Temperature-controlled optical stimulation of the rat prostate cavernous nerves

J Biomed Opt. 2013 Jun;18(6):067001. doi: 10.1117/1.JBO.18.6.067001.

Abstract

Optical nerve stimulation (ONS) may be useful as a diagnostic tool for intraoperative identification and preservation of the prostate cavernous nerves (CN), responsible for erectile function, during prostate cancer surgery. Successful ONS requires elevating the nerve temperature to within a narrow range (~42 to 47°C) for nerve activation without thermal damage to the nerve. This preliminary study explores a prototype temperature-controlled optical nerve stimulation (TC-ONS) system for maintaining a constant (±1°C) nerve temperature during short-term ONS of the rat prostate CNs. A 150-mW, 1455-nm diode laser was operated in continuous-wave mode, with and without temperature control, during stimulation of the rat CNs for 15 to 30 s through a fiber optic probe with a 1-mm-diameter spot. A microcontroller opened and closed an in-line mechanical shutter in response to an infrared sensor, with a predetermined temperature set point. With TC-ONS, higher laser power settings were used to rapidly and safely elevate the CNs to a temperature necessary for a fast intracavernous pressure response, while also preventing excessive temperatures that would otherwise cause thermal damage to the nerve. With further development, TC-ONS may provide a rapid, stable, and safe method for intraoperative identification and preservation of the prostate CNs.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Animals
  • Calibration
  • Computer Simulation
  • Equipment Design
  • Infrared Rays
  • Lasers*
  • Male
  • Optic Nerve / physiology*
  • Penile Erection
  • Penis / innervation*
  • Prostate / innervation
  • Prostate / surgery
  • Prostatic Neoplasms / surgery
  • Radiometry / methods
  • Rats
  • Rats, Sprague-Dawley
  • Temperature*