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Reconstruction of the autonomic nerve controlling urogenital tract and its clinical application

Research Project

Project/Area Number 12671521
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Urology
Research InstitutionTokyo Medical and Dental University

Principal Investigator

KIHARA Kazunori  Tokyo Med. & Dent. Univ. Gruduate School, Professor, 大学院・医歯学総合研究科, 教授 (40161541)

Co-Investigator(Kenkyū-buntansha) KAGEYAMA Yuki  Tokyo Med. & Dent. Univ. Gruduate School, Associate Professor, 大学院・医歯学総合研究科, 助教授 (10211153)
SATO Kenji  Tokyo Med. & Dent. Univ. Gruduate School, Professor, 大学院・保健衛生学研究科, 教授 (20107246)
Project Period (FY) 2000 – 2001
Project Status Completed (Fiscal Year 2001)
Budget Amount *help
¥3,300,000 (Direct Cost: ¥3,300,000)
Fiscal Year 2001: ¥1,400,000 (Direct Cost: ¥1,400,000)
Fiscal Year 2000: ¥1,900,000 (Direct Cost: ¥1,900,000)
Keywordsurogenital tract / autonomic nerve / reconstruction / clinical application / 臨床応用
Research Abstract

The research results are as follows.
I) Reconstruction of the canine pelvic nerve :
(1) The pelvic nerve was reconstructed by end-to-end anastomosis in high frequency.
(2) Either genitofemoral nerve grafting or colonic nerve frafting in the defect of the pelvic nerve repaired the pathway in high frequency.
(3) Auto-transplantation of the canine bladder preserving nerve function succeeded.
(4) Redistribution of the canine pelvic nerve to the neobladder succeeded. The hypogastric nerve was grafted between the pelvic nerve and colonic nerve which innervate the colon used as neobladder. After this operation, stimulation of the pelvic nerve elicited contraction of the neobladder in all 5 dogs examined.
II) Reconstruction of the canine hypogastric nerve :
(1) Spontaneous reconstruction of the canine hypogastric nerve after transection of its half length over a long period was demonstrated.
(2) Either genistofemoral nerve grafting or colonic nerve grafting in the defect of the hypogastric nerve repaired the pathway in high frequency.
III) Regeneration of the axon in the nerve graft was identified on microscopy or electron microscopy.
IV) Clinically, both reconstruction of the lumbar splanchnic nerve for ejaculation and that of the corpus spongiosum nerve for erection were successful.

Report

(3 results)
  • 2001 Annual Research Report   Final Research Report Summary
  • 2000 Annual Research Report
  • Research Products

    (30 results)

All Other

All Publications (30 results)

  • [Publications] Yonese J. et al.: "Sympathetic efferent pathways projecting to the prostate in the dog"Prostate. 44. 225-232 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Kobayashi T. et al.: "Spontaneous reconstruction of the canine hypogastric nerve over a long period after removing half of its length"Auton. Neurosci-Vasic. 86. 151-162 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Kihara K. et al.: "Reconstruction of the canine pelvic nerve and its application to bladder transplantation"Nourourol. Urodynam.. 20. 187-196 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Liu S. et al.: "Sympathetic efferent pathways projecting to the vagina in the dog"Auton. Neurosci-Vasic. 88. 45-51 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Kihara K. et al.: "Nerve-sparing retroperitoneal lymph node dissection : Control mechanism, technique for nerve-sparing and reconstruction"Int. J. Urol.. 7. s53-s56 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Kihara, K. et al.: "Strategy for male and female sexual dysfunction : Ejaculatory dysfunction due to nerve injury"J. Asian Sexol.. 2. 96-97 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Althof S. et al.: "Erectile Dysfunction"Health Publication Ltd. U. K.. 730 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yonese J., Kihara K., Sato K., Fukuda H., Kamata S. and Oshima H.: "Sympathetic efferent pathways projecting to the prostate in the dog"Prostate. 44. 225-232 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Kobayashi T., Kihara K., Kageyama Y., Yamada T., Liu S. and Sato K.: "Spontaneous reconstruction of the canirie hypogastric nerve over a long period after removing half of its length"Auton, Neurosci-Basic. 86. 151-162 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Kihara K., Sato K., Kageyama Y. and Inoue Y.: "Reconstruction of the canine pelvic nerve arid its application to bladder transplantation"Neurourol. Urodynam.. 20. 187-196 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Liu S., Sato K., Kobayashi T., Yamada T., Kageyama Y. and Kihara K.: "Sympathetic efferent pathways projecting to the vagina in the dog"Auton, Neurosci-Basic. 88. 45-51 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Kihara K.: "Nerve-sparing retroperitoneal lymph node dissection : Control mechanism, technique for nerve-sparing and reconstruction"Int. J. Urol.. 7. S53-S56 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Kihara K.: "Strategy for male and female sexual dysfunction : Ejaculatory dysfunction due to nerve injury"Journal of Asian Sexology. 2. 96-97 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Althof S.E., Benson S.M., Haensel S.M., Hull E.M., Kihara K. and Opsomer R.J.: "Male Orgasmic and Ejaculatory Disorders. In : Erectile Dysfunction. Edited by Jardin A., Wagner G., Khoury S., Giuliano F., Padma-Nathan H. and Rosen R."Health Publication Ltd. UK. 477-506 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yonese J. et al.: "Sympathetic efferent paitthways projeting to the prostate in the dog"Prostate. 44. 225-232 (2000)

    • Related Report
      2001 Annual Research Report
  • [Publications] Kobayashi T. et al.: "Spontaneous reconstruction of the canine hypogastric nerve over a long period after removing half of its length"Auton. Neuvosci-Basic. 86. 151-162 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Kihara K. et al.: "Reconstruction of the canine pelvic nerve and its application to bladder transplantation"Neuvourol. Urodynam.. 20. 187-196 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Liu S. et al.: "Sympathetic efferent pathways projecting to the vagina in the dog"Auton. Neuvosci-Basic. 88. 45-51 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Kihara K. et al.: "Nerve-sparing retroperitoneal lymph node dissection : Control mechanism, technique for nerve-sparing and reconstruction"Int. J. Urol.. 7. S53-S56 (2000)

    • Related Report
      2001 Annual Research Report
  • [Publications] Kihara K. et al.: "Strategy for male and female sexual dysfunction : Efaculatory dysfunction due to nerve injury"J. Asian Sexol.. 2. 96-97 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Althog S. et al.: "Erectile Dysfunetion"Health publication Ltd. U.K.. 730 (2002)

    • Related Report
      2001 Annual Research Report
  • [Publications] Kihara K.: "Nerve-sparing retroperitoneal lymph node dissection : Control mechanism, technique for nerve-sparing and reconstruction."Int.J.Urol.. 7. S53-S56 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Yonese J.,Kihara K.,Sato K.,Fukuda H.,Kamata S,and Oshima H: "Sympathetic efferent pathways projecting to the prostate in the dog."Prostate. 44. 225-232 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Kobayashi T.,Kihara K.,Kageyama Y.,Yamada T.,Liu S.and Sato K.: "Spontaneous reconstruction of the canine hypogastric nerve over a long period after removing half of its length.Autonomic Neuroscience"Autonomic Neuroscience : Basic and Clinical. 86. 151-162 (2001)

    • Related Report
      2000 Annual Research Report
  • [Publications] Kihara K.,Sato K.,Kageyama Y.and Inoue Y: "Reconstruction of the canine pelvic nerve and its application to bladder transplantation."Neurourol.Urodynam.. (in press).

    • Related Report
      2000 Annual Research Report
  • [Publications] Liu S.,Sato K.,Kobayashi T.,Yamada T.,Kageyama Y.and Kihara K.: "Sympathetic efferent pathways projecting to the vagina in the dog.Autonomic Neuroscience :"Autonomic Neuroscience : Basic and Clinical. (in press).

    • Related Report
      2000 Annual Research Report
  • [Publications] 木原和徳: "泌尿器科領域における自律神経再建の現況"臨床泌尿器科. 54. 669-676 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 木原和徳: "骨盤外科におけるウロダイナミクス:骨盤手術と骨盤の自律神経の再建"排尿障害プラクテイス. 8. 57-64 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Althof S.E., etal.: "Erectile Dysfunction"Health Publication Ltd. 726 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 木原和徳: "実践Urologic Surgery 7 陰茎癌と精巣癌の手術"Medical View社(印刷中).

    • Related Report
      2000 Annual Research Report

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Published: 2000-04-01   Modified: 2016-04-21  

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