Relative androgen sensitivity of the vascular and striated-muscle systems regulating penile erection in rats

Telemetric monitoring of penile pressure during mating in rats after chronic spinal cord injury

In men with a spinal cord injury (SCI), erectile function, ejaculation, and fertility are severely impaired. The present study utilized a telemetric pressure transducer implanted into the corpus cavernosum of the penis to examine sexual function during awake mating behavior in a rat contusion model with a range of Infinite Horizon Impactor forces distributed between 150 and 215 kdyn. The mating behavior paradigm included examination of the counts, average pressure, and average duration for mounts, intromissions, and ejaculations. Male Wistar rats were mated with receptive females in 30-min sessions preinjury (sexual acclimation) and once per week for 6 wk beginning after a 2-wk recovery period post-SCI. All SCI animals had significant deficits in sexual function in the parameters measured. These deficiencies were more prevalent in a subset having less than 20% white matter sparing, likely a reflection of the extent of bilateral spino-bulbo-spinal sexual circuitry disruption at the lesion epicenter. The resulting discoordination of the autonomic and somatic reflex control of erection and ejaculation recorded using telemetry devices in an awake, behaving animal model provides an effective means of gauging sexual function deficits after SCI and could have utility for quantifying recovery after a therapeutic intervention.

Management of the cardinal features of andropause

There are several problems facing aging men, especially sexual dysfunction, hypogonadism, and psychologic changes. This constellation of changes is sometimes referred to as "manopause" or "andropause." Unlike the dramatic changes in the hormonal milieu occurring during menopause in women, the age-related changes in reproductive hormones of men are subtle and occur gradually throughout the years of mature life. It has been estimated that circulating testosterone (T) declines longitudinally from age 19 at an average rate of 1% per year. The free or dialyzable fraction of serum T and the bioavailable (the sum of free fraction and loosely bound to albumin fraction) T decline more rapidly with age. Although the essential role of androgens in reproductive tissue development and emergence of secondary sex characteristics is well known, their role in adult sexual function seems to be primarily facultative. The effect of T on the central nervous system extends beyond sexual behavior. T has been shown to alter mood, memory, ability to concentrate, and the overall sense of vigor and well being that may interact with a host of other psychologic changes associated with aging. Disordered erectile function is not generally an endocrine problem but rather vascular, neurologic, and psychogenic in origin. It also may be the first sign of systemic vascular disease. The clinical management of andropause requires an individualized approach. In some men, the main problem may be psychologic, whereas in others, hypogonadism may play an important role. Many with erectile failure, suffer silently regardless of its etiology. In this review, we suggest some practical guidelines for the management of these conditions.

Perinatal exposure to low levels of the environmental antiandrogen vinclozolin alters sex-differentiated social play and sexual behaviors in the rat

In this study we examined the effects of exposure to the antiandrogenic fungicide vinclozolin (Vz) on the development of two sex-differentiated behaviors that are organized by the perinatal actions of androgens. Pregnant Long-Evans rats were administered a daily oral dose of 0, 1.5, 3, 6, or 12 mg/kg Vz from the 14th day of gestation through postnatal day (PND)3. The social play behavior of juvenile offspring was examined on PND22 and again on PND34 during play sessions with a same-sex littermate. After they reached adulthood, the male offspring were examined with the ex copula penile reflex procedure to assess erectile function. Vz did not produce any gross maternal or neonatal toxicity, nor did it reduce the anogenital distance in male pups. We observed no effects of Vz on play behavior on PND22. However, the 12-mg/kg Vz dose significantly increased play behavior in the male offspring on PND34 compared with controls. The most dramatic increases were seen with the nape contact and pounce behavior components of play. The Vz effect was more pronounced in male than in female offspring. As adults, male offspring showed a significant reduction of erections at all dose levels during the ex copula penile reflex tests. The 12-mg/kg dose was also associated with an increase in seminal emissions. These effects demonstrate that perinatal Vz disrupts the development of androgen-mediated behavioral functions at exposure levels that do not produce obvious structural changes or weight reductions in androgen-sensitive reproductive organs.

Changes of NADPH-diaphorase reactivity in lumbar spinal cord of short-term streptozotocin induced diabetic rats

Diabetes is an endocrine and metabolic disorder often associated with erectile dysfunction and peripheral neuropathy. Among other factors, penile erection is induced by activation of nitric oxide synthase (NOS). Hypothalamic paraventricular nuclei neurons produce NO and project to spinal cord areas implicated in penile reflexes. These nuclei have shown an increase of NOS in streptozotocin-induced diabetic rats. NOS-containing neurons are identical to the populations of neurons selectively stained for NADPH-diaphorase activity. Using this technique, we have evaluated changes of NOS in the lumbar spinal cord of diabetic rats with or without insulin treatment. Positive staining was found in motoneurons, dorsal horn neurons (layer II), neurons surrounding the ependimus (layer X) and neurons at the intermediolateral cell column (ILCC). Diabetic animals showed significant decrease in reactive area and increase of the histochemical reaction in motoneurons from the sexual dimorphic nuclei and in neurons of the ILCC. A marked decrease of the number of reactive neurons was also observed in layer II. Morphologic alterations were observed in neurons of layer X as an increase in the percentage of multipolar neurons and a decrease in the number and length of secondary processes. The alterations observed in these animals were absent in the insulin treated diabetic animals. These results show the plasticity of lumbar spinal cord neurons, suggesting a direct participation of NO synthesis in the physiopathology of the erection dysfunction in diabetes.

Electromyography of male rat perineal musculature during copulatory behavior

Electromyogram (EMG) recordings were made from the bulbospongiosus (BS) and ischiocavernosus (IC) muscles of the awake male rat in order to evaluate the roles played by these muscles in the implementation of penile intromission during a copulatory encounter. Male rats with bipolar wire electrodes implanted chronically in the BS and IC muscles were mated with sexually receptive females. Concurrent videotape recordings established a relationship between EMG and components of male rat copulatory behavior, i.e. mount, intromission and ejaculation. On EMGs recorded from the IC muscle, the initial low-amplitude phase at the initiation of each behavioral component was distinguished from the late high-amplitude phase whenever the male accomplished mounting or intromission. In the BS muscle, the late high-amplitude phase was observed only when the male accomplished intromission. Power spectrum analysis by fast Fourier transformation revealed that in the IC muscle the two phases differed at an overall range of 100-1,000 Hz. In the BS muscle, however, the spectra of the two phases differed at a specific range of 400-600 Hz. Recruitment of additional motor units would culminate in such a characteristic rise in the power spectrum. The results suggest that somatosensory inputs contingent on the intromission cause such recruitment in the BS to regulate penile cups and other movements.

Perineal musculature and its innervation by spinal motoneurons in the male rabbit: effects of testosterone

Striated muscles in the perineum, which include the ischiocavernosus (IC), bulbocavernosus (BC), and levator ani (LA), were identified in an attempt to understand motor regulation of penile erection in the male rabbit. The IC surrounded the corpus spongiosum of the penis whereas the BC attached to the dorsum of the penis at the midline. The LA encircled the rectum and attached to the base of the penis. This anatomy suggested that the IC plays the primary role in the erection in the rabbit, whereas the BC may cause flips of the erected penis. Spinal motoneurons that innervate the IC were identified by retrograde labeling by horseradish peroxidase (HRP). As in other mammals, spinal labels from the IC appeared ipsilaterally in the ventral horn that encompassed the sixth lumbar (L6) and the first sacral segments. HRP injections into the BC labeled a small number of cells bilaterally at the same spinal levels. Rabbits are peculiar in having the IC motoneurons scattered among other motoneurons, unlike the rat and other rodents that have their IC motoneurons aggregated to form a spinal nucleus. Castration caused significant decreases in both the wet weight of IC muscles and the size of IC motoneurons within 2 weeks. Testosterone supplement following castration maintained the IC muscle weight and the neuronal size. Neither castration nor testosterone supplement induced changes in the number of IC motoneurons.

Placing erection in context: the reflexogenic-psychogenic dichotomy reconsidered

Penile erections are usually classified as arising from "reflexogenic" or "psychogenic" causes. In practice this dichotomy has translated, somewhat circularly, to a distinction between spinal vs. supraspinal mediation, pelvic vs. hypogastric neural mediation, and perineal somesthetic stimulation vs. stimulation of receptors innervated by the cranial nerves. Evidence for differential regulation of erection in different contexts is reviewed. Research ascribing a physiological role to the hypogastric nerves in psychogenic erection, exemplified by classic studies of cats and spinally injured men, is suggestive but not compelling. Somewhat stronger is evidence that erection in some contexts (e.g., nocturnal penile tumescence (NPT) in humans or touch-stimulated erection in rats) is more sensitive to androgen levels than in other contexts (e.g., visual erotic stimuli in men or copulation in rats). However, some of these differences may arise from the relative erectogenic strength of the stimuli, rather than from qualitative differences in androgen sensitivity of different contexts. More compelling is the possibility that conflicting interpretations of the role of dopamine in erection may stem in large part from differences among laboratories in the context in which erection is evoked. In light of the evidence reviewed, it seems unlikely that the conventional reflexogenic-psychogenic dichotomy should be retained, at least in its present form. As a first step, it may be worth considering that reflexive erections may not be limited to somesthetic perineal stimulation, but rather may also include stimuli received via the cranial nerves. Two alternatives to the standard reflexogenic-psychogenic dichotomy are proposed. The first is a minor revision in which two senses of psychogenic erection are distinguished: the weak, commonly used, sense would include erection resulting from any extrinsic nonsomesthetic stimulation, whether visual, auditory, or chemosensory. In this sense, reflexive erections and psychogenic erections may not be mutually exclusive. The strong sense of psychogenic erection would be limited to memory and fantasy. The origins of psychogenic erection in both senses need not be available to consciousness, which may account for apparently spontaneous erections. In the second alternative taxonomy, erectogenic stimuli are classified as contact (somesthetic) or noncontact, and their action in evoking erection is placed on a continuum of reflexivity. Erectile contexts could then be considered as orthogonal to the other two dimensions. Even without a change in taxonomy, the conduct and interpretation of research into erectile function may be expected to benefit from closer attention to differences and similarities between contexts and species, and to context-sensitive differences in the regulation of erection.