Dietary macronutrients modulate hypertrophy and contractility of the detrusor in an experimental model of bladder obstruction.

Pathophysiology

Urology Division, Department of Surgery, University of Ibadan, Nigeria; PIUTA Ibadan centre, Department of Surgery, University of Ibadan and University College Hospital, Ibadan, Nigeria.

Published: March 2019

Objectives: To investigate the effects of various diets on structure and function of the bladder in both normal and obstructed bladders of male Wistar rats.

Methods: Sham-operated rats and rats with experimentally-induced bladder outlet obstruction (BOO) were fed with standard rats' feed (control), High-carbohydrate (HCD), High-fat (HFD) and High-protein (HPD) diets. Feeding was continued for 4 weeks after BOO surgery. Bladder weight, detrusor contractility, Rho-Kinase (ROK) and Myosin Light Chain Kinase (MLCK) expressions were determined using standard methods.

Results: In comparison with control, bladder weight was increased in HFD (164 ± 9 mg), BOO (437 ± 21 mg), HFD-BOO (523 ± 19 mg) and HPD-BOO (268 ± 18 mg). Detrusor contractility was reduced in BOO and HFD-BOO. The ROK- I and II expressions were high in HCD-BOO and low in HPD-BOO but ROK-I was also elevated in BOO. However, MLCK increased only in HCD-BOO.

Conclusion: The results of the study reveal that diets with varying macronutrient compositions have variable effects on the bladder with and without obstruction. High-fat diets especially, affect detrusor morphology and function in both obstructed and unobstructed bladders.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.pathophys.2018.12.003DOI Listing

Publication Analysis

Top Keywords

bladder obstruction
8
bladder weight
8
detrusor contractility
8
bladder
6
boo
5
dietary macronutrients
4
macronutrients modulate
4
modulate hypertrophy
4
hypertrophy contractility
4
detrusor
4

Similar Publications

Objective: To document differences in the microbiota of healthy cats versus cats with urethral obstruction (UO); compare the urinary microbiota with the oral, preputial, and rectal microbiota; and demonstrate that 16S rRNA gene sequencing will reveal rich and diverse urinary microbiota.

Methods: 15 client-owned cats with UO and 15 age-matched healthy cats were included from July 2020 through April 2021. Exclusion criteria were evidence of urinary tract infection, urolithiasis, antimicrobial administration, urinary catheterization in the past 30 days, or a comorbidity.

View Article and Find Full Text PDF

Primary bladder neck obstruction in females: Case series from the Indonesian population.

Int J Surg Case Rep

December 2024

Department of Urology, Faculty of Medicine, Airlangga University, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.

Introduction: Primary bladder neck obstruction (PBNO) is a rare but significant cause of BOO and LUTS in females, with unclear etiology involving theories of fibrotic narrowing, tissue hyperplasia, or muscle abnormalities. Due to nonspecific symptoms, PBNO diagnosis remains challenging, and optimal surgical treatment needs to be better defined.

Case Presentation: We report two cases of females in their 50s with recurrent urinary retention managed by indwelling catheters.

View Article and Find Full Text PDF

Schistosomiasis is a tropical infection endemic to developing nations that can result in chronic liver damage, renal failure, infertility, and bladder cancer. Genitourinary localization is marked by dysuria, visible hematuria, and urinary obstruction. We present the case of a 17-year-old male adolescent from a rural area of Central Africa, who arrived in Italy two years prior, exhibiting hematuria and urinary symptoms.

View Article and Find Full Text PDF

Introduction: Solitary fibrous bladder tumors are extremely uncommon, with only a few cases reported. These fibroblastic mesenchymal neoplasms are typically benign, indolent, and slow growing.

Case Presentation: A 44-year-old male patient with obstructive uropathy was referred to our unit for workup.

View Article and Find Full Text PDF

Open-ended urethral catheters reduce catheter obstruction after hypospadias repair.

Front Pediatr

December 2024

Department of Pediatric Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Backgrounds: Urethral catheter obstruction is a notable issue that pediatric patients with hypospadias may encounter in the early postoperative period. This retrospective study aims to assess the efficacy of open-ended urethral catheters with 2 side holes in mitigating catheter obstruction in pediatric patients following hypospadias repair.

Materials And Methods: The clinical data of pediatric patients who underwent hypospadias repair surgery from January 2021 to October 2023 were retrospectively collected.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!