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Long-term anodal block stimulation at sacral anterior roots promoted recovery of neurogenic bladder function in a rabbit model of complete spinal cord injury
Authors:Xiaoran Wang  Qi Gao  Xiaoyu Yang  Weihua Wang  Xinquan Gu  Guifeng Liu  Peng Yan  Ge Gao  Xin Yu  Yongjie Wang  Jihu Lian  Chaoling Shi  Yao Wang  Li Fan
Institution:(Department of Urology, China-Japan Union Hospital of Jilin University, Changchun 130033, Jilin Province, China) ;
Abstract:A complete spinal cord injury model was established in experimental rabbits using the spinal cord clip compression method.Urodynamic examination was performed 2 weeks later to determine neurogenic bladder status.The rabbits were treated with anodal block stimulation at sacral anterior roots for 4 weeks.Electrical stimulation of sacral anterior roots improved urodynamic parameters of neurogenic bladder in rabbit models of complete spinal cord injury,effectively promoted urinary function,and relieved urinary retention.Immunohistochemistry results showed that a balance was achieved among expression of muscarinic receptor subunits M2,M3,ATP-gated ion channel P2X3 receptors,and β2-adrenergic receptor,and nerve growth factor expression decreased.These results suggested that long-term sacral anterior root stimulation of anodal block could be used to treat neurogenic bladder in a rabbit model of complete spinal cord injury.
Keywords:anode block  electrical stimulation  immunohistochemistry  neurogenic bladder  urodynamics  spinal cord injury
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