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Related Experiment Videos

Bladder-anal reflex.

Cindy Basinski1, Elizabeth Fuller, Edward J Brizendine

  • 1Department of Obstetrics and Gynecology, Section of Urogynecology, Indiana University/Methodist Hospital of Indiana, Indianapolis, Indiana, USA.

Neurourology and Urodynamics
|November 5, 2003
PubMed
Summary

The bladder-anal reflex (BAR) was successfully evaluated in asymptomatic women, establishing normal latency and threshold ranges. This reflex is obtainable and aligns with the known anatomy of the lower urinary tract.

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Area of Science:

  • Urology
  • Neuroscience
  • Pelvic Floor Function

Background:

  • Urinary incontinence, voiding dysfunction, and pelvic organ prolapse are prevalent in women.
  • Pelvic nerve function evaluation aids in assessing these conditions.
  • Existing reflex testing methods include urethral-anal and clitoral-anal reflexes.

Purpose of the Study:

  • To evaluate bladder-anal reflex (BAR) latency in asymptomatic women.
  • To determine the anatomical pathway of the BAR using selective anesthesia and neuromuscular block.
  • To establish reference ranges for BAR latency and threshold.

Main Methods:

  • Recruited 22 asymptomatic female subjects and 2 patients for BAR evaluation.
  • Utilized selective anesthesia and neuromuscular block to investigate reflex pathways.

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  • Defined reference ranges based on mean values plus two standard deviations.
  • Main Results:

    • Established reference ranges for BAR latency (upper limit 91 msec) and threshold (upper limit 37.7 mA).
    • Identified latency values above 91 msec as potentially abnormal.
    • Noted that lower thresholds were not clinically significant in this cohort.

    Conclusions:

    • The bladder-anal reflex (BAR) is obtainable in asymptomatic women.
    • The BAR findings are consistent with the known anatomy and innervation of the lower urinary tract.