Christopher Chapple led the peer-review process as the Associate Editor responsible for the paper.
Fourth International Consultation on Incontinence - Research Society 2013
Does altered myogenic activity contribute to OAB symptoms from detrusor overactivity? ICI-RS 2013
Article first published online: 16 MAY 2014
© 2014 Wiley Periodicals, Inc.
Neurourology and Urodynamics
Volume 33, Issue 5, pages 577–580, June 2014
How to Cite
Chacko, S., Cortes, E., Drake, M. J. and Fry, C. H. (2014), Does altered myogenic activity contribute to OAB symptoms from detrusor overactivity? ICI-RS 2013. Neurourol. Urodyn., 33: 577–580. doi: 10.1002/nau.22599
Conflict of interest: none.
- Issue published online: 18 JUN 2014
- Article first published online: 16 MAY 2014
- Manuscript Accepted: 3 MAR 2014
- Manuscript Received: 24 DEC 2013
- contractile proteins;
- detrusor overactivity;
- growth factors;
- ion channels;
- spontaneous contractions
To highlight novel experimental approaches that test if the Myogenic Hypothesis remains viable as a contributor to the aetiology of detrusor overactivity.
To summarise the conclusions of a workshop held under the auspices of ICI-RS in 2013.
Several theories may explain the pathology of detrusor overactivity and include a myogenic theory with fundamental changes to detrusor muscle excitation-contraction coupling. The isolated bladder displays micromotions that do not normally translate into significant changes of intravesical pressure. However, their amplitude and frequency are altered in animal models of bladder dysfunction. The origin of micromotions, if they generate significant changes of intravesical pressure and contribute to urinary tract sensations remain unanswered. Within the myocyte, changes to contractile protein phosphorylation through accessory proteins and cytoplasmic regulatory pathways occur in lower urinary tract pathologies associated with detrusor overactivity. Furthermore, myocytes isolated from overactive human bladders generate greater spontaneous activity, but a complete description of changes to ionic currents remains to be characterised. Finally, several growth factors, including mechano-growth factor, are released when bladder wall stress is increased, as with outflow obstruction. However the phenotype of the transformed detrusor myocytes remains to be measured.
A number of lines of evidence suggest that the Myogenic Hypothesis remains viable as a contributor to detrusor overactivity. Neurourol. Urodynam. 33:577–580, 2014. © 2014 Wiley Periodicals, Inc.