Urodynamic and morphologic changes in the lower portion of the urogenital tract after administration of estriol alone and in combination with phenylpropanolamine in sexually intact and spayed female dogs
[en] OBJECTIVE: To compare the urodynamic and morphologic effects of the administration of estriol alone and in combination with phenylpropanolamine on the lower portion of the urogenital tract in female dogs. ANIMALS: 3 sexually intact and 3 spayed female Beagles without urinary incontinence. PROCEDURE: Dogs received estriol (2 mg, PO) once daily for 7 days followed by estriol (2 mg, PO) and phenylpropanolamine (1.5 mg/kg, PO) once daily for 7 days. Urethral pressure profilometry, diuresis cystometry, and vaginourethrography were performed before treatment (day 0) and at days 7 and 14. The maximum urethral pressure (MUP) and closure pressure (MUCP), urethral functional and anatomic profile lengths, integrated pressure (IP), plateau, distance before MUP, maximum meatus pressure, threshold pressure, threshold volume, compliance, urethral length, and vaginal length and width were measured. RESULTS: Before treatment, no urodynamic differences were observed between the 2 groups; however, vaginal length and width were significantly shorter in spayed dogs. Compared with day 0 values, estriol treatment significantly increased MUP, MUCP, and IP values at day 7, but at day 14, this effect decreased despite phenylpropanolamine administration. No morphologic changes from baseline were detected after either treatment in any dog. CONCLUSIONS AND CLINICAL RELEVANCE: Data suggest that estriol mainly acts on the urethral sphincter mechanism by increasing urethral resistance in sexually intact and spayed female dogs without urinary incontinence. Administration of estriol and phenylpropanolamine did not increase the urethral resistance more than estriol alone. The urodynamic effects of estriol in female dogs with urinary incontinence remain to be elucidated
Disciplines :
Veterinary medicine & animal health
Author, co-author :
Hamaide, Annick ; Université de Liège - ULiège > Département clinique des animaux de compagnie et des équidés > Chirurgie des Petits Animaux
Grand, Jean-Guillaume
Farnir, Frédéric ; Université de Liège - ULiège > Département de productions animales > Biostatistique, économie, sélection animale
Le Couls, Gaelle
Snaps, Frédéric ; Université de Liège - ULiège > Département clinique des animaux de compagnie et des équidés > Imagerie médicale
Balligand, Marc ; Université de Liège - ULiège > Département clinique des animaux de compagnie et des équidés > Chirurgie des petits animaux
Verstegen, John
Language :
English
Title :
Urodynamic and morphologic changes in the lower portion of the urogenital tract after administration of estriol alone and in combination with phenylpropanolamine in sexually intact and spayed female dogs
Publication date :
2006
Journal title :
American Journal of Veterinary Research
ISSN :
0002-9645
eISSN :
1943-5681
Publisher :
American Veterinary Medical Association, Schaumburg, United States - Illinois
Holt PE. Urinary incontinence in dogs and cats. Vet Rec 1990;127:347-350.
Holt PE. Urinary incontinence in the bitch due to sphincter mechanism incompetence: prevalence in referred dogs and retrospective analysis of sixty cases. J Small Anim Pract 1985;26:181-190.
Thrusfield MV. Association between urinary incontinence and spaying in bitches. Vet Rec 1985;116:695.
Krawiec DR. Diagnosis and treatment of acquired canine urinary incontinence. Companion Anim Pract 1989;19:12-20.
Holt PE, Thrusfield MV. Association in bitches between breed, size, neutering and docking, and acquired urinary incontinence due to incompetence of the urethral sphincter mechanism. Vet Rec 1993;133:177-180.
Thrusfield MV, Holt PE, Muirhead RH. Acquired urinary incontinence in bitches: its incidence and relationship to neutering practices. J Small Anim Pract 1998;39:559-566.
Rosin AH, Ross L. Diagnosis and pharmacological management of disorders of urinary continence in the dog. Compend Contin Educ Pract Vet 1981;3:601-610.
Richter KP, Ling GV. Clinical response and urethral pressure profile changes after phenylpropanolamine in dogs with primary sphincter incompetence. J Am Vet Med Assoc 1985;187:605-611.
Richter KP, Ling GV. Effects of xylazine on the urethral pressure profile of healthy dogs. Am J Vet Res 1985;46:1881-1886.
Holt PE. "Simultaneous" urethral pressure profilometry: comparisons between continent and incontinent bitches. J Small Anim Pract 1988;29:761-769.
Rekers H, Drogendijk AC, Valkenburg HA, et al. The menopause, urinary incontinence and other symptoms of the genitor-urinary tract. Maturitas 1992;15:101-111.
Enhörning G. Simultaneous recording of intravesical and intra-urethral pressure: a study of urethral closure in normal and stress incontinent women. Acta Chir Scand Suppl 1961;276:1-68.
Haubensak K, Schindler E, Rothaar J. Dependence of resting urethral pressure on age and sex of healthy subjects and on technical details. Urol Int 1975;30:29-32.
Henriksson L, Andersson K-E, Ulmsten U. The urethral pressure profiles in continent and stress-incontinent women. Scand J Urol Nephrol 1979;13:5-10.
Rud T. Urethral pressure profile in continent women from childhood to old age. Acta Obstet Gynecol Scand 1980;59:331-335.
Susset J, Plante P. Studies of female urethral pressure profile. Part II. Urethral pressure profile in female incontinence. J Urol 1980;123:70-74.
Sorensen S. Urethral pressure variations in healthy and incontinent women. Neurourol Urodyn 1992;11:549-591.
Holt PE, Gibbs C, Latham J. An evaluation of positive contrast vaginourethrography as a diagnostic aid in the bitch. J Small Anim Pract 1984;25:531-549.
Gregory SP, Holt PE, Parkinson TJ, et al. Vaginal position and length in the bitch: relationship to spaying and urinary incontinence. J Small Anim Pract 1999;40:180-184.
Reichler IM, Pfeiffer E, Piche CA, et al. Changes in plasma gonadotropin concentrations and urethral closure pressure in the bitch during the 12 months following ovariectomy. Theriogenology 2004;62:1391-1402.
Faber P, Heidenreich J. Treatment of stress incontinence with estrogen in postmenopausal women. Urol Int 1977;32:221-223.
Walter S, Wolf H, Barlebo H, et al. Urinary incontinence in post-menopausal women treated with estrogens. Urol Int 1978;33:135-143.
Rud T. The effects of estrogens and gestagens on the urethral pressure profile in urinary continent and stress incontinent women. Acta Obstet Gynecol Scand 1980;59:265-270.
Hilton P, Stanton SL. The use of intravaginal oestrogen cream in genuine stress incontinence. Br J Obstet Gynaecol 1983;90:940-944.
Wilson PD, Faragher B, Butler B, et al. Treatment with oral piperazine sulphate for genuine stress incontinence in post-menopausal women. Br J Obstet Gynaecol 1987;94:568-574.
Samsloe G, Jansson I, Meelstrom D, et al. Occurrence, nature and treatment of urinary incontinence in a 75 year old female population. Maturitas 1985;7:335-342.
Benness C, Wise BG, Cutner A, et al. Does low dose vaginal estradiol improve frequency and urgency in postmenopausal women? Int Urogynecol J Pelvic Floor Dysfunct 1992;3:281.
Cardozo L, Rekers H, Tapp A, et al. Oestriol in the treatment of postmenopausal urgency: a multicentre study. Maturitas 1993;18:47-53.
Dessole S, Rubattu G, Ambrosini G, et al. Efficacy of low-dose intravaginal estriol on urogenital aging in postmenopausal women. Menopause 2004;11:49-56.
Janszen BP, Van Laar PH, Bergman JG. Treatment of urinary incontinence in the bitch: a pilot field study with Incurin. Vet Q 1997;19:S42.
Mandigers PJ, Nell T. Treatment of bitches with acquired urinary incontinence with oestriol. Vet Rec 2001;149:764-767.
Batra SC, Iosif CS. Female urethra: a target for oestrogen action. J Urol 1983;129:418-420.
Ingelman-Sundberg A, Rosen J, Gustafson SA, et al. Cytosol estrogen receptors in the urogenital tissues in stress incontinent women. Acta Obstet Gynecol Scand 1981;60:585-586.
Iosif CS, Batra SC, Ek A, et al. Estrogen receptors in the human female lower urinary tract. Am J Obstet Gynecol 1981;141:817-820.
Urner F, Weil A, Herrmann WL. Estradiol receptors in the urethra and the bladder of the female rabbit. Gynecol Obstet Invest 1983;16:307-313.
Schulze H, Barrack ER. Immunocytochemical localization of estrogen receptors in the normal male and female canine urinary tract and prostate. Endocrinology 1987;121:1773-1783.
Clark JH, Markaverich BM. The agonistic and antagonistic actions of estriol. J Steroid Biochem 1984;20:1005-1013.
Molander U. Urinary incontinence and related urogenital symptoms in elderly women. Acta Obstet Gynecol Scand Suppl 1993;158:1-22.
Hendriks S, Janszen B. Safety trial in bitches with tablets containing oestriol (Incurin), in Proceedings. 1st Cong Eur Vet Soc Small Anim Reprod 1998;318.
Ek A, Andersson KE, Gullberg B, et al. Effects of oestradiol and combined norephedrin and oestradiol treatment on female stress incontinence. Zentralbl Gynakol 1980;102:839-844.
Fantl JA, Bump RC, Robinson D, et al. Efficacy of estrogen supplementation in the treatment of urinary incontinence. Obstet Gynecol 1996;88:745-749.
Jackson S, Shepherd A, Brookes S, et al. The effect of oestrogen supplementation on post-menopausal urinary stress incontinence: a double-blind placebo-controlled trial. Br J Obstet Gynaecol 1999;106:711-718.
Iosif CS. Effects of protracted administration of estriol on the lower genito urinary tract in postmenopausal women. Arch Gynecol Obstet 1992;251:115-120.
Nickel RF. Oestriol: pharmacology and effects on lower urinary tract function. ESVIM Newsletter 1999;9:13-15.
Hodgson BJ, Dumas S, Bolling DR, et al. Effect of estrogen on sensitivity of rabbit bladder and urethra to phenylephrine. Invest Urol 1978;16:67-69.
Osborne CA, Oliver JE, Polzin DE. Non-neurogenic urinary incontinence. In: Kirk RW, ed. Current veterinary therapy VII: small animal practice. Philadelphia: WB Saunders Co, 1980;1128-1136.
Creed KE. Effect of hormones on urethral sensitivity to phenylephrine in normal and incontinent dogs. Res Vet Sci 1983;34:177-181.
Callahan SM, Creed KE. The effects of oestrogens on spontaneous activity and responses to phenylephrine of the mammalian urethra. J Physiol 1985;358:35-46.
Beisland HO, Fossberg E, Moer A, et al. Urethral insufficiency in postmenopausal females: treatment with phenylpropanolamine and estriol separately and in combination. Urol Int 1984;39:211-216.
Kinn AC, Lindskog M. Estrogens and phenylpropanolamine in combination for stress urinary incontinence in postmenopausal women. Urology 1988;32:273-280.
Ahlstrom K, Sandahl B, Sjoberg B, et al. Effect of combined treatment with phenylpropanolamine and estriol, compared with estriol treatment alone, in postmenopausal women with stress urinary incontinence. Gynecol Obstet Invest 1990;30:37-43.
Hilton P, Tweddell AL, Mayne C. Oral and intravaginal estrogens alone and in combination with alpha-adrenergic stimulation in genuine stress incontinence. Int Urogynecol J Pelvic Floor Dysfunct 1990;1:80-86.
Walter S, Kjaergaard B, Lose G, et al. Stress urinary incontinence in postmenopausal women treated with oral estrogen (Estriol) and an alpha-adrenoceptor-stimulating agent (Phenylpropanolamine): a randomized double-blind placebo-controlled study. Int Urogynecol J Pelvic Floor Dysfunct 1990;1:74-79.
Schreiter F, Fuchs P, Stockamp K. Estrogenic sensitivity of alpha-receptors in the urethral musculature. Urol Int 1976;31:13-19.
Johnston S, Root Kustritz M, Olson P. Vaginal cytology. In: Johnston S, Root Kustritz M, Olson P, eds. Canine and feline theriogenology. Philadelphia: WB Saunders Co, 2001;32-40.
Institute of Laboratory Animal Research, Commission on Life Sciences, National Research Council. Guide for the care and use of laboratory animals. Washington, DC: National Academies Press, 1996;1-125.
Holt PE, Gibbs C, Wathes CM. Simultaneous urethral pressure profilometry using a microtip transducer catheter in the bitch: effects of bitch position and transducer orientation. Neurourol Urodyn 1990;9:281-296.
Hamaide AJ, Verstegen JP, Snaps FR, et al. Validation and comparison of the use of diuresis cystometry and retrograde filling cystometry at various infusion rates in female Beagle dogs. Am J Vet Res 2003;64:574-579.
Holt PE. Positive-contrast vaginourethrography for diagnosis of lower urinary tract disease. In: Kirk RW, Bonagura JD, eds. Current veterinary therapy X: small animal practice. Philadelphia: WB Saunders Co, 1989;1142.
International Continence Society. First report on the standardisation of terminology of lower urinary tract function. Br J Urol 1976;48:39-42.
Lentner C. Statistical methods. In: Introduction to statistics. Basel, Switzerland: Ciba-Geigy, 1982;182-236.
Wolters M, Methfessel HD, Goepel C, et al. Computer-assisted virtual urethral pressure profile in the assessment of female genuine stress incontinence. Obstet Gynecol 2002;99:69-74.
Hamaide AJ, Verstegen JP, Snaps FR, et al. Influence of the estrous cycle on urodynamic and morphometric measurements of the lower portion of the urogenital tract in dogs. Am J Vet Res 2005;66:1075-1083.
Caine M, Raz S. Some clinical implications of adrenergic receptors in the urinary tract. Arch Surg 1975;110:247-250.
Ekstrom J, Iosif CS, Malmberg L. Effects of long-term treatment with estrogen and progesterone on in vitro muscle responses of the female rabbit urinary bladder and urethra to autonomic drugs and nerve stimulation. J Urol 1993;150:1284-1288.
Holt PE. "Simultaneous" urethral pressure profilometry in the bitch: methodology and reproducibility of the technique. Res Vet Sci 1989;47:110-116.
Larsson B, Andersson KE, Batra S, et al. Effects of estradiol on norepinephrine-induced contraction, alpha-adrenoceptor number and norepinephrine content in the female rabbit urethra. J Pharmacol Exp Ther 1984;229:557-563.
Jackson S, Avery N, Shepherd A, et al. The effect of oestradiol on vaginal collagen in post-menopausal women with stress urinary incontinence. Neurourol Urodyn 1996;15:327-328.
James M, Avery N, Jackson S, et al. The pathophysiological changes of vaginal tissue in women with stress urinary incontinence: a controlled trial. Neurourol Urodyn 1999;18:283-284.
Batra S, Bjellin L, Iosif S, et al. Effects of oestrogen and progesterone on the blood flow in the lower urinary tract of the rabbit. Acta Physiol Scand 1985;123:191-194.
Versi E, Cardozo LD. Urethral instability: diagnosis based on variations in the maximum urethral pressure in normal climacteric women. Neurourol Urodyn 1986;5:535-541.
Batra S, Bjellin L, Sjogren C, et al. Increases in blood flow of the female rabbit urethra following low dose estrogens. J Urol 1986;136:1360.
Klutke JJ, Bergman A. Hormonal influence on the urinary tract. Urol Clin North Am 1995;22:629-639.
Semmens JP, Tsai CC, Semmens EC, et al. Effects of estrogen therapy on vaginal physiology during the menopause. Obstet Gynecol 1985;66:15-18.
Augsburger HR, Cruz-Orive LM. Stereological analysis of the urethra in sexually intact and spayed female dogs. Acta Anat (Basel) 1995;154:135-142.
Smith PG, Bradshaw S. Innervation of the proximal urethra of ovariectomized and estrogen-treated female rats. Histol Histopathol 2004;19:1109-1116.
Augsburger HR, Cruz-Orive LM. Influence of ovariectomy on the canine striated external urethral sphincter (M. urethralis): a stereological analysis of slow and fast twitch fibres. Urol Res 1998;26:417-422.
Vanderhorst VG, Holstege G. Estrogen induces axonal outgrowth in the nucleus retroambiguus-lumbosacral motoneuronal pathway in the adult female cat. J Neurosci 1997;17:1122-1136.
Levin RM, Shofer FS, Wein AJ. Estrogen-induced alterations in the autonomic responses of the rabbit urinary bladder. J Pharmacol Exp Ther 1980;215:614-618.
Shapiro E. Effect of estrogens on the weight and muscarinic cholinergic receptor density of the rabbit bladder and urethra. J Urol 1986;135:1084-1087.
Batra S, Anderson KE. Oestrogen-induced changes in muscarinic receptor density and contractile responses in the female rabbit urinary bladder. Acta Physiol Scand 1989;137:135-141.
Elliott RA, Castleden CM, Miodrag A, et al. The direct effects of diethylstilboestrol and nifedipine on the contractile responses of isolated human and rat detrusor muscles. Eur J Clin Pharmacol 1992;43:149-155.
Elliott RA, Castleden CM, Miodrag A, et al. The effect of in vivo oestrogen pre-treatment on the contractile response of rat isolated detrusor muscle. Br J Pharmacol 1992;107:766-770.
Fantl JA, Wyman JF, Anderson RL, et al. Post-menopausal urinary incontinence: comparison between non-estrogen and estrogen supplemented women. Obstet Gynecol 1988;71:823-828.
Carofiglio F, Hamaide AJ, Farnir F, et al. Evaluation of the urodynamic and hemodynamic effects of orally administered phenylpropanolamine and ephedrine in female dogs. Am J Vet Res 2006;67:723-730.
Batra S, Iosif CS. Effect of estrogen treatment on the peroxidase activity and estrogen receptors in the female rabbit urogenital tissues. J Urol 1992;148:935-938.
Nickel RF, van den Brom WE. Simultaneous diuresis cysto-urethrometry and multichannel urethral pressure profilometry in female dogs with refractory urinary incontinence. Am J Vet Res 1997; 58:691-696.
Sokolowski JH, Zimbelman RG, Goyings LS. Canine reproduction: reproductive organs and related structures of the non-parous, parous, and postpartum bitch. Am J Vet Res 1973; 34:1001-1013.
Longhurst PA, Kauer J, Leggett RE, et al. The influence of ovariectomy and estradiol replacement on urinary bladder function in rats. J Urol 1992;148:915-919.