Shono T, Zakaria O, Imajima T, Suita S, Morimoto K
Department of Pediatric Surgery, Kyushu University, Fukuoka, Japan.
J Pediatr Surg. 1999 Feb;34(2):346-8. doi: 10.1016/s0022-3468(99)90206-3.
BACKGROUND/PURPOSE: Ascending testes, which normally are located at the bottom of the scrotum in early infancy and later ascend back out of the scrotum, have been reported by several investigators. However, little is known about the effect of the division of the genitofemoral nerve (GFN) on testicular ascent as boys grow. The purpose of this study is to investigate whether the division of the proximal genitofemoral nerve in prepubertal rats induces testicular ascent in adulthood.
Thirty-day-old Wistar King A Rats (n = 27) underwent a unilateral proximal GFN transection on either the right or left side. At 150 days of age, the rats were killed, and their testicular position was examined. The length of the processus vaginalis was measured, and the testes were removed and weighed. Sham-operated rats were used as controls (n = 10). Student's t and the chi2 test were used for the statistical analysis.
At 150 days of age, 21 of the 27 operated rats (77.8%) showed unilateral testicular ascent on the operated side. All testes were located at the bottom of the scrotum in sham-operated control rats (20 testes). Both the length of the processus vaginalis and the testicular weight were decreased significantly more on the operated side than in the sham-operated rats.
These findings suggest that the proximal division of the genitofemoral nerve in prepubertal rats may induce a relative ascent of the testis by preventing the growth of the processus vaginalis in adulthood. In patients with such ascending testes, an abnormal development or accidental trauma of the genitofemoral nerve may be involved in testicular ascent.
背景/目的:有几位研究者报告过睾丸上升的情况,正常情况下,婴儿早期睾丸位于阴囊底部,之后又会从阴囊中升出。然而,关于生殖股神经(GFN)切断对男孩成长过程中睾丸上升的影响,人们知之甚少。本研究的目的是调查青春期前大鼠近端生殖股神经切断是否会导致成年后睾丸上升。
对27只30日龄的Wistar King A大鼠进行右侧或左侧单侧近端生殖股神经横断术。在150日龄时处死大鼠,检查其睾丸位置。测量鞘突长度,取出睾丸并称重。假手术大鼠作为对照(n = 10)。采用学生t检验和卡方检验进行统计分析。
在150日龄时,27只手术大鼠中有21只(77.8%)在手术侧出现单侧睾丸上升。假手术对照大鼠的所有睾丸均位于阴囊底部(20个睾丸)。手术侧鞘突长度和睾丸重量均比假手术大鼠显著降低更多。
这些发现表明,青春期前大鼠近端生殖股神经切断可能通过阻止成年后鞘突生长而导致睾丸相对上升。在患有此类睾丸上升的患者中,生殖股神经的异常发育或意外损伤可能与睾丸上升有关。