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• W2112413273 abstract "No AccessJournal of UrologyInvestigative Urology1 Jul 2011Irritation Induced Bladder Overactivity is Suppressed by Tibial Nerve Stimulation in Cats Changfeng Tai, Mang Chen, Bing Shen, Jicheng Wang, James R. Roppolo, and William C. de Groat Changfeng TaiChangfeng Tai More articles by this author , Mang ChenMang Chen More articles by this author , Bing ShenBing Shen More articles by this author , Jicheng WangJicheng Wang More articles by this author , James R. RoppoloJames R. Roppolo More articles by this author , and William C. de GroatWilliam C. de Groat More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.04.023AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We investigated the effects of tibial nerve stimulation on bladder overactivity induced by acetic acid irritation. Materials and Methods: Cystometry was performed in 10 α-chloralose anesthetized female cats by infusing saline or acetic acid through a urethral catheter that was secured by a ligature around the urethra. Intravesical infusion of 0.25% acetic acid was used to irritate the bladder and induce bladder overactivity. Multiple cystometrograms were done before, during and after tibial nerve stimulation to determine the inhibitory effect on the micturition reflex. Results: Infusion of 0.25% acetic acid irritated the bladder, induced bladder overactivity and significantly decreased bladder capacity to about 20% of control capacity measured during saline infusion. Tibial nerve stimulation at low (5 Hz) or high (30 Hz) frequency significantly increased bladder capacity to about 40% of saline control capacity when it was applied during acetic acid infusion cystometrogram. Bladder contraction amplitude was smaller during acetic acid irritation than during saline distention due to significantly smaller bladder capacity. Tibial nerve stimulation at 5 Hz increased bladder capacity and bladder contraction amplitude. Conclusions: Activation of somatic afferents in the tibial nerve of cats can partially reverse the bladder overactivity induced by intravesical administration of a chemical irritant that activates C-fiber afferent nerves. These data are consistent with clinical studies showing that tibial nerve neuromodulation is effective treatment for overactive bladder symptoms. References 1 : Randomized trial of percutaneous tibial nerve stimulation versus sham efficacy in the treatment of overactive bladder syndrome: results from the SUmiT trial. J Urol2010; 183: 1438. Link, Google Scholar 2 : Long-term durability of percutaneous tibial nerve stimulation for the treatment of overactive bladder. J Urol2010; 183: 234. 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J Neurosci1994; 14: 6796. Google Scholar Departments of Urology, and Pharmacology and Chemical Biology (JRR, WCdG), University of Pittsburgh, Pittsburgh, Pennsylvania© 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byWein A (2018) Re: Combination of Sacral Nerve and Tibial Nerve Stimulation for Treatment of Bladder Overactivity in PigsJournal of Urology, VOL. 200, NO. 2, (248-252), Online publication date: 1-Aug-2018. Volume 186Issue 1July 2011Page: 326-330 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.Keywordselectrical stimulationurinary bladderurinary bladderoveractivetibial nervecatsMetricsAuthor Information Changfeng Tai More articles by this author Mang Chen More articles by this author Bing Shen More articles by this author Jicheng Wang More articles by this author James R. Roppolo More articles by this author William C. de Groat More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W2112413273 title "Irritation Induced Bladder Overactivity is Suppressed by Tibial Nerve Stimulation in Cats" @default.
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