Search PubMed⌕ Search

Biomedical subjects

G A Broderick

Publications and source records attributed to G A Broderick.

At least 73 records · Page 4Linked to original sources
PubMed1996

Erectile dysfunction following minimally invasive treatments for prostate cancer.

OBJECTIVES: Cryosurgical ablation of the prostate (CSAP) and interstitial radiotherapy (IR) are relatively new procedures intended to be less invasive than radical prostatectomy for the treatment of prostate cancer. Despite absence of long-term or intermediate data of efficacy, many patients choose one of these therapies because they presume their potency will be maintained. We report our experience with CSAP, IR, and post-procedure erectile dysfunction. METHODS: Global sexual assessments were made in 12 months after therapy in 28 CSAP patients, and at 18 months in 37 IR patients. Each patient was contacted by telephone following his procedure. The patients were asked several questions regarding their sexual function both preoperatively and postoperatively. The questionnaire was administered only to the patient. RESULTS: Twenty-eight of 36 patients who underwent CSAP responded to the questionnaire (78%). Twenty patients were potent preoperatively (71%). The mean age of the potent group was 69 years (range 54 to 82). Following therapy, 2 of these patients (10%) reported potency at 12 months. Thirty-seven of 42 patients who underwent IR responded to the questionnaire (88%). Twenty-seven were potent preoperatively (73%). The mean age of the potent group was 70 years (range 56 to 83). The mean follow-up was 18 months (range 5 to 36). Following therapy, 15 patients reported potency (55%). All of the patients who reported potency felt that the quality of their erections had decreased following radiation. CONCLUSIONS: Our short-term results with IR and CSAP suggest a significant adverse effect on erectile function. Our results suggest that enhanced preservation of potency should not be used as an enticement in the promotion of IR or CSAP.

Aged↗
PubMed1996

Intracavernous pharmacotherapy: treatment for the aging erectile response.

Fueled by serendipity, observation, and direct scientific investigations over the last 15 years the normal mechanisms of erection, and the pathophysiology of erectile dysfunction have been revealed. The demonstrations that vasoactive injections could produce penile erection without benefit of psychic or tactile stimuli revolutionized the diagnosis and treatment of erectile dysfunction by providing a direct test of end organ integrity or deficiency. This article reviews the clinical pharmacology of vasoactive corporal agents and outlines what has been surmised about the aging erectile response.

Adult↗
PubMed1996

Priapism in sickle cell disease: the case for early implantation of the penile prosthesis.

OBJECTIVES: Recurrent ischemic priapism in sickle cell (SS) patients often leads to impotence. Blockage of venous outflow by sickle cells leads to anoxia of the cavernosal smooth muscle with subsequent replacement of the erectile tissue with dense fibrosis. This study evaluates the efficacy of early penile prosthesis implantation in patients with priapism associated with sickle cells disease. METHODS: Our recent experience includes 6 SS patients with impotence resulting from repeated episodes of priapism and 1 SS patient who suffered penile autoamputation from prolonged tricorporeal low flow priapism. The average age was 26 years. Six patients underwent excision of fibrotic cavernosal sinusoidal tissue and placement of a malleable prosthesis. The autoamputation case was managed with a one-stage penile reconstruction using a forearm free-flap and a two-piece inflatable penile prosthesis. RESULTS: All patients in our series are currently potent. Because of infection, 1 patient required removal and subsequent reinsertion of his prosthesis, and another has required revision. CONCLUSION: Potency in the young SS patient with recurrent episodes of ischemic priapism may best be managed by a penile prosthesis. Early implantation may lessen the psychological trauma of repeated priapisms, and reduce the technical difficulties and complications associated with penile prosthetic insertion in the presence of dense fibrosis.

Adolescent↗
PubMed1996

In vitro determination of ruminal protein degradation using freeze-stored ruminal microorganisms.

Mixed ruminal microorganisms were harvested from a lactating dairy cow and preserved frozen or lyophilized. Fermentation characteristics of freshly strained ruminal fluid, frozen microorganisms, or lyophilized microorganisms were evaluated during a 24-h pre-incubation and a 4-h incubation with test proteins. Differences observed during the first 4 to 6 h in total amino acid concentration, optical density, pH and VFA concentrations, acetate:propionate ratio, and lactate concentration largely disappeared later in the pre-incubation. Protein degradation rates determined for expeller and solvent meals were .015 and .092 h-1, .015 and .101 h-1, and .005 and .019 h-1, with fresh ruminal fluid, frozen microorganisms, and lyophilized microorganisms, respectively. Regression of degradation rates obtained with fresh ruminal fluid on those obtained with pre-incubated, frozen microorganisms indicated the two methods were well correlated (r2 = .98 and .94 in two experiments). Mean in vitro degradability obtained for 17 feeds using pre-incubated, frozen microbes was 89% of that obtained using the in situ method; however, in situ degradation rates for these same feeds averaged only 67% of those obtained using frozen microorganisms. Ruminal undegraded protein values for nine samples of heated soybeans and soybean meal, determined using frozen microbes, were overestimated relative to in vivo values (in vivo = 1.1 + .8 in vitro; r2 = .77). These results indicated that ruminal microorganisms can be preserved by freezing and used as the inoculum for in vitro determination of ruminal protein degradation after overnight pre-incubation.

Acetates↗
PubMed1996

Characterization of the proteolytic activity of commercial proteases and strained ruminal fluid.

The objective of this research was to formulate a mixture of commercial proteases that would mimic the rate and extent of protein degradation obtained using strained ruminal fluid. The proteolytic activity of strained ruminal fluid and several commercial proteases was characterized using 13 L-amino acid p-nitroanilides as artificial substrates. A mixture of Streptomyces griseus protease, chymotrypsin, and proteinase K at .042, 2.5, and .5 enzyme units/mL, respectively, was similar to the activity of strained ruminal fluid against the same artificial substrates. However, degradative activities were different in incubations with feed proteins as substrates. The rates of degradation of expeller soybean meal, solvent soybean meal, and casein were .08, .05, and .08/h, respectively, using the enzyme mixture and .03, .15, and .24/h using strained ruminal fluid. A second experiment compared degradative activity of S. griseus protease at .066 enzyme units/mL, ficin at .5 enzyme units/mL, and a mixture of trypsin, carboxypeptidase B, chymotrypsin, and carboxypeptidase A at 116.6, .5, 2.5, and .5 enzyme units/mL, respectively. Protein degradation rates obtained with strained ruminal fluid were two to six times faster than those obtained with the enzyme mixtures. A third experiment compared the degradability of 15 feed proteins with the mixture of trypsin, carboxypeptidase B, chymotrypsin and carboxypeptidase A to that with strained ruminal fluid. Degradation rates obtained using strained ruminal fluid ranged from .007 to .217/h; degradation rates using the enzyme mixture ranged from .010 to .079/h and were lower (P = .004) than with strained ruminal fluid. Overall, the experiments indicated that the commercial enzymes tested did not mimic the protein degradative activity of strained ruminal fluid.

Animals↗
PubMed1996

Preservation of ruminal microorganisms for in vitro determination of ruminal protein degradation.

Ruminal microorganisms, preserved either lyophilized or frozen, were compared with freshly strained ruminal fluid for proteolytic activity and as inoculum source for determination of ruminal protein degradation rates by the inhibitor in vitro method. Dialysis and glycerol addition had no effect on the proteolytic activity of preserved microorganisms. Net release of NH3 and total amino acids from protein using the fluid plus particle-associated microorganisms was higher than that found using the fluid-associated microorganisms alone. Method of inoculum preservation altered total proteolytic activity, but harvesting bacteria using centrifugal force greater than 5,000 x g did not increase proteolytic activity of the pellet. The proposed method for harvesting and preserving microorganisms consisted of centrifuging strained ruminal fluid at 5,000 x g (30 min at 4 degrees C), stirring the pellet in a 50:50 (vol/vol) solution of glycerol-McDougall's buffer for 15 min, and then storing at -20 degrees C. Protein degradation rates in incubations with preserved microorganisms were four to eight times slower than when using fresh ruminal fluid; however, feed proteins were ranked similarly for degradation rate. Preincubating the preserved microorganisms reduced blank concentrations of NH3 and total amino acid and increased protein degradative activity of the preserved inoculum. Degradation rates with preincubated, preserved inocula were similar to those obtained using fresh ruminal fluid. These results indicated that mixed ruminal microorganisms can be preserved by freezing and, after a preincubation period of 6 h, used as the inoculum source for in vitro estimation of ruminal protein degradation.

Amino Acids↗
PubMed1996

In vitro ruminal degradation and synthesis of protein on fractions extracted from alfalfa hay and silage.

Net release of degraded N as NH3 and total AA plus microbial protein synthesis, quantified from incorporation of 15NH3 into microbial protein, was used to estimate the rate and extent of in vitro degradation of protein fractions isolated from alfalfa hay and silage. Seven proteins (casein, alfalfa hay, alfalfa silage, extracts from alfalfa hay and silage, and residues from alfalfa hay and silage) were studied. Results from (NH4)2SO4 and SDS-PAGE fractionations suggested that soluble proteins in alfalfa hay and silage differed in susceptibility to proteolytic attack. Although the net release of NH3 plus total AA N from alfalfa silage and alfalfa silage extract was twofold greater than that from alfalfa hay and alfalfa hay extract, net microbial protein synthesis on alfalfa hay and alfalfa hay extract was 33 and 43% greater. Despite greater NPN content in alfalfa silage, protein degradation rate and estimated escape were similar for intact alfalfa hay (0.103/h and 43%) and silage (0.067/h and 43%). This result might be explained by the less efficient microbial utilization of silage NPN, greater protozoal numbers on hay, greater soluble true protein in hay, or differences in molecular mass and stability of soluble proteins in hay versus silage. Use of a two-compartment model, based on water-soluble and insoluble CP fractions assumed to pass with the liquid and solid phases, respectively, yielded RUP estimates for alfalfa hay and silage that were similar to NRC estimates.

Ammonia↗
PubMed1996

Synthesis of microbial protein in ruminally cannulated cows fed alfalfa silage, alfalfa hay, or corn silage.

Six ruminally cannulated cows were used in an experiment with a 3 x 3 Latin square design. Three all forage diets-alfalfa silage, alfalfa hay, or corn silage plus 2.2% urea (DM basis)-were fed for ad libitum intake four times daily. The microbial protein marker 15NH3 and the liquid marker Cr-EDTA were infused continuously into the rumen for 72 and 48 h, respectively; the solid marker, Yb-labeled forage, was dosed into the rumen twice daily for 60 h. Pool sizes of ruminal NAN were determined by emptying the rumen. Proportions of bacterial N formed from NH3 were 57, 46, and 82% for the alfalfa silage, alfalfa hay, and corn silage diets, respectively. For all diets, flows of microbial NAN with the liquid and solid phases were about equal. Although feed NAN in the liquid pool was only 12% of ruminal feed NAN, 30% of feed NAN that escaped the rumen flowed with the liquids. Flow of microbial NAN was highest for corn silage (243 g/d) and lowest for alfalfa hay (212 g/d); microbial NAN represented 50% (alfalfa silage and hay) and 76% (corn silage) of total NAN flow. Proportions of NAN intake that were degraded in the rumen were 61, 56, and 57% for alfalfa silage, alfalfa hay, and corn silage (without urea N), respectively; these values were lower than those reported by the NRC. Total flows of NAN from the rumen were 472, 424, and 321 g/d for the alfalfa silage, alfalfa hay, and corn silage diets, respectively. Use of liquid (Cr-EDTA) and solid (Yb) markers to compute the rate of passage of microbial protein proved to be less variable than regression of 15N enrichment of bacterial NAN over time.

Ammonia↗
PubMed1996

Altered contractility of rabbit penile corpus cavernosum smooth muscle by hypoxia.

PURPOSE: To investigate the effects of severe hypoxia on trabecular smooth muscle contractility. MATERIALS AND METHODS: Strips of rabbit corpus cavernosum were mounted in organ chambers to measure isometric tension. In some experiments intracellular free Ca2+ concentration and tension were measured by the intracellular fluorescent dye FURA-2 and isometric tension recording simultaneously. RESULTS: Contractions elicited by norepinephrine, endothelin-1 or potassium were attenuated under hypoxic conditions (pO2 approximately 10 mm. Hg). Strips contracted with 20 mM. K+ under normoxic conditions and then exposed to hypoxia consistently lost the potassium-induced tone. The hypoxia-induced relaxation was not affected by the removal of the endothelium, by treatment with the cyclooxygenase blocker, indomethacin, or with the guanylate cyclase blocker, methylene blue. The potassium channel opener, cromakalim, and adenosine relaxed potassium contracted strips; however, the potassium channel blockers glibenclamide, apamin, barium chloride and charybdotoxin or the adenosine receptor antagonist 8-(p-sulfonyl)theophylline were unable to prevent hypoxia-induced relaxation. Tetraethylammonium, a potassium channel blocker, and the depolarizing agents ouabain and high potassium (80 mM.), partially prevented hypoxia-induced relaxation. The calcium ionophore, ionomycin, had no effect on hypoxia-induced relaxations. Hypoxia, within 2 to 6 minutes, caused a large accumulation in intracellular calcium, concomitant with a loss of trabecular smooth muscle tone. Both these effects could be reproduced by inhibiting oxidative phosphorylation with 2,4,dinitrophenol. Reoxygenation resulted in an immediate recovery of both tone and intracellular calcium levels. Tissues under hypoxic conditions for 30 minutes had a 24% and 67% decrease in the ATP/ADP ratio and in creatine phosphate concentrations, respectively. CONCLUSION: Hypoxia causes a simultaneous increase in intracellular calcium and relaxation which, we propose, is the consequence of inhibition of oxidative phosphorylation with loss of high energy phosphates, necessary for the homeostasis of Ca2+ and the contractile mechanism of the cavernosal smooth muscle.

Adenosine Diphosphate↗
PubMed1996

Laparoscopic lymphadenectomy based on magnetic resonance imaging: is a unilateral dissection adequate for staging prostate cancer?

Laparoscopic pelvic lymphadenectomy is a satisfactory alternative to open lymphadenectomy for staging prostate cancer. Specific information obtained by endorectal coil magnetic resonance imaging may be used to predict the most likely side for lymph node metastases. These criteria may be used to define side selection for performing a unilateral laparoscopic lymphadenectomy without the risk of missing contralateral nodes that may be positive. A unilateral dissection when feasible reduces operative time and morbidity.

Aged↗
PubMed1995

Cleavage of di- and tripeptides by Prevotella ruminicola.

The final step in the conversion of protein to amino acids by the common Gram-negative rumen bacterium, Prevotella (formerly Bacteroides) ruminicola , is the cleavage of di- and tripeptides. Dipeptidase and tripeptidase activities were predominantly cytoplasmic, and toluene treatment increased the rate of Ala2 and Ala3 hydrolysis by whole cells, suggesting that transport limited the rate of hydrolysis of extracellular di- and tripeptides. The hydrolysis of Ala2 and Ala3 by whole cells was not affected by protonophores, ionophores or dicyclohexylcarbodiimide, but Ala2 hydrolysis by EDTA-treated cells was inhibited by the Ca2+/H+ ionophore, tetronasin. Ala3 hydrolysis was not affected by protonophores or ionophores in EDTA-treated cells. The dipeptidase of strain M384 was inhibited > 99% by 1,10-phenanthroline and 39% by EDTA but not other protease inhibitors, consistent with the enzyme being a metalloprotease. Tripeptidase was insensitive to protease inhibitors, except for a 33% inhibition by EDTA. Cleavage of tripeptides occurred at the bond adjacent to the N-terminal amino acid. Distinct di-, tri- and oligopeptidase peaks were obtained by anion-exchange liquid chromatography of disrupted cells. Banding patterns on native PAGE using activity staining also indicated that P. ruminicola M384 had separate single dipeptidase and tripeptidase enzymes which hydrolysed a range of peptides. The dipeptidase of strain M384 was different from other strains of P. ruminicola: strains GA33 and B(1)4 had activities which ran at the same R(f); strain GA33 had another band of lower activity; strain 23 had two bands different from those of the other strains. The tripeptidases ran at the same R(f) for the different strains. Dipeptidase activity of all strains was inhibited by 1,10-phenanthroline on gels. Gel permeation chromatography indicated that the M(r) of the dipeptidases from strains M384 and B(1)4 were 115,000 and 114,500 respectively, and 112,500 and 121,500 for the corresponding tripeptidases. Thus the metabolism of small peptides by P. ruminicola involves separate permeases and intracellular peptidases for di- and tripeptides.

Journal Article↗
PubMed1995

Comparison of the pharmacological response of human corpus cavernosal tissue with the response of rabbit cavernosal tissue.

1. This study directly compares the response of cavernosal tissue obtained from sexually mature rabbits with the response of human corpus cavernosal tissue obtained during implant surgery for psychogenic impotence (five individual samples) to field stimulation and specific autonomic agonists. 2. At 2 g basal tension, field stimulation of the rabbit corpus cavernosal tissue produced a frequency dependent biphasic response consisting of an initial relaxation followed by contraction. Low frequency stimulation induced primarily relaxations whereas high frequency stimulation induced primarily contractions. FS of human corpus cavernosal tissue induced a frequency dependent contraction. 3. In general, the rabbit corpus cavernosal strips showed a significantly greater degree of spontaneous activity than the strips of human cavernosal tissue. 4. Phenylephrine stimulated a rapid and sustained increase in basal tension in both tissues. Although the isolated strips weighed the same, the magnitude of the response of the rabbit tissue was significantly greater than the response of the human tissue. 5. For both tissues, FS relaxations were completely inhibited by L-NAME showing that the relaxations were mediated by nitric oxide. Similarly, for both tissues, nitroprusside, ATP, and bethanechol induced similar dose-response relaxations of pre-stimulated tissue. 6. In conclusion, the major difference between the response of human and rabbit tissue to various forms of stimulation was that isolated strips of human corporal tissue responded to FS with contractions at all frequencies whereas the rabbit tissue responded to the relaxations at low frequencies of stimulation; a clear bi-phasic response at intermediate frequencies; and contraction at high frequencies.

Animals↗
PubMed1995

Combined hormonal and radiation therapy for lymph node-positive prostate cancer.

OBJECTIVES: To evaluate the efficacy of combined radiation and hormonal therapy in patients with prostate cancer metastatic to the pelvic lymph nodes. METHODS: Fifty consecutive patients with node-positive prostate cancer were evaluated by the Departments of Urology and Radiation Oncology at the University of Pennsylvania and offered combined hormonal and radiation therapy. All patients received pelvic radiation to 45 Gy, with a boost dose to the prostate to 65 to 71 gy. Forty-five of the patients were treated with concurrent hormonal therapy consisting of diethylstilbestrol (2 patients), orchiectomy (18 patients), leuprolide (5 patients), or combined androgen blockade (20 patients); the other 5 patients declined hormonal therapy. Patients represented a group with locally advanced disease with a high incidence of T3 tumors (66%), high grade (74%; Gleason score more than 7), high prostate-specific antigen (PSA) (40%; more than 30.0 ng/mL), and a high incidence of gross (36%) or bilateral (30%) adenopathy and a high incidence of multiply involved lymph nodes (62%). RESULTS: Median follow-up of patients is 42 months (range, 10 to 102). All 5 patients declining hormonal therapy relapsed within 18 months and only 1 patient survived longer than 3 years. Among patients treated with combined hormonal and radiation therapy, the 6-year survival rate is 82%, the clinical disease-free survival at 6 years is 71%, and the probability of survival free of recurrence, with a PSA less than 0.2 ng/mL, is 62%. Only two PSA recurrences occurred, both in patients who elected to discontinue hormone therapy. There was no synergistic toxicity observed as a result of combined therapy. CONCLUSIONS: Combined hormonal and radiation therapy offers the potential for extended disease-free survival and may represent an effective treatment option for patients with locally advanced prostate cancer.

Adenocarcinoma↗
PubMed1995

Desirable characteristics of forage legumes for improving protein utilization in ruminants.

Forages help meet the protein requirements of ruminants by providing degraded CP for microbial protein synthesis plus protein that escapes ruminal degradation. Evidence from numerous feeding studies with lactating dairy cows indicates that excessive ruminal protein degradation may be the most limiting nutritional factor in higher-quality temperature legume forages. Hence, there is interest in identifying factors that influence the rate and extent of ruminal degradation of forage proteins. Condensed tannins found in legumes are known to decrease protein degradation, either by altering the forage proteins or by inhibiting microbial proteases. Quadratic regressions of degradation rate and estimated protein escape on tannin concentration reached minimal rate (.048/h) and maximal escape (56%) at 27 g of tannic acid equivalents/kg of DM. Although most tannin-containing forages are not well-adapted to growing conditions in North America, biotechnology has been used to inject genes for tannins into adapted germplasm. The CP in red clover, which has no detectable tannins, was found to be less degradable than that in alfalfa, both in the silo and in the rumen. Small differences in protein degradability also were detected among alfalfa germplasm. Protein in alfalfa harvested as hay, rather than as silage, was used more efficiently for milk protein synthesis when fed to lactating cows; degraded CP from hay was captured more efficiently by ruminal microbes for protein synthesis in vitro. A ruminal escape of approximately 35% for total dietary CP is recommended by the NRC for lactating dairy cows fed mixed diets with 1.6 to 1.7 Mcal of NE1/kg of DM. Ruminal degradation of CP from the forage portion of the diet can exceed 65% when forages are the major source of degradable protein. When ruminants obtain most or all of their nutrients from forage, the ruminal escape for forage protein should approximate 35%.

Animals↗
PubMed1995

Performance of lactating dairy cows fed either alfalfa silage or alfalfa hay as the sole forage.

Alfalfa was harvested from alternate windrows as 40% DM silage or hay in small rectangular bales and fed in two 12-wk 4 x 4 Latin square trials, each with 20 multiparous lactating cows (4 with ruminal cannulas). Diets contained (DM basis) 69 (trial 1) or 66% (trial 2) alfalfa, 26 to 33% high moisture corn, 1.3% minerals and vitamins, and about 1.6 Mcal of NEL/kg of DM. In trial 1, second-cutting silage (21.2% CP) and hay (19.7% CP) containing 35% NDF were fed in diets: 1) silage (17.3% CP), 2) hay (16.3% CP), 3) silage with 3% fish meal (19.1% CP), and 4) hay with 3% fish meal (18.1% CP). Cows had lower DMI and lost BW on diet 1. Yields of milk and milk components were similar on diets 1 and 2 and greater on diet 3 than on the other three diets, except that fat yield was greater on diets 1 and 3 than on diets 2 and 4. In trial 2, first-cutting silage and hay containing 19.9 and 16.5% CP and 40 and 41% NDF were fed in diets: 1) silage (16.8% CP), 2) hay (14.6% CP), 3) silage with 3% fish meal (18.2% CP), and 4) hay with 3% fish meal (16.0% CP). Cows had lower DMI and lost BW on diets 1 and 3.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1995

Metabolic responses of rabbit corpus cavernosum tissue to various forms of stimulation.

The present study was designed to investigate the effect of various forms of stimulation on the levels of high energy phosphates (ATP + CP) in the rabbit corpora cavernosa. Prestimulation with the alpha agonist phenylephrine (200 microM) for five minutes caused a significant decrease in both ATP and Creatine phosphate (CP) when compared with control tissue. Field stimulation (64 Hz) of the precontracted tissue induced an immediate decrease in tension by approximately 50%. The level of ATP + CP after field stimulated-relaxation was not significantly different from that from the initial prestimulation. Field stimulation (FS) from basal tone (2 g) caused a contraction and a significant decrease in both ATP and CP. Phentolamine (10 microM) (alpha-adrenergic antagonist) induced a significant decrease in the 2 g basal tension and a significant increase in the intracellular concentrations of both ATP and CP from that of control levels. In summary, the contractile response to both neuronal and pharmacologic stimulation was similar to that of other smooth muscle, producing a decrease in high energy phosphates. Field stimulated relaxation did not change the level of high energy phosphates from that of prestimulated levels. Finally, our data indicates that in the presence of the alpha blocker phentolamine (10 microM), high energy phosphate levels (ATP + CP) increase significantly. This indicates that in the corpus cavernosum, there is significant basal tone that is linked to significant tonic alpha receptor stimulation and is maintained by a net consumption of ATP.

Adenosine Triphosphate↗
PubMed1994

Ultrasound diagnosis of bladder outlet obstruction in rabbits.

One of the primary characteristics of partial outlet obstruction secondary to BPH is an increase in bladder mass commonly referred to as bladder hypertrophy. This condition has been simulated in rabbits by the partial ligation of the catheterized urethra. Ultrasonography has been utilized in both adult and pediatric urology to visualize the bladder and diagnose specific bladder disorders. The aim of the present study is to determine if ultrasonography can visualize bladder wall hypertrophy induced by obstruction. Partial outlet obstructions were created in NZW rabbits using standard methodologies, and then 5 to 7 days later, sonography was performed. The films were read by both the principal investigator and blinded investigators instructed to determine bladder wall thickness and from this predict the bladder weight. Then results were correlated with cystometrograms (CMGs) and whole bladder weights. Both the principal investigator and the blinded investigators were consistently able to distinguish obstructed from control bladders based solely on sonographic depictions of relative bladder wall thickness. In addition, the investigators were able to distinguish between low (control), medium, and high bladder weights based on sonography. The accuracy of predicting the bladder weights increased when cystosonograms were correlated with CMG studies. Thus, the degree of bladder hypertrophy can be accurately estimated by the combination of cmg and ultrasonography.

Animals↗