Seção de Reprodução Humana, Divisão de Urologia, Departamento de Cirurgia, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
Laboratório de Biologia do Desenvolvimento, Departamento de Morfologia e Genética, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
Int Braz J Urol. 2024 Jul-Aug;50(4):433-449. doi: 10.1590/S1677-5538.IBJU.2023.0412.
Varicocele is a condition known to cause damage to seminal parameters and sperm function. Furthermore, it has been hypothesized that the varicocele effect on fertility is time-dependent; however, little is known about the consequences of its establishment time on reproductive organs and/or sperm function. This study aimed to evaluate the effect of the duration of experimental varicocele on reproductive organs, sperm parameters, and sperm function.
Varicocele induction surgeries were performed in Wistar rats aged 40 or 100 days old. At 160-day-old, analyses were performed, including biometry of reproductive organs (prostate, seminal vesicles, epididymis, and testis), sperm parameters (vitality, morphology, and motility), and sperm function tests (nuclear DNA integrity, acrosome integrity, and mitochondrial activity).
The analysis of the biometry of reproductive organs showed no differences between distinct ages in which varicocele was induced. The total abnormal sperm morphology was bigger in animals with varicocele induced to 100 days old than in animals with varicocele induced to 40 days old. Regarding nuclear DNA integrity, animals of varicocele induced to 100 days old showed worse results compared to animals of varicocele induced to 40 days old. Other parameters analyzed showed no differences between varicocele groups.
In this study conducted on rats, we conclude that varicocele adversely affects sperm, particularly its function. However, we did not observe a negative progressive effect on sperm.
精索静脉曲张是一种已知会导致精液参数和精子功能受损的疾病。此外,有人假设精索静脉曲张对生育能力的影响是时间依赖性的;然而,对于其建立时间对生殖器官和/或精子功能的影响知之甚少。本研究旨在评估实验性精索静脉曲张持续时间对生殖器官、精子参数和精子功能的影响。
在 40 或 100 天大的 Wistar 大鼠中进行精索静脉曲张诱导手术。在 160 天大时进行分析,包括生殖器官(前列腺、精囊、附睾和睾丸)、精子参数(活力、形态和运动)和精子功能测试(核 DNA 完整性、顶体完整性和线粒体活性)的生物测定。
生殖器官生物测定的分析表明,精索静脉曲张诱导的不同年龄之间没有差异。精索静脉曲张诱导至 100 天大的动物的总异常精子形态比精索静脉曲张诱导至 40 天大的动物更大。关于核 DNA 完整性,精索静脉曲张诱导至 100 天大的动物的结果比精索静脉曲张诱导至 40 天大的动物更差。分析的其他参数在精索静脉曲张组之间没有差异。
在这项对大鼠进行的研究中,我们得出结论,精索静脉曲张对精子有不良影响,特别是对其功能有不良影响。然而,我们没有观察到对精子的负面渐进影响。