598-021-81822-3
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发表时间:
2021-02-08
期刊:
影响因子:
4.6
通讯作者:
Hubscher CH
Hubscher CH
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Hoey RF;Medina-Aguiñaga D;Khalifa F;Ugiliweneza B;Zdunowski S;Fell J;Naglah A;El-Baz AS;Herrity AN;Harkema SJ;Hubscher CH

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Spinal cord epidural stimulation (scES) mapping at L5-S1 was performed to identify parameters for bladder and bowel inhibition and/or contraction. Using spinally intact and chronic transected rats of both sexes in acute urethane-anesthetized terminal preparations, scES was systematically applied using a modified Specify 5–6–5 (Medtronic) electrode during bladder filling/emptying cycles while recording bladder and colorectal pressures and external urethral and anal sphincter electromyography activity. The results indicate frequency-dependent effects on void volume, micturition, bowel peristalsis, and sphincter activity just above visualized movement threshold intensities that differed depending upon neurological intactness, with some sex-dependent differences. Thereafter, a custom-designed miniature 15-electrode array designed for greater selectivity was tested and exhibited the same frequency-dependent urinary effects over a much smaller surface area without any concurrent movements. Thus, select activation of autonomic nervous system circuitries with scES is a promising neuromodulation approach for expedient translation to individuals with SCI and potentially other neurologic disorders.
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