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• W2395787273 abstract "No AccessJournal of Urology1 May 1991Bladder Wall Abnormalities in Myelodysplastic Bladders: A Computer Assisted Morphometric Analysis Ellen Shapiro, Michael J. Becich, Elizabeth Perlman, and Herbert Lepor Ellen ShapiroEllen Shapiro More articles by this author , Michael J. BecichMichael J. Becich More articles by this author , Elizabeth PerlmanElizabeth Perlman More articles by this author , and Herbert LeporHerbert Lepor More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)38521-XAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Myelodysplasia represents the most common cause of neurogenic bladder dysfunction in children. The specific histological features associated with myelodysplastic bladders have not been previously characterized. Our objective was to study the relationship between smooth muscle and connective tissue in control and myelodysplastic bladders using classical morphometric analysis with the assistance of an automated image analysis system. Gross histological analysis of the bladder specimens of normal stillborn fetuses showed organized muscle bundles embedded in a small amount of connective tissue. The bladder specimens of myelomeningocele stillborn fetuses showed a marked paucity of muscle bundles as well as a significantly diminished size of the muscle bundles. The myelomeningocele bladder specimens obtained from patients undergoing autopsy and those undergoing augmentation cystoplasty revealed significant interfascicular and pericellular infiltration of the smooth muscle by dense connective tissue. Quantitative morphometric analysis showed that the myelomeningocele stillborn fetuses have a significant increase in the volumetric content of connective tissue compared to control stillborn fetuses. The bladders of myelomeningocele patients who underwent autopsy or augmentation cystoplasty had a 3-fold increase in connective tissue when compared to normal controls. These findings reveal that structural changes in the histological components of the myelodysplastic bladder can be demonstrated not only in patients of varying ages undergoing autopsy or augmentation cystoplasty but also in the developing fetus. These findings enhance our understanding of the relationship of connective tissue proliferation to smooth muscle in the myelodysplastic bladder. We discuss the relationship of these findings to pathological detrusor morphology and detrusor dysfunction © 1991 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byKim W, Shiroyanagi Y and Yamazaki Y (2018) Can Bladder Wall Thickness Predict Videourodynamic Findings in Children with Spina Bifida?Journal of Urology, VOL. 194, NO. 1, (180-183), Online publication date: 1-Jul-2015.Shortliffe L, Ye Y, Behr B and Wang B (2018) Testosterone Changes Bladder and Kidney Structure in Juvenile Male RatsJournal of Urology, VOL. 191, NO. 6, (1913-1919), Online publication date: 1-Jun-2014.Pascali M, Mosiello G, Boldrini R, Salsano M, Castelli E and De Gennaro M (2011) Effects of Botulinum Toxin Type A in the Bladder Wall of Children With Neurogenic Bladder Dysfunction: A Comparison of Histological Features Before and After InjectionsJournal of Urology, VOL. 185, NO. 6S, (2552-2557), Online publication date: 1-Jun-2011.Anumanthan G, Tanaka S, Adams C, Thomas J, Wills M, Adams M, Hayward S, Matusik R, Bhowmick N, Brock J and Pope J (2009) Bladder Stromal Loss of Transforming Growth Factor Receptor II Decreases Fibrosis After Bladder ObstructionJournal of Urology, VOL. 182, NO. 4S, (1775-1780), Online publication date: 1-Oct-2009.Tanaka H, Matsuda M, Moriya K, Mitsui T, Kitta T and Nonomura K (2018) Ultrasonographic Measurement of Bladder Wall Thickness as a Risk Factor for Upper Urinary Tract Deterioration in Children With MyelodysplasiaJournal of Urology, VOL. 180, NO. 1, (312-316), Online publication date: 1-Jul-2008.Müller L, Abrahamsson K, Sillén U, Jacobsson B, Odén A and Hellström M (2018) Ultrasound Assessment of Detrusor Thickness in Children and Young Adults with MyelomeningoceleJournal of Urology, VOL. 175, NO. 2, (704-708), Online publication date: 1-Feb-2006.Collado A, Batista E, Gelabert-Más A, Corominas J, Arañó P and Villavicencio H (2018) Detrusor Quantitative Morphometry in Obstructed Males and ControlsJournal of Urology, VOL. 176, NO. 6, (2722-2728), Online publication date: 1-Dec-2006.Koerner I, Deibl M, Oswald J, Schwentner C, Lunacek A, Fritsch H, Bartsch G and Radmayr C (2018) Gender Specific Chronological and Morphometric Assessment of Fetal Bladder Wall DevelopmentJournal of Urology, VOL. 176, NO. 6, (2674-2678), Online publication date: 1-Dec-2006.LIN H, COWAN R, MOORE P, ZHANG Y, YANG Q, PETERSON J, TOMASEK J, KROPP B and CHENG E (2018) Characterization of Neuropathic Bladder Smooth Muscle Cells in CultureJournal of Urology, VOL. 171, NO. 3, (1348-1352), Online publication date: 1-Mar-2004.HOLMES N, NGUYEN H, HARRISON M, FARMER D and BASKIN L (2018) FETAL INTERVENTION FOR MYELOMENINGOCELE: EFFECT ON POSTNATAL BLADDER FUNCTIONJournal of Urology, VOL. 166, NO. 6, (2383-2386), Online publication date: 1-Dec-2001.MACHADO M, YOO J and ATALA A (2018) DEFUNCTIONALIZED BLADDERS: EFFECTS BEFORE AND AFTER REFUNCTIONALIZATION IN AN ANIMAL MODELJournal of Urology, VOL. 164, NO. 3 Part 2, (1002-1007), Online publication date: 1-Sep-2000.KAEFER M, VEMULAPALLI S and FREEMAN M (2018) A NONTOXIC DIPHTHERIA TOXIN ANALOGUE INHIBITS NEONATAL BLADDER SMOOTH MUSCLE CELL PROLIFERATIONJournal of Urology, VOL. 163, NO. 2, (580-584), Online publication date: 1-Feb-2000.KAEFER M, PABBY A, KELLY M, DARBEY M and BAUER S (2018) IMPROVED BLADDER FUNCTION AFTER PROPHYLACTIC TREATMENT OF THE HIGH RISK NEUROGENIC BLADDER IN NEWBORNS WITH MYELOMENINGOCELEJournal of Urology, VOL. 162, NO. 3 Part 2, (1068-1071), Online publication date: 1-Sep-1999.HUSMANN D, VANDERSTEEN D, McLORIE G and CHURCHILL B (2018) URINARY CONTINENCE AFTER STAGED BLADDER RECONSTRUCTION FOR CLOACAL EXSTROPHY: THE EFFECT OF COEXISTING NEUROLOGICAL ABNORMALITIES ON URINARY CONTINENCEJournal of Urology, VOL. 161, NO. 5, (1598-1602), Online publication date: 1-May-1999.DJAVAN B, LIN V, KAPLAN E, RICHIER J, SHARIAT S, MARBERGER M and McCONNELL J (2018) DECREASED ELASTIN GENE EXPRESSION IN NONCOMPLIANT HUMAN BLADDER TISSUE: A COMPETITIVE REVERSE TRANSCRIPTASE-POLYMERASE CHAIN REACTION ANALYSISJournal of Urology, VOL. 160, NO. 5, (1658-1662), Online publication date: 1-Nov-1998.DEVEAUD C, MACARAK E, KUCICH U, EWALT D, ABRAMS W and HOWARD P (2018) MOLECULAR ANALYSIS OF COLLAGENS IN BLADDER FIBROSISJournal of Urology, VOL. 160, NO. 4, (1518-1527), Online publication date: 1-Oct-1998.SHAPIRO E, SELLER M, LEPOR H, KALOUSEK D, HUTCHINS G, PERLMAN E and MEULI M (2018) ALTERED SMOOTH MUSCLE DEVELOPMENT AND INNERVATION IN THE LOWER GENITOURINARY AND GASTROINTESTINAL TRACT OF THE MALE HUMAN FETUS WITH MYELOMENINGOCELEJournal of Urology, VOL. 160, NO. 3 Part 2, (1047-1053), Online publication date: 1-Sep-1998.Palmer L, Lee C, Decker R, Lang S, Kaplan W, Firlit C and Cheng E (2018) The Effect of Angiotensin Converting Enzyme Inhibition and Angiotensin II Receptor Antagonism on Obstructed Rat BladderJournal of Urology, VOL. 158, NO. 3, (1100-1104), Online publication date: 1-Sep-1997.Kaplan E, Richier J, Howard P, Ewalt D and Lin V (2018) Type III Collagen Messenger RNA is Modulated in Non-Compliant Human Bladder TissueJournal of Urology, VOL. 157, NO. 6, (2366-2369), Online publication date: 1-Jun-1997.Fone P, Vapnek J, Litwiller S, Couillard D, McDonald C, Boggan J and Stone A (2018) Urodynamic Findings in the Tethered Spinal Cord Syndrome: Does Surgical Release Improve Bladder Function?Journal of Urology, VOL. 157, NO. 2, (604-609), Online publication date: 1-Feb-1997.Wolf J, Soble J, Ratliff T and Clayman R (2018) Ureteral Cell Cultures II: Collagen Production and Response to Pharmacologic AgentsJournal of Urology, VOL. 156, NO. 6, (2067-2072), Online publication date: 1-Dec-1996.Yue Yao L, Tekgul S, Kim K, Li H, Mitchell M and Carr M (2018) Developmental Regulation of Collagen Differential Expression in the Rabbit BladderJournal of Urology, VOL. 156, NO. 2S, (565-570), Online publication date: 1-Aug-1996.Tekgul S, Yoshino K, Bagli D, Carr M, Mitchell M and Yao L (2018) Collagen Types I and III Localization by In Situ Hybridization and Immunohistochemistry in the Partially Obstructed Young Rabbit BladderJournal of Urology, VOL. 156, NO. 2S, (582-586), Online publication date: 1-Aug-1996.Cheng E, Grammatopoulos T, Lee C, Sensibar J, Decker R, Kaplan W, Maizels M and Firlit C (2018) Angiotensin II and Basic Fibroblast Growth Factor Induce Neonatal Bladder Stromal Cell MitogenesisJournal of Urology, VOL. 156, NO. 2S, (593-597), Online publication date: 1-Aug-1996.Lais A, Paolocci N, Ferro F, Bosman C, Boldrini R and Caione P (2018) Morphometric Analysis of Smooth Muscle in the Exstrophy-Epispadias ComplexJournal of Urology, VOL. 156, NO. 2S, (819-821), Online publication date: 1-Aug-1996.Edelstein R, Bauer S, Kelly M, Darbey M, Peters C, Atala A, Mandell J, Colodny A and Retik A (2018) Long-Term Urological Response of Neonates With Myelodysplasia Treated Proactively With Intermittent Catheterization and Anticholinergic TherapyJournal of Urology, VOL. 154, NO. 4, (1500-1504), Online publication date: 1-Oct-1995.Jayanthi V, McLorie G, Khoury A and Churchill B (2018) The Effect of Temporary Cutaneous Diversion on Ultimate Bladder FunctionJournal of Urology, VOL. 154, NO. 2, (889-892), Online publication date: 1-Aug-1995.Murakumo M, Ushiki T, Abe K, Matsumura K, Shinno Y and Koyanagi T (2018) Three-Dimensional Arrangement of Collagen and Elastin Fibers in the Human Urinary Bladder: A Scanning Electron Microscopic StudyJournal of Urology, VOL. 154, NO. 1, (251-256), Online publication date: 1-Jul-1995.Baskin L, Constantinescu S, Duckett J, Snyder H and Macarak E (2018) Type III Collagen Decreases in Normal Fetal Bovine Bladder DevelopmentJournal of Urology, VOL. 152, NO. 2 Part 2, (688-691), Online publication date: 1-Aug-1994.Landau E, Jayanthi V, Churchill B, Shapiro E, Gilmour R, Khoury A, Macarak E, Mclorie G, Steckler R and Kogan B (2018) Loss of Elasticity in Dysfunctional Bladders: Urodynamic and Histochemical CorrelationJournal of Urology, VOL. 152, NO. 2 Part 2, (702-705), Online publication date: 1-Aug-1994.Coplen D, Macarak E and Levin R (2018) Developmental Changes in Normal Fetal Bovine Whole Bladder PhysiologyJournal of Urology, VOL. 151, NO. 5, (1391-1395), Online publication date: 1-May-1994.Baskin L, Howard P and Macarak E (2018) Effect of Physical Forces on Bladder Smooth Muscle and UrotheliumJournal of Urology, VOL. 150, NO. 2 Part 2, (601-607), Online publication date: 1-Aug-1993.Cheng E, Maizels M, Chou P, Hartanto V and Shapiro E (2018) Response of the Newborn Ureteropelvic Junction Complex to Induced and Later Reversed Partial Ureteral Obstruction in the Rabbit ModelJournal of Urology, VOL. 150, NO. 2 Part 2, (782-789), Online publication date: 1-Aug-1993.Baskin L, Howard P, Duckett J, Snyder H and Macarak E (2018) Bladder Smooth Muscle Cells in Culture: I. Identification and CharacterizationJournal of Urology, VOL. 149, NO. 1, (190-197), Online publication date: 1-Jan-1993.Starr N, Maizels M, Chou P, Brannigan R and Shapiro E (2018) Microanatomy and Morphometry of the Hydronephrotic “Obstructed” Renal Pelvis in Asymptomatic InfantsJournal of Urology, VOL. 148, NO. 2 Part 2, (519-524), Online publication date: 1-Aug-1992.Ewalt D, Howard P, Blyth B, Snyder H, Duckett J, Levin R and Macarak E (2018) Is Lamina Propria Matrix Responsible for Normal Bladder Compliance?Journal of Urology, VOL. 148, NO. 2 Part 2, (544-549), Online publication date: 1-Aug-1992.Boone T, Roehrborn C and Hurt G (2018) Transurethral Intravesical Electrotherapy for Neurogenic Bladder Dysfunction in Children with Myelodysplasia: A Prospective, Randomized Clinical TrialJournal of Urology, VOL. 148, NO. 2 Part 2, (550-554), Online publication date: 1-Aug-1992.Tong-Long Lin A, Yang C, Chen C, Chen M, Chiang H and Chang L (2018) Correlation of Contractile Function and Passive Properties of Rabbit Urinary Bladder Subjected to Outlet Obstruction—An in Vitro Whole Bladder StudyJournal of Urology, VOL. 148, NO. 3 Part 1, (944-948), Online publication date: 1-Sep-1992.Shapiro E, Tang R, Rosenthal E and Lepor H (2018) The Binding and Functional Properties of Voltage Dependent Calcium Channel Receptors in Pediatric Normal and Myelodysplastic BladdersJournal of Urology, VOL. 146, NO. 2 Part 2, (520-523), Online publication date: 1-Aug-1991. Volume 145Issue 5May 1991Page: 1024-1029 Advertisement Copyright & Permissions© 1991 by The American Urological Association Education and Research, Inc.Keywordsneural tube defectsbladder, neurogenicmuscle, smoothMetricsAuthor Information Ellen Shapiro More articles by this author Michael J. Becich More articles by this author Elizabeth Perlman More articles by this author Herbert Lepor More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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