Ozturk Metin Ishak, Koca Orhan, Keles Muzaffer Oguz, Haklar Gonca, Baykan Ozgur, Ercan Feriha, Tok Olgu Enis, Karaman Muhammet Ihsan
Haydarpasa Numune Training and Research Hospital, Department of Urology, Istanbul, Turkey.
Urol J. 2013 Sep 26;10(3):973-80.
Varicocele, most treatable pathologic condition in male infertility, exerts unfavorable effects on testicular ultrastructure via various mechanisms. In this study we aimed to demonstrate adverse effects of varicocele on both testes.
Twenty one adult male Albino rats were divided into 3 groups. Sham operation was performed for group 1 (control group), and this group of rats were sacrificed 4 weeks later. Experimental varicocele model was performed for group 2 (varicocele group) and these animals were sacrificed 4 weeks after the operation. In group 3 the rats were varicocelectomized 4 weeks later. This group of rats were sacrificed at 4 weeks postoperatively. The level of testicular damage was examined, and serum testosterone and intratesticular testosterone levels were measured.
Mean (±SD) damage scores of the right testes of the sham, varicocele, and varicocelectomy groups were 0, 1.64 ± 1.3, and 1.21 ± 0.3, respectively. There was no statistically significant differences between damage scores of groups 2, and 3 (P = .320), relevant scores of both groups were determined to be significantly higher than group 1 (P = .009, and P = .001). Mean (±) damage scores of the left testes of the three groups were detected to be 0.43 ± 1.13, 2.29 ± 1.15, and 1.78 ± 0.39, respectively. The difference between varicocele, and varicocelectomy groups was not statistically significant (P = .112).
Unilateral varicocele has deleterious effects on both testes. There was no statistically significant difference as for histopathologic recovery following varicocelectomy.
精索静脉曲张是男性不育症中最可治疗的病理状况,它通过多种机制对睾丸超微结构产生不利影响。在本研究中,我们旨在证明精索静脉曲张对双侧睾丸的不良影响。
将21只成年雄性白化大鼠分为3组。对第1组(对照组)进行假手术,4周后处死该组大鼠。对第2组(精索静脉曲张组)建立实验性精索静脉曲张模型,术后4周处死这些动物。第3组大鼠在4周后进行精索静脉结扎术,术后4周处死该组大鼠。检查睾丸损伤程度,并测量血清睾酮和睾丸内睾酮水平。
假手术组、精索静脉曲张组和精索静脉结扎术组右侧睾丸的平均(±标准差)损伤评分分别为0、1.64±1.3和1.21±0.3。第2组和第3组的损伤评分之间无统计学显著差异(P = 0.320),两组的相关评分均显著高于第1组(P = 0.009和P = 0.001)。三组左侧睾丸的平均(±)损伤评分分别为0.43±1.13、2.29±1.15和1.78±0.39。精索静脉曲张组和精索静脉结扎术组之间的差异无统计学意义(P = 0.112)。
单侧精索静脉曲张对双侧睾丸均有有害影响。精索静脉结扎术后组织病理学恢复方面无统计学显著差异。