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  4. Functional Reinnervation of the Canine Bladder after Spinal Root Transection and Immediate End-on-End Repair

Functional Reinnervation of the Canine Bladder after Spinal Root Transection and Immediate End-on-End Repair

J Neurotrauma, 2006 · DOI: 10.1089/neu.2006.23.1125 · Published: July 1, 2006

Spinal Cord InjuryUrologyNeurology

Simple Explanation

This study explores whether damaged nerves in the spine can be fixed to restore bladder function. Researchers cut and immediately repaired spinal roots in dogs, testing if the bladder could be reconnected. A special substance, BDNF, was used to help the nerves heal. They checked if the bladder worked better with the repaired nerves by using electrical signals. The study found that the repaired nerves could indeed reconnect the bladder, showing it's possible to fix nerve damage and bring back bladder control after spinal injuries.

Study Duration
6–12 months
Participants
15 dogs: four nerve intact controls, one nerve transection only, and 10 nerve transection with immediate reanastomosis repair
Evidence Level
Not specified

Key Findings

  • 1
    Transected ventral and dorsal roots in the sacral spine can be repaired and are capable of functionally reinnervating the urinary bladder.
  • 2
    Five of eight nerve transected and repaired animals showed increased pressure and bladder emptying during electrical stimulation of the repaired ventral roots.
  • 3
    Nerve tracing studies determined the repaired roots to be S1 and S2 and showed regrowth of axons from the spinal cord to nerve sites proximal to the repair site and to the bladder.

Research Summary

The study aimed to assess the feasibility of bladder reinnervation in a canine model by transecting and immediately repairing ventral roots. Results showed that five of eight nerve transected and repaired animals demonstrated increased bladder pressure and emptying upon electrical stimulation. The study concludes that transected ventral and dorsal roots can be repaired and are capable of functionally reinnervating the bladder, paving the way for future research.

Practical Implications

Future research

This study sets the stage for future research on bypassing damaged spinal cord areas and reinnervating the bladder using somatic nerve transfer.

Clinical application

The findings suggest potential therapeutic strategies for restoring bladder function in patients with lower motor neuron injuries.

Neurotrophic factors

Further investigation is warranted to optimize the use of neurotrophic factors like BDNF to enhance nerve regeneration and functional recovery after spinal injuries.

Study Limitations

  • 1
    Electrode failure hindered successful bladder stimulation in all experimental animals.
  • 2
    The silicone cuff created a non-specific inflammatory reaction.
  • 3
    BDNF contributed to misdirected axon growth.

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