The cystometric study since Dubois (1876), including fundamentals concerning the physiology of the vesical smooth muscles as well as the nervous system, has been so no ticeably achieved by Rose (1927), Simons (1935), Imaiziumi (1942) and others in finding a clue to the solution of the remaining problems of urology. However expected results to be measured have never been known through cystometry in cases of the functional diseases of the bladder, as nocturnal enuresis, to say an example. This is either because these functional diseases lie outside the range of the cystomery, or because the vesical pressure, as stated by Boag and Smith (1938), does not indicate entire functions of the bladder, but is affected by some secondary factors such as the abdominal pressure and the reflexes between various visceral organs. The author has made the first experiments to reveal the relations of the abdominal pressure to the vesical pressure to which foregoing authors have paged greatest attention.
Method of Study.
As the abdominal pressure-tube, I used Wada's method after making some modifications by replacing a special metal tube, in order to cover the hours-long experiments. For instillation, Mariotte's bottle was modified as to enable continuous instillments under the same pressure and temperature throughout the experiments. Only male rabbits weighing over two kilograms were used, and to fix them, a stand was devised for free fixation at the desired position, rendering it possible to shift the whole body of the animal up and down or only the fore part of the body up and down.
As the solution for the vesical instillment, the original prescription of Mognus was applied. Thus the vesical pressure has been drawn on kymoraphion by use of tambour.
Results.
1. The vesical pressure of the normal rabbits goes hand in hand with the abdominal pressure, the former being always influenced by the latter.
2. Stimulations of sounds, light and smoke upon the sensory organs as ears, eyes and nose respectively, cause the ascent of the vesical pressure. This is secondarily caused by the rise of the abdominal pressure.
3. The vesical pressure goes up and down as the body is raised and lowered. This is also secondary, according to the changes of the abdominal pressure by the specific gravities of the abdominal viscera and the serous fluid.
4. The hypogastric pressure is not affected by the respirating movements of the abdominal wall. Hence the vesical pressure is free from them. Both pressures go up exclusively an case of deep breadth.
5. While the vesical pressure goes up as its capacity increases, the abdominal pressure goes down.
6. At the time of the micturition reflex, the vesical pressure goes up as the animal acts in a peculiar way to the reflex, and the abdominal pressure also ascends. Under the artificiallyhalted micturition the abdominal pressure goes up more strikingly rather than the rythmic ascent of thesveical pressure. The abdominal pressure thus changes to make the micturition easier.
7. Agents are classified as follows according to their effects upon the vesical pressure as the abdominal pressure.
a. Adrenalin and atropin to lower both vesical and abdominal pressures.
b. Adrenalin (temporarily), pilocarpin, acethylcholin, pituitrin and urotropin to lower the abdominal pressure and to raise the vesical pressure.
c. Vagostimin to raise the vesical pressure alone.
d. BaCl
2 to raise the vesical pressure, accompanying the ascent of the abdominal pressure.
e. Strychinin to raise the abdominal pressure which seemingly raises the vesical pressure.
8. Summary concerning the vesical effects of various agents:
1. Abrenalin causes temporary rise, later drop of the vesical pressure, supporting Edmund and Roth and opposing the stimulation theory by Yoshida.
2. Ascent of the vesical pressure and increases of the rythmic contractions of the bladder, both caused by BaCl
2 are not so
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