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DETRUSOR STIFFNESS.
NEW INSTRUMENTATION FOR THE IN VITRO THE EVALUATION OF BLADDER CONTRACTION.
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Authors:
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S. Omata, N. Diep,
CE, Constantinou
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Institution:
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Nihon University, College
of Engineering, Koriyama, JAPAN Department of Urology, Stanford
University, Stanford, CA, USA .
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AIMS OF
STUDY.
Current methods used in the evaluation of isometric bladder contraction involve
the suspension of a strip of bladder into a chamber, tying one end of the tissue
to a fixed point and the other to a force transducer. In the present study we
introduce a new instrument for the measurement of bladder contraction obviating
the need to tie the tissue. This instrument was used in the evaluation of bladder
stiffness, produced by cholinergic stimulation of the rat bladder. The tissues
used for these experiments were obtained from ovariectomized (OVX) and estrogen-treated
(OVX+E) rats.
METHODS.
The stiffness biosensor was made up of a piezoelectric crystal (PZT) having
1mm in diameter and supported by a micromanipulator. The crystal was electrically
driven at its resonance frequency by an oscillator. Upon contact with the tissue
the resonance frequency of the PZT shifted in accord with tissue stiffness.
This frequency shift, Df, was calibrated to represent tissue stiffness in gm/cm.
Tissue segments, 50 mg in weight and approximately 5x5 mm2 in size, were dissected
from the bladder domes of 6 OVX and 6 OVX+E rats. The tissues were placed on
a cotton gauze, soaked in Krebs solution, and placed under the biosensor so
that three consecutive measurements could be taken. These initial measurements
represent baseline stiffness. The response of the bladder was measured when
high [K+] and increasing doses of Carbachol 2,20,200 ng/kg were directly applied
onto the surface of the tissues. Three measurements were taken after the addition
of each dose. Dose response curves were generated for the stiffness of the OVX
and OVX+E groups.
RESULTS
The results show that the biosensor was able to produce consistent and reliable
measurements of bladder stiffness under control conditions. Figure 1 shows a
dose response curve of the relationship of bladder stiffness to Carbachol concentration.
As indicated stiffness is shown to increase significantly following the addition
of Carbachol. The response to increasing doses of the stimulant was markedly
different between the two groups of rats, indicating that the biosensor possesses
sufficient sensitivity for detecting variations in tissue stiffness.
CONCLUSIONS AND
DISCUSSION
The stiffness dose response curves obtained using the PZT biosensor method were
similar to those using the conventional tissue bath isometric techniques(1).
While contractility has been measured under in vitro conditions using tissue
strips which are stretched and suspended in a bathing solution, there has not
been to date an equally feasible approach which allows for the determination
of un-stretched bladder stiffness. Using this method it is concluded that ovariectomy
significantly increases bladder stiffness in response to low doses of cholinergic
stimulation in comparison to the estrogen supplemented rats. The results obtained
from this study using the PZT transducer demonstrate the potential of Estrogen
manipulation in modulating the mechanical charactristics of the bladder. We
project that by using this alternative method of assesing the effect of pharmacologic
stimulation on the bladder the influence of hormones on the bladder as well
as the prostate can be objectively evaluated. Finally we expect that this approach,
which uses smaller amounts tissue than isometric recordings may prove appropriate
in the evaluation of tissue segments obtained from biopshies. 1 Life Sciences
64(23)279-289