The distribution of cholinergic and adrenergic nerves in the cat ureter was studied by specific histochemical techniques for acetylcholinesterase and norepinephrine. The innervation of the ureter is characterized by (1) a generalized dual cholinergic and adrenergic nerve supply, (2) the presence of muscular innervation, (3) a continuity of terminal muscular and vascular nerves, (4) a widespread distribution of ganglion cells except in the pel+ ureteric area and (5) regional variations in the density of both cholinergic and adrenergic elements.On the basis of these findings, it is suggested that in the cat ureter peristalsis has a myogenic origin in the proximal end of the ureter, but its distalward propagation along the abdominal and pelvic segments is controlled by a dual sympathetic and parasympathetic influence which is mediated in part through a system of intrinsic ureteric ganglion cells.Despite extensive physiologic and pharmacologic studies in a variety of mammalian species, there is no agreement as to the role of the autonomic nervous system in ureteral function. It has been generally believed that the ureter is supplied exclusively by sympathetic nerves. This view, originally expressed in connection with the lower third of the dog ureter (Fagge, 'OZ), has been considered over the years to be true for the whole ureter in the dog and other mammals including that of man, and has persisted in spite of strong evidence suggesting that the ureter has parasympathetic innervation as well (Protopopow, 1897; Macht, '16b, '17; Satani, '19a; Pentimalli, '24; Gruber, '28; Stewart, '37; Torbey and Leadbetter, '63; Hukuhara et al., '64; Grasset and Rolet, '66; Ross et al., '6%; Homsy, '67). The existence of motor innervation of the ureter has been denied on histological (Satani, '19b; Hryntschak, '25a, '25b; Deane, '67), physiological (Wharton, '32; Bozler, '38, '39) and pharmacological (Lapides, '48) grounds.The present report deals with the innervation of the abdominopelvic part of the ureter in the adult cat. A morphologic analysis of our findings together with a discussion of their physiologic significance are presented. Particular attention has been paid to parasympathetic innervation, innervation of the muscularis, distribution of ganglion cells, and regional variations in innervation.
MATERIAL A N D METHODSThe ureter was obtained bilaterally under intravenous nembutal anesthesia in 5 adult cats of both sexes, 6-9 months old and weighing between 1.8 and 2.2 kg. Each ureter was freed of its loose retroperitoneal fascia1 attachments and then severed within the renal hilus proximally, and about one centimeter from the urinary bladder distally. The ureters were quick-frozen in a dry ice-acetone mixture and each divided into 5 to 9 segments depending on its length. The segments were mounted side by side and subsequently cut in a cryostat at -30°C. Serial sections were obtained from the entire thickness of the ureter in its long axis. Alternate sections were then prepared for study of cholinergic and adrenergic ...