Electrophysiological assessment of sensations arising from the bladder: are there objective criteria for subjective perceptions?

Détails

ID Serval
serval:BIB_83DBE4E23B65
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Electrophysiological assessment of sensations arising from the bladder: are there objective criteria for subjective perceptions?
Périodique
Journal of Urology
Auteur(s)
Reitz A., Schmid D.M., Curt A., Knapp P.A., Jensen K., Schurch B.
ISSN
0022-5347 (Print)
ISSN-L
0022-5347
Statut éditorial
Publié
Date de publication
2003
Volume
169
Numéro
1
Pages
190-194
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov'tPublication Status: ppublish
Résumé
PURPOSE: Initial bladder filling sensation, first and strong desire to void are subjective perceptions that occur periodically during the urine storage mode of bladder function, representing sensory input from the lower urinary tract. To our knowledge methods for evaluating sensory bladder function are not available. We studied a simple electrophysiological procedure for the objective assessment of bladder sensations using sympathetic skin responses and surface pelvic floor electromyography.
MATERIALS AND METHODS: Informed consent was provided by 8 healthy male subjects, who were administered 20 mg. furosemide and 1 l. fluid to drink. Palmar and plantar sympathetic skin responses, and surface pelvic floor electromyogram were continuously recorded during bladder filling, voluntary pelvic floor contraction and voiding.
RESULTS: First desire to void evoked simultaneous sympathetic skin responses and pelvic floor contractions. This pattern appeared periodically with the desire to void sensation as well as with strong desire to void at maximum bladder capacity and it correlated well with the subjective sensation of the subjects. Voluntary pelvic floor contraction decreased the subjective intensity of the desire to void sensation as well as sympathetic skin response activity for the same short period. During voiding sympathetic skin responses almost complete absence of sympathetic skin responses was observed.
CONCLUSIONS: Sensations arising from the bladder induce combined activation of sympathetic skin responses and pelvic floor activity. This coherence indicates synchronized activation and inactivation of the autonomic and somatic pathways necessary for appropriate urine storage and coordinated voiding. Our observations may introduce a new approach for objectively assessing subjective sensations arising from the urinary tract.
Mots-clé
Adult, Diuresis/drug effects, Diuresis/physiology, Diuretics/pharmacology, Electric Stimulation, Electromyography, Foot, Furosemide/pharmacology, Hand, Humans, Male, Median Nerve/physiology, Muscle Contraction/physiology, Pelvic Floor/physiology, Perception, Reference Values, Reflex/physiology, Sensation, Skin/innervation, Sympathetic Nervous System/physiology, Urinary Bladder/physiology, Urination/physiology
Pubmed
Web of science
Création de la notice
05/11/2014 13:12
Dernière modification de la notice
20/08/2019 15:43
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