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Development of endoscopical erectical stimulation for patients of neurogenie bladder dysfunction

Research Project

Project/Area Number 10557141
Research Category

Grant-in-Aid for Scientific Research (B).

Allocation TypeSingle-year Grants
Section展開研究
Research Field Urology
Research InstitutionNIIGATA UNIVERSITY

Principal Investigator

TSUTSUI Toshiki  Medical Hospital, NIIGATA UNIVERSITY, Assistant, 医学部・附属病院, 助手 (20283012)

Co-Investigator(Kenkyū-buntansha) SUDO Makoto  Nihon-koden, R&D center, section chief, R & Dセンター開発部, 課長(研究職)
HATANO Akihiko  Faculty of medicine, NIIGATA UNIVERSITY, Assistant, 医学部, 助手 (00242404)
武田 正之  新潟大学, 医学部, 助教授 (80197318)
Project Period (FY) 1998 – 2000
Project Status Completed (Fiscal Year 2000)
Budget Amount *help
¥12,700,000 (Direct Cost: ¥12,700,000)
Fiscal Year 2000: ¥2,200,000 (Direct Cost: ¥2,200,000)
Fiscal Year 1999: ¥2,200,000 (Direct Cost: ¥2,200,000)
Fiscal Year 1998: ¥8,300,000 (Direct Cost: ¥8,300,000)
KeywordsNeuroguic bladder / erectrical stimulation / Endoscopy / Pig / 電気刺激装置 / 排尿反射 / 神経因性膀胱機能障害
Research Abstract

Experimental electrical stimulation for induction of micturition reflex was tried using rabbit urinary bladder in the first place. median incision of lower abdomen of rabbit was performed under general anesthesia. The probe of electrical stimulation was put into the bladder muscle layer, but the bladder wall was easily perforated. Thus, cystometry could not performed. Secondly, transurethral electrical stimulation using novel small diameter flexible quartz fiberscope was tried, but he insertion of this fiberscope for the urethra of rabbit was very difficult. Also, it was difficult to make sure of the field of vision because of the muddy urine of rabbit. The experimental electrical stimulation using rabbit urinary bladder was failed unfortunately. The next experiment was laparoscopic electrical stimulation of detrusor muscle layer of pig urinary bladder. Under general anesthesia, some trocars were indwelled via lower abdominal wall and the laparoscpic view was started. Two probes of erectrical stimulation were inserted from the trocars into the pig detrusor muscle of bilateral urinary bladder wall. The flexible quartz fiberscope was inserted into the urinary bladder, and no perforation of bladder mucosa by insertion of the electrical stimulations probes was found with fiberscope view. After 100ml normal saline was dripped in the bladder, cystmetry was started. The optimal condition for induction of micturition reflex was found in this experimental study. Frequency of stimulation was 20 Hz, pulse time was 2.5msec, electric current was 70mA, and duration of electrical stimulation was 15 sec. The detrusor contraction of 100 cm H2O was expressed in the cystometry under these optimal condition of electrical stimulation.

Report

(4 results)
  • 2000 Annual Research Report   Final Research Report Summary
  • 1999 Annual Research Report
  • 1998 Annual Research Report
  • Research Products

    (19 results)

All Other

All Publications (19 results)

  • [Publications] 武田正之: "α_1- and α_2- Adrenoceptors in BPH"Europian Urology. 36(1). 31-34 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 古泉孝子: "Pharmacological and molecular biological evidence for ETA endothelir receptor subtype mediating mechanical responses in the detrusor smooth muscle of the human urinary bladder"Clinical Science. 96. 397-402 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 武田正之: "Evidence for beta3-adrenoceptor subtypes in relaxation of human urinary bladder platrusor-analysis by molecular biological and pharmacological methods-"J. Pharm. Exp. Therap.. 288. 1367-1373 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 武田正之: "Laparoscopic Adrenalectomy : Transperitoneal Versus Retroperitarnal Approach"Recent Advances in Endourology. (1). 47-59 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 武田正之: "Endoscopic Renal Biopsy in Pediatric Patients : Comparison of Retropentonea DSCoPS-Assisted and Retroperitoneoscopic Methods"Nephron. 84. 199-200 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 武田正之: "神経泌尿器科学研究法"日本医学館. 172 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 高橋公太: "腎移植ハンドブック"中外医学社. 323 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] masayuki Takeda, A.Hatano, K.Arai, K Obara, T.Tsutsui, K.Takahashi: "α1-and α2-Adrenoceptors in BPH."European Urology. 36(1). 31-34 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Okamoto-Koizumi T, Takeda M, . komeyama T, hatano A., . Tamaki M, Mizusawa T., Tsutsui T., Obara K., Tomita Y., Arai K.and Takahashi K: "Pharmacological and molecular biologiacal evidence for ETA endothelin receptor subtype mediating mechanical responses in the detrusor smooth muscle of the human urinsry bladder"Clinical Science. 96. 397-402 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Takeda M., K.Obara, T.Mizusawa, Y.Tomita, K.Arai, T.Tsutsui, A.Hatano, K.Takahashi, S.Nomura: "Evidence for beta3-adrenoceptor subtypes in relaxation of human urinary bladder detrusor. -Analysis by molecular biological and pharmacological methods-"J.Pharm.Exp.Therap.. 288. 1367-1373 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Masayuki Takeda, Ryusuke Watanabe, Shigenori Kurumada, Kazuhide Saito, Toshiki Tsutsui, Kota Takahashi, Hideto Go: "Endoscopic Renal Biopsy in Pediatric Patients : Comparison of Retroperitoneoscopy-Assisted and Retroperitoneoscopic Methods."Nephron. 84. 199-200 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Masayuki Takeda, Hideto Go, Ryusuke Watanabe, Shigenori Kurumad, Toshiki Tsutsui and kota Takahashi: "Laparoscopic Adrenalectomy : Transperitoneal Versus Retroperitoneal Approach."Recent Advances in Endourology(1)Urologic Laparoscopy. 47-59 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Toshiki Tsutsui: "Technique of neurourological study"(Nihon-igaku kan)Histochemistry and Immunohistochemistry.. 172 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Tosiki Tsutsui: "Handbook of Kidney Transplantation"(Tyuugai igakusha)Urinary disturbance.. 323 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 武田正之: "神経泌尿器科学研究法"日本医学館. 172 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 高橋公太: "腎移植ハンドブック"中外医学社. 323 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Masayuki Takeda, et al: "Endoscopic Renal Biopsy in Pediatric Patients: Comparison of Retroperitoneoscopy-Assisted and Retroperitoneoscopic Methods"Nephron. 84. 199-200 (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] Masayuki Takeda, et al: "α1- and α2- Adrenoceptors in BPH"European Urology. 36・1. 31-34 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Masayuki Takeda, et al: "Laparoscopic Adrenalectany: Transperitoneal Versus Retroperitoneal Approach"Recent Advances in Eudourology. 1. 47-59 (1999)

    • Related Report
      1999 Annual Research Report

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Published: 1998-04-01   Modified: 2016-04-21  

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