Caglar Ozgur, Firinci Binali, Aydin Muhammed Enes, Arslan Remzi, Kanat Ayhan, Demirci Tuba, Aydın Mehmet Dumlu, Karadeniz Erdem, Yigiter Murat, Akca Nezih
Department of Pediatric Surgery, Medical Faculty of Ataturk University, Erzurum, Turkey.
Department of Anesthesiology, Medical Faculty of Ataturk University, Erzurum, Turkey.
Andrologia. 2021 Jun;53(5):e14030. doi: 10.1111/and.14030. Epub 2021 Mar 23.
Lumbosacral pathologies can lead to infertility. Onuf's nucleus changes in these pathologies may have a role in low sperm number. This study aims to investigate the relationship between Onuf's nucleus degeneration and sperm number following spinal subarachnoid haemorrhage. 22 rabbits were used. They were divided into three groups; five of them were used as the control (GI), five as the SHAM (GII) and twelve as the study groups (GIII). The study group received 0.7 ccs autologous blood into the spinal subarachnoid space at the T12-L1 level. After two weeks, all animals were decapitated, and S1-S3 laminectomy was done. Neurodegenerative changes of Onuf's nucleus, pudendal ganglia (S3) following two weeks after spinal SAH, were examined; sperm numbers were calculated. Degenerated neuron density of the Onuf's nucleus (n/mm ), the pudendal ganglia (S3) (n/mm ) and mean sperm numbers were calculated as 5 ± 2, 8 ± 3/mm and 98.345 ± 12.776/mm in the control (GI), 20 ± 5/mm , 243 ± 66/mm and 91.841 ± 9.654/mm in the SHAM (GII), 143 ± 39/mm , 2,350 ± 320/mm and 68.549 ± 5.540/mm in the study group (GIII). In conclusion, there were statistically significant differences between groups. Onuf's nucleus may be responsible for decreased sperm number following spinal SAH.
腰骶部病变可导致不育。在这些病变中,奥努夫核的变化可能与精子数量减少有关。本研究旨在探讨脊髓蛛网膜下腔出血后奥努夫核退变与精子数量之间的关系。使用了22只兔子。它们被分为三组;其中五只作为对照组(GI),五只作为假手术组(GII),十二只作为研究组(GIII)。研究组在T12-L1水平将0.7毫升自体血注入脊髓蛛网膜下腔。两周后,所有动物均被断头,并进行S1-S3椎板切除术。检查脊髓蛛网膜下腔出血两周后奥努夫核、阴部神经节(S3)的神经退行性变化;计算精子数量。对照组(GI)中奥努夫核(个/mm)、阴部神经节(S3)(个/mm)的退变神经元密度及平均精子数量分别计算为5±2、8±3/mm和98.345±12.776/mm,假手术组(GII)为20±5/mm、243±66/mm和91.841±9.654/mm,研究组(GIII)为143±39/mm、2350±320/mm和68.549±5.540/mm。总之,各组之间存在统计学上的显著差异。奥努夫核可能是脊髓蛛网膜下腔出血后精子数量减少的原因。