Noradrenergic contractions induced by electrical field stimulation (EFS) of the rabbit anococcygeus muscle and the human and rabbit corpus cavernosum did not occur until termination of stimulation, even when EFS was applied for long periods (10 min). After treatment with a nitric oxide synthase inhibitor, a scavenger of NO, or a specific inhibitor of the soluble guanylate cyclase, EFS-induced contraction began as soon as stimulation commenced and its magnitude and duration were increased. In the presence of a cGMP-phosphodiesterase inhibitor, the lag period between the end of EFS and the onset of contraction was longer, and the response was smaller. Even when the concentration of endogenous noradrenaline was increased with cocaine, the contraction still did not occur during EFS and the lag period was unchanged, although the response was enhanced. When tissue tone was elevated, relaxation occurred during EFS followed by a contraction. After blockade of neuronal noradrenaline release with guanethidine, contractions of the tissues to increasing concentrations of exogenous noradrenaline were significantly reduced by EFS, an effect that was reversible by inhibition of NO synthase. In contrast, in the rat and mouse anococcygeus muscles contraction began immediately with EFS, and nitrergic stimulation by EFS did not affect the responses elicited by high concentrations of exogenous noradrenaline. These results suggest that the human and rabbit genitourinary organs have a powerful nitrergic innervation that does not merely modulate, but actually controls, the sympathetic responses. Our observations may increase understanding of the balance between nitrergic and sympathetic systems in humans, disruption of which may contribute to certain pathological conditions. The excitatory innervation of the anococcygeus muscle (1) and corpus cavernosum (2) has been known for many years to be noradrenergic. It was later found that blockade of the sympathetic nerves and elevation of tone in the tissues revealed an inhibitory, relaxant response, the mediator of which could not be identified at that time (3, 4). This relaxant response, and many similar responses in the genitourinary system, gut, bronchi, and blood vessels, was attributed to nonadrenergic, noncholinergic (NANC) innervation in the autonomic nervous system (for review, see ref. 5).The discovery in the 1980s of the biological actions of nitric oxide (6, 7) suggested that this might be the inhibitory mediator released from NANC nerves (8). This has now been widely accepted because relaxations induced by stimulation of NANC nerves are prevented by inhibitors of NO synthase, by a scavenger of NO, oxyhemoglobin (5), and by a specific inhibitor of the soluble guanylate cyclase (9). Moreover, calcium͞calmodulin-dependent constitutive NO synthase has been identified in NANC-innervated tissues (5), and NO has been shown to be released during nerve stimulation (10,