Summary
The changes in urethral blood circulation caused by hypovolemia were studied in male piglets to simulate the hemodynamic changes during extracorporeal perfusion used in open-heart surgery. Changes caused by mild pancreatitis were studied which produced a similar reduction in urethral blood flow measured by microspheres comparable to a 34% hemorrhage of the circulating blood volume. According to this study the urethral mucosa is very sensitive to hemodynamic changes. It may be the case that catheter toxicity is more significant when the urethral blood flow is diminished.
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Abbel-Hakim A, Hassouna M, Teijeira J, Elhilali M (1984) Role of urethral ischemia in the development of urethral strictures after cardiovascular surgery. A preliminary report. J Urol 131: 1077–1079
Claybaugh JR, Share L (1973) Vasopressin, renin and cardiovascular responses to continuous slow hemorrhage. Am J Physiol 224:519–523
Edvards LE, Lock R, Powell C, Jones P (1983) Post-catheterisation urethral strictures. A clinical and experimental study. Br J Urol 55:53–56
Ellison EC, Pappas TN, Johnson JA, Fabri PJ, Carey LC (1981) Demonstration and characterization of the hemoconcentrating effect of ascitic fluid that accumulates during hemorrhagic pancreatitis. J Surg Res 30:241–248
Ferrie BG, Sethia B, McLeod M, Kirk D (1984) Urethral stricture following cardiac surgery: a prospective study. Br J Urol 56:710–712
Frazer ID, Beaton NR, McGinn FP (1982) Catheters and postoperative urethral stricture. Lancet I:622
Graham DT, Mark G, Pomeroy A (1983) Cellular toxicity testing. Med J Aust 1:356–459
Graham DT, Mark GE, Pomeroy AR, McArthur EB (1984) In vivo validation of a cell culture test for biocompatibility testing of urinary catheters. J Bio Mat Res 18:1125–1135
Harvey SC (1980) Hypnotics and sedatives: In Gilman AG, Goodman LS, Gilman A (eds) The pharmacological basis of therapeutics. McMillan, New York, p 355 common green iguana. Am J Physiol 228:386–391
Hohnke LA (1975) Regulation of arterial blood pressure in the common green iguana. Am J Physiol 228:386–391
Martin DJ, Steinberg SM, Kopolovic R, Carey LC, Cloutier C (1984) Crystalloid versus colloid resuscitation in experimental hemorrhagic pancreatitis. Surg Gynecol Obstet 159:445–449
McEntee G, Smith J, Neligan MC, O'Connell D (1984) Urethral strictures following cardiac surgery. Br J Urol 56:506–508
Mellander S, Lewis DH (1963) Effect of hemorrhagic shock on the reactivity of resistance and capacitance vessels and on capillary filtration transfer in cat skeletal muscle. Circ Res 13:105–118
Moss G (1969) Fluid distribution in prevention of hypovolemic shock. Arch Surg 98:281–286
Nacey JN, Tulloch GS, Ferguson AF (1985) Catheter-induced urethritis: A comparison between latex and silikone catheters in a prospective clinical trial. Br J Urol 57:325–328
Roding B, Schenk WG (1970) Mesenteric blood flow after hemorrhage in anesthetized and unanesthetized dogs. Surgery 68:857–861
Rudolph AM, Heyman MA (1967) The circulation of the fetus in vivo. Circ Res 21:163–184
Ruutu M, Alfthan O, Heikkinen L, Järvinen A, Konttinen M, Lehtonen T, Merikallio E, Strandertskjöld-Nordenstam CG (1984) Unexpected urethral strictures after short-term catheterization during open-heart surgery. Scand J Urol Nephrol 18:9–12
Ruutu M, Alfthan O, Heikkinen L, Järvinen A, Lehtonen T, Merikallio E, Strandertskjöld-Nordenstam CG (1982) “Epidemic” of acute urethral stricture after open-heart surgery. Lancet I:218
Ruutu M, Alfthan O, Talja M, Andersson L (1985) Cytotoxicity of latex urinary catheters. Br J Urol 57:82–87
Shoukas AA, Sagawa K (1973) Control of total systemic vascular capacity by the carotid sinus baroreceptor reflex. Circ Res 33:22–33
Smith JM, Neligan M (1982) Urethral strictures after open-heart surgery. Lancet I:392
Sutherland PD, Maddern JP, Jose JS, Marshall VR (1983) Urethral stricture after cardiac surgery. Br J Urol 55:413–416
Tahamont MV, Barie PS, Blumenstock FA, Hussain MH, Malik AB (1982) Increased lung vascular permeability after pancreatitis and trypsin infusion. Am J Pathol 109:15–26
Talja M, Andersson LC, Ruutu M, Alfthan O (1985) Toxicity testing of urinary catheters. Br J Urol 57:579–584
Vanhoutte PM, Shepherd JT (1970) Effect of temperature on reactivity of isolated cutaneous veins of the dog. Am J Physiol 218:187–190
Wesley-James O (1982) Catheters and postoperative urethral strictures. Lancet I:622–623
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Talja, M., Schröder, T., Lehtola, A. et al. Blood circulation in the urethra during hypovolemia — An experimental study. Urol. Res. 14, 267–270 (1986). https://doi.org/10.1007/BF00256572
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DOI: https://doi.org/10.1007/BF00256572