Sarica K, Küpeli B, Budak M, Koşar A, Kavukçu M, Durak I, Göğüş O
Department of Urology, Ibn-i Sina Hospital, University of Ankara Medical School, Turkey.
Urol Int. 1997;58(4):208-12. doi: 10.1159/000282985.
To evaluate the degree of ischemia formation in the contralateral testicle following unilateral testicular torsion, free oxygen radical formation after detorsion or an orchiectomy procedure in terms of superoxide dismutase (SOD) and catalase activities was detected in adult male Wistar rats. Animals were divided into 4 groups and following 2 and 6 h of unilateral torsion, the orchiectomy or detorsion procedures were performed and free radical scavenger enzyme activities (SOD, catalase) were measured in the contralateral testes after 24 h, 1 week and 1 month. Evaluation of our results revealed no meaningful ischemia formation in the contralateral testes of rats undergoing 2 h of unilateral testicular torsion. However, animals undergoing 6 h of unilateral testicular torsion demonstrated a statistically significant alteration with respect to enzyme concentrations. Alterations in the contralateral testes were more prominent in animals that had undergone the detorsion procedure following 6 h of testicular torsion. Our results indicate that preservation of twisted testes through a detorsion procedure could cause further deterioration by way of reperfusion injury, indicating the importance of removal of the damaged testicle to minimize long-term histopathologic alterations in the contralateral testes.
为了评估成年雄性Wistar大鼠单侧睾丸扭转后对侧睾丸缺血形成的程度,通过超氧化物歧化酶(SOD)和过氧化氢酶活性检测扭转解除或睾丸切除术后的游离氧自由基形成情况。将动物分为4组,在单侧扭转2小时和6小时后,进行睾丸切除或扭转解除手术,并在24小时、1周和1个月后测量对侧睾丸中的自由基清除酶活性(SOD、过氧化氢酶)。对结果的评估显示,单侧睾丸扭转2小时的大鼠对侧睾丸中未形成有意义的缺血。然而,单侧睾丸扭转6小时的动物在酶浓度方面表现出统计学上的显著变化。在睾丸扭转6小时后进行扭转解除手术的动物中,对侧睾丸的变化更为明显。我们的结果表明,通过扭转解除手术保留扭转的睾丸可能会因再灌注损伤而导致进一步恶化,这表明切除受损睾丸对于尽量减少对侧睾丸的长期组织病理学改变具有重要意义。