Temporal coordination of pelvic and perineal striated muscle activity during micturition in female rabbits.

PURPOSE: To determine the motor basis of urine expulsion the activity of the pelvic (pubococcygeus) and perineal (bulbospongiosus and ischiocavernosus) muscles was recorded during micturition in anesthetized female rabbits.
MATERIAL AND METHODS: Virgin female chinchilla rabbits were used for simultaneously recording cystometrograms and electromyograms of the pubococcygeus, ischiocavernosus and bulbospongiosus muscles. The particular contribution of each muscle during micturition was analyzed in another set of experiments in which each was inactivated by bilateral lidocaine injection. Bladder function was assessed using standard urodynamic parameters.
RESULTS: Cystometrography showed that micturition comprises 2 phases, that is storage and voiding phases. During the latter phase no high frequency oscillations were recorded. On simultaneous electromyography recordings a temporal, coordinated activation of pelvic (pubococcygeus) and perineal (bulbospongiosus and ischiocavernosus) muscles was observed. During specific blockade of each muscle some modifications in urodynamic parameters were found.
CONCLUSIONS: Our findings indicate a specific role for the pelvic and perineal muscles during feminine micturition.