Recovery of continence function following simulated birth trauma involves repair of muscle and nerves in the urethra in the female mouse.
BACKGROUND
The natural history and the mechanisms behind the alteration of vaginal distension (VD) in a mouse model are not clear.


OBJECTIVE
We examined the temporal sequelae of VD and pudendal nerve transection (PNT) on leak-point pressure (LPP) and the muscular and nerve components of the urethra in mice.


METHODS
Seventy-two virgin female C57BL/6 mice were equally distributed into three groups. The VD group underwent VD for 1h. The PNT group received bilateral PNT. A control group underwent sham VD.


METHODS
Each group was divided into four subgroups of six mice for measurement of LPP at 0, 4, 10, and 20 d after VD or PNT.


METHODS
LPP was measured. Morphology and neurofilament-immunoreactive nerve of the urethra were assessed.


CONCLUSIONS
LPP was decreased at 0, 4, and 10 d but not at 20 d after VD. Decreased LPP persisted to 20 d in the PNT group. The external urethral striated muscle appeared disrupted and/or wavy in two mice at 0 d, in three mice at 4 d, in one mouse at 10 d, and in one mouse in 20 d after VD. The density of neurofilament-immunoreactive nerve in the urethra was reduced at 4 and 10 d after VD, but not at 20 d, and at 4, 10, and 20 d after PNT compared with the corresponding values of the sham VD group. The limitation of this animal model is that the pelvic floor structure of the mouse is different from that of female humans. Therefore, results of this study should be carefully applied to human subjects.


CONCLUSIONS
VD causes reversible stress urinary incontinence in female mice. Recovery of continence function following VD is associated with repair of the external urethral sphincter and reinnervation of the urethra. This mouse model will be useful for mechanistic investigation and targeting of therapeutic intervention by taking advantage of genetic manipulation.
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan.
Yi-Hao
YH
Lin
Guiming
G
Liu
Mei
M
Li
Nan
N
Xiao
Firouz
F
Daneshgari
D000818:Animals; D005260:Female; D051379:Mice; D008810:Mice, Inbred C57BL; D007744:Obstetric Labor Complications; D011247:Pregnancy; D020127:Recovery of Function; D014521:Urethra / Q000293:injuries* / Q000294:innervation*; D014550:Urinary Incontinence, Stress / Q000209:etiology*; D014621:Vagina / Q000293:injuries*