Skip to main content

Advertisement

Log in

Impact of pregnancy and childbirth on female rats’ urethral nerve fibers

  • Original Article
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

This study aims to evaluate the urethral nerve fibers of adult female rats during pregnancy and after vaginal birth, cesarean section or simulated birth trauma. For immunohistochemical analysis of nerve fibers, 70 female rats were distributed in seven groups of ten female rats: group 1, control; group 2, pregnant; group 3, cesarean section; group 4, vaginal birth; group 5, virgin female rats with simulated birth trauma; group 6, cesarean section followed by simulation of birth trauma; and group 7, vaginal birth followed by simulation of birth trauma. The number of nerve fibers in groups 1, 2, and 3 were significantly higher than the other groups. Pregnancy and cesarean section did not cause alterations in the nerve fibers number. Vaginal birth and simulated birth trauma significantly decreased the number of nerve fibers in the female rats’ middle urethra.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Iosif S, Bekassy Z (1984) Prevalence of genito-urinary symptoms in the late menopause. Acta Obstet Gynecol Scand 63:257–260

    Article  PubMed  CAS  Google Scholar 

  2. Diokno AC, Brock BM, Brown, MB, Herzog R (1986) Prevalence of urinary incontinence and other urological symptoms in the noninstitutionalized elderly. J Urol 136:1022–1025

    PubMed  CAS  Google Scholar 

  3. Wyman JF, Harkins SW, Choi SC, Taylor JR, Fantl JA (1987) Psychosocial impact of urinary incontinence in women. Obstet Gynecol 70:378–381

    PubMed  CAS  Google Scholar 

  4. Sørensen SM, Bondesen H, Istre O, Vilmann P (1988) Perineal rupture following vaginal delivery. Long-term consequences. Acta Obstet Gynecol Scand 67:315–318

    Google Scholar 

  5. Rekers H, Drogendijk AC, Valkenburg H, Riphagem F (1992) Urinary incontinence in women from 35 to 79 years of age: prevalence and consequences. Eur J Obstet Gynecol Reprod Biol 43:229–234

    Article  PubMed  CAS  Google Scholar 

  6. Brown JS, Grady D, Ouslander JG, Herzog AR, Varner RE, Posner SF (1999) Prevalence of urinary incontinence and associated risk factors in postmenopausal women. Obstet Gynecol 94:66–70

    Article  PubMed  CAS  Google Scholar 

  7. Gainey HL (1955) Postpartum observation of pelvic tissue damage: further studies. Am J Obstet Gynecol 70(4):800–807

    PubMed  CAS  Google Scholar 

  8. Beck RP, Hsu N (1965) Pregnancy, childbirth, and the menopause related to the development of stress incontinence. Am J Obstet Gynecol 91:820–823

    PubMed  CAS  Google Scholar 

  9. Iosif S, Henriksson L, Ulmsten U (1981) Postpartum incontinence. Urol Int 36:53–58

    Article  PubMed  CAS  Google Scholar 

  10. Waltzer WC (1981) The urinary tract in pregnancy. J Urol 125:271–276

    PubMed  CAS  Google Scholar 

  11. Carlile A, Davies J, Rigby A, Brocklehurst JC (1988) Age changes in the human female urethra: a morphometric study. J Urol 139:532–535

    PubMed  CAS  Google Scholar 

  12. Tapp A, Cardoso L, Versi E, Montgomery J, Studd J (1988) The effect of vaginal delivery on the urethral sphincter. Br J Obstet Gynaecol 95:142–146

    PubMed  CAS  Google Scholar 

  13. Skoner MM, Thompson WD, Caron VA (1994) Factors associated with risk of stress urinary incontinence in women. Nurs Res 43(5):301–306

    Article  PubMed  CAS  Google Scholar 

  14. Bent AE, McLennan MT (1996) Geriatric urogynecology. In: Ostergard DR, Bent AE (eds) Urogynecology and urodynamics: theory and practice, 4th ed. Williams & Wilkins, Baltimore, pp 441–462

    Google Scholar 

  15. Thom DH, van den Eeden SK, Brown JS (1997) Evaluation of parturition and other reproductive variables as risk factors for urinary incontinence in later life. Obstet Gynecol 90:983–989

    Article  PubMed  CAS  Google Scholar 

  16. Crist T, Shingleton HM, Koch GG (1972) Stress incontinence and the nulliparous patient. Obstet Gynecol 40(1):13–17

    PubMed  CAS  Google Scholar 

  17. Mikhail MS, Anyaegbunam A (1995) Lower urinary tract dysfunction in pregnancy: a review. Obstet Gynecol Surv 50:675–683

    Article  PubMed  CAS  Google Scholar 

  18. Meyer S, Schreyer A, De Grandi P, Hohlfeld P (1998) The effects of birth on urinary continence mechanisms and other pelvic-floor characteristics. Obstet Gynecol 92:613–618

    Article  PubMed  CAS  Google Scholar 

  19. Dannecker C, Anthuber C (2000) The effects of childbirth on the pelvic-floor. J Perinat Med 28:175–184

    Article  PubMed  CAS  Google Scholar 

  20. Pregazzi R, Sartore A, Bortoli P, Grimaldi E, Ricci G, Guaschino S (2002a) Immediate postpartum perineal examination as a predictor of puerperal pelvic floor dysfunction. Obstet Gynecol 99:581–584

    Article  PubMed  Google Scholar 

  21. Pregazzi R, Sartore A, Troiano L, Grimaldi E, Bortoli P, Siracusano S, Guaschino S (2002b) Postpartum urinary symptoms: prevalence and risk factors. Eur J Obstet Gynecol Reprod Biol 103:179–182

    Article  PubMed  Google Scholar 

  22. Allen RE, Hosker GL, Smith AR, Warrell DW (1990) Pelvic floor damage and childbirth: a neurophysiological study. Br J Obstet Gynaecol 97:770–779

    PubMed  CAS  Google Scholar 

  23. Snooks SJ, Swash M, Mathers SE, Henry MM (1990) Effects of vaginal delivery on the pelvic floor: a 5-year follow-up. Br J Surg 77:1358–1360

    Article  PubMed  CAS  Google Scholar 

  24. Handa VL, Harris TA, Ostergard DR (1996) Protecting the pelvic floor: obstetric management to prevent incontinence and pelvic organ prolapse. Obstet Gynecol 88:470–478

    Article  PubMed  CAS  Google Scholar 

  25. Bakircioglu ME, Sievert KD, Lau A, Lin CS, Lue TF (2000) The effect of pregnancy and delivery on the function and ultrastructure of the rat bladder and urethra. BJU Int 85:350–361

    Article  PubMed  CAS  Google Scholar 

  26. Snooks SJ, Barnes PR, Swash M (1984a) Damage to the innervation of the voluntary anal and periurethral sphincter musculature in incontinence: an electrophysiological study. J Neurol Neurosurg Psychiatry 47:1269–1273

    PubMed  CAS  Google Scholar 

  27. Snooks SJ, Badenoch DF, Tiptaft RC, Swash M (1985a) Perineal nerve damage in genuine stress urinary incontinence. An electrophysiological study. Br J Urol 57:422–426

    PubMed  CAS  Google Scholar 

  28. Snooks SJ, Swash M, Henry MM, Setchell M (1985b) Risk factors in childbirth causing damage to the pelvic floor innervation. Br J Surg 72(Suppl):S15–S17

    Article  Google Scholar 

  29. Barnick CGW, Cardozo LD (1993) Denervation and re-inervation of urethral sphincter in the etiology of genuine stress incontinence: an electromyographic study. Br J Obstet Gynaecol 100:750–753

    PubMed  CAS  Google Scholar 

  30. Wall LL (1993) The muscles of the pelvic floor. Clin Obstet Gynecol 36(4):910–925

    Article  PubMed  CAS  Google Scholar 

  31. Deindl FM, Voduzek DB, Hesse U, Schüssler B (1994) Pelvic floor activity patterns: comparison of nulliparous continent and parous urinary stress incontinent women. A kinesiological EMG study. Br J Urol 73:413–417

    PubMed  CAS  Google Scholar 

  32. Snooks SJ, Swash M (1984) Abnormalities of the innervation of the urethral striated sphincter musculature in incontinence. Br J Urol 56:401–405

    Article  PubMed  CAS  Google Scholar 

  33. Snooks SJ, Swash M, Setchell M, Henry MM (1984b) Injury to innervation of pelvic floor sphincter musculature in childbirth. Lancet 2:546–50

    Article  PubMed  CAS  Google Scholar 

  34. Gilpin SA, Gosling JA, Smith AR, Warrell DW (1989) The pathogenesis of genitourinary prolapse and stress incontinence of urine. A histological and histochemical study. Br J Obstet Gynaecol 96:15–23

    PubMed  CAS  Google Scholar 

  35. Smith AR, Hosker GL, Warrell DW (1989a) The role of partial denervation of the pelvic floor in the etiology of genitourinary prolapse and stress incontinence of urine. A neurophysiological study. Br J Obstet Gynaecol 96:24–28

    PubMed  CAS  Google Scholar 

  36. Smith AR, Hosker GL, Warrell DW (1989b) The role of pudendal nerve damage in the etiology of genuine stress incontinence in women. Br J Obstet Gynaecol 96:29–32

    PubMed  CAS  Google Scholar 

  37. Sultan AH, Kamm MA, Hudson CN (1994) Pudendal nerve damage during labor: prospective study before and after childbirth. Br J Obstet Gynaecol 101:22–28

    PubMed  CAS  Google Scholar 

  38. Tetzschner T, Sørensen M, Lose G, Christiansen J (1997) Pudendal nerve function during pregnancy and after delivery. Int Urogynecol J 8:66–68

    CAS  Google Scholar 

  39. Lin AS, Carrier S, Morgan DM, Lue TF (1998) Effect of simulated birth trauma on the urinary continence mechanism in the rat. Urology 52(1):143–151

    Article  PubMed  CAS  Google Scholar 

  40. Sievert KD, Emre Bakircioglu M, Tsai T, Dahms SE, Nunes L, Lue TF (2001) The effect of simulated birth trauma and/or ovariectomy on rodent continence mechanism. Part 1: functional and structural change. J Urol 166:311–317

    Article  PubMed  CAS  Google Scholar 

  41. Baker DEJ (1979) Reproduction and breeding. In: Baker HJ, Lindsey JR, Weisbroth SH (eds) The laboratory rat, vol 1. Academic, New York, pp 154–168

    Google Scholar 

  42. Neter J, Wasserman W, Kutner MH (1990) Applied linear statistical models, 3rd edn. Irwin, Homewood, IL

    Google Scholar 

  43. Littell RC, Milliken GA, Stroup WW, Wolfinger RD (1996) SAS system for mixed models. SAS Institute, North Carolina

    Google Scholar 

  44. Dimpfl T, Hesse U, Schüssler B (1992) Incidence and cause of postpartum urinary stress incontinence. Eur J Obstet Gynecol Reprod Biol 43:29–33

    Article  PubMed  CAS  Google Scholar 

  45. Minaire P, Jacquetin B (1992) La prevalence de I’incontinence urinaire féminine em médicine générale. J Gynecol Obstet Biol Reprod (Paris) 21:731–738

    CAS  Google Scholar 

  46. Buchsbaum GM, Chin M, Glantz C, Guzick D (2002) Prevalence of urinary incontinence and associated risk factors in a cohort of nuns. Obstet Gynecol 100:226–229

    Article  PubMed  Google Scholar 

  47. Viktrup L, Lose G, Rolff M, Barfoed K (1992) The symptom of stress incontinence caused by pregnancy or delivery in primiparas. Obstet Gynecol 79:945–949

    PubMed  CAS  Google Scholar 

  48. Wilson PD, Herbison RM, Herbison GP (1996) Obstetric practice and the prevalence of urinary incontinence three months after delivery. Br J Obstet Gynaecol 103:154–161

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. A. Rocha.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rocha, M.A., Sartori, M.G.F., De Jesus Simões, M. et al. Impact of pregnancy and childbirth on female rats’ urethral nerve fibers. Int Urogynecol J 18, 1453–1458 (2007). https://doi.org/10.1007/s00192-007-0355-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-007-0355-3

Keywords

Navigation