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Electrophysiological correlates of sensory innervation of the vesico urethral junction and urethra in man

, : Electrophysiological correlates of sensory innervation of the vesico urethral junction and urethra in man. Neurourology & Urodynamics 6(6): 477-484

To investigate urethral sensory innervation in man, cerebral evoked potentials (CEPs) and bulbocavernous reflex (BCR) were recorded by stimulation of vesico-urethral junction (VUJ), prostatic and distal urethra, and penile skin. A specially produced catheter with a pair of electrodes was used for bipolar stimulation along the lower urinary tract. In comparison to the potentials evoked by distal urethral stimulation, the shape differences and protracted latency of CEPs to VUJ stimulation suggest that the distal and proximal urethra are innervated by different peripheral afferents. Similarities of CEPs and BCR latencies produced by prostatic urethral and VUJ stimulation indicate that the sensory innervation of the prostatic urethra is provided by pelvic nerve afferents. The remaining distal parts of the urethra are innervated by pudendal nerves. This is indicated by shape similarities and latency characteristics of both CEPs and BCR when the distal urethra and glans skin are stimulated.

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