睾丸体积与输精管大小的活体测量

用木制的睾丸模型测量子,测定了要求作输精管结扎术的305例广东地区生育力正常男子609个睾丸的体积,结果是14.4±3.1ml,左右睾丸无显著差异.在305例中切出了170条输精管,在显微镜下进行了测量,外径为2.3±0.3mm,内径为0.5±0.1mm,相应的睾丸体积与输精管内、外径无显著相关.     

Gene expression in the efferent ducts,epididymis, and vas deferens during embryonic development of the mouse

The tissues of the male reproductive tract are characterized by distinct morphologies, from highly coiled to un‐coiled. Global gene expression profiles of efferent ducts, epididymis, and vas deferens were generated from embryonic day 14.5 to postnatal day 1 as tissue‐specific morphologies emerge. Expression of homeobox genes, potential mediators of tissue‐specific morphological development, was assessed. Twenty homeobox genes were identified as either tissue‐enriched, developmentally regulated, or both. Additionally, ontology analysis demonstrated cell adhesion to be highly regulated along the length of the reproductive tract. Regulators of cell adhesion with variable expression between the three tissues were identified including Alcam, various cadherins, and multiple integrins. Immunofluorescence localization of the cell adhesion regulators POSTN and CDH2 demonstrated cell adhesion in the epithelium and mesenchyme of the epididymis may change throughout development. These results suggest cell adhesion may be modulated in a tissue‐specific manner, playing an important role in establishing each tissue's final morphology. Developmental Dynamics 239:2479–2491, 2010. © 2010 Wiley‐Liss, Inc.     

Release of 3H-noradrenaline from the rat vas deferens under various in vitro conditions

The release of ³H-(-)-noradrenaline (NA) from rat vas deferens in vitro was examined under various experimental conditions. It was found that in normal and reserpinized vas deferens the release of NA evoked by (+)-amphetamine (5 times 10^?6 M) or low external Na⁺ (26 mM) was antagonized by imipramine methiodide and desipramine, inhibitors of the NA uptake, but was not dependent on the presence of Ca²⁺ in the medium and was not antagonized by the potent local anaesthetic agent bethoxycaine. The release evoked by veratridine in reserpinized tissue was antagonized by the uptake inhibitors but was in normal tissue only partially inhibited in presence of Ca²⁺ but almost completely in absence of Ca²⁺. The release by high K⁺ (117 mM) + low Na⁺ (26 mM) in normal tissue was dependent on the presence of Ca²⁺ and was antagonized by the muscarinic agonists carbacholine and metacholine and by high concentrations of desipramine. In the reserpinized vasa the corresponding release was not dependent on Ca²⁺ and was not antagonized by the muscarinic agents but was inhibited by high concentrations of desipramine.     

Impaired spermatogenesis in men with congenital absence of the vas deferens

It is generally assumed that men with congenital bilateral absence of the vas deferens (CBAVD) have azoospermia because of obstruction and that sperm production is normal. This study examines spermatogenesis in men with CBAVD to assess the validity of this assumption. We identified all men with CBAVD who had undergone either a diagnostic or therapeutic fertility procedure. Procedures included diagnostic biopsy, testis fine needle aspiration (FNA) mapping, microscopic epididymal sperm aspiration (MESA), and testis sperm extraction (TESE). Among 33 CBAVD men, 18 underwent testis biopsy, 27 had MESA/TESE, and 10 had FNA mapping. On evaluation of these procedures, normal spermatogenesis was present in 29 men. Four men (12%) demonstrated impaired spermatogenesis. One patient had FNA testis cytology consistent with late maturation arrest, another demonstrated hypospermatogenesis on biopsy and low sperm yield by MESA, and two patients had pure Sertoli cell only histology on biopsy. Aetiologies for impaired spermatogenesis included varicocele and underlying genetic abnormalities. Although patients with CBAVD are assumed to have normal spermatogenesis and infertility due simply to obstruction, the potential for concomitant defects in sperm production exists. A clinical suspicion of testis failure should prompt further diagnostic evaluation of spermatogenesis prior to sperm retrieval. In addition, genetic counselling should be offered and testing for genetic lesions, including cystic fibrosis gene mutations and/or variants, Y chromosome microdeletions, and karyotype abnormalities, should be considered.     

Inhibitory effect of adenosine on electrically evoked contractions in the rat vas deferens: pharmacological characterization

The inhibitory effects of adenosine as well as its related analogues on the contractile response of the rat vas deferens to field stimulation were compared in the absence and in the presence of nitrobenzylthioguanosine (NBTGR), a potent adenosine uptake inhibitor. In the presence of NBTGR, the order of potency was N6-cyclohexyladenosine (CHA) greater than or equal to L-N6-phenylisopropyladenosine (L-PIA) greater than 2-chloroadenosine greater than D-N6-phenylisopropyladenosine (D-PIA) greater than or equal to adenosine greater than 2'-deoxyadenosine. The inhibitory effect of adenosine but not that of clonidine, beta-endorphin and somatostatin was blocked by 1,3-diethyl-8-phenylxanthine (DPX, pA2 = 7.2), a potent P1-purinergic antagonist. The results suggest that adenosine inhibited the electrically evoked contractions of the rat vas deferens via the activation of the A1 subtype of P1-purinergic receptors.     

Contribution of amniotic membrane to the healing of iatrogenic vas deferens injury

Background/aim Iatrogenic vas deferens injury is one of the most serious complications of operations in the inguinal region. Vasovasostomy is performed as treatment. However, stenosis is common after vasovasostomy. Oligospermia or azoospermia may develop and result in infertility. This study aimed to investigate the effect of amniotic membrane on healing in vas deferens injuries.Materials and methods Four groups consisting of 10 rats each were formed. No procedure was performed in Group-I. In Group-II, the left vas deferens was transected and left to spontaneous healing. In Group-III, the left vas deferens was transected, and end-to-end anastomosis was performed. In Group-IV, the left vas deferens was transected, end-to-end anastomosis was performed, and it was closed with a wrapping of amniotic membrane on the anastomosis line. Rats were sacrificed after 60 days, and each left vas deferens was evaluated. Lumen patency was checked by passing methylene blue through the vas deferens. Subsequently, the vas deferens was evaluated both macroscopically and histopathologically. Data were evaluated using SPSS version 21.0. p < 0.05 was considered statistically significant for all variables.Results The anastomosis lines in Group-IV healed better than those in Group-III, and less stenosis was observed. There were differences between the groups in terms of luminal patency (p = 0.009), adhesions to surrounding tissues (p = 0.02) and separation of the ends of the vas deferens (p = 0.03).ConclusionWe observed improvement on luminal patency and histology of rat vas deferens injury after surrounding human amniotic membrane on the transected and repaired surface. Further studies are needed to apply this promising result on human beings.     

Carbonic anhydrase: A marker of cell types in guinea pig vas deferens cell culture

Central Research Laboratory, Department of Pathological Anatomy, and Department of Histology, S. V. Kurashov Kazan' Medical Institute. (Presented by Academician of the Russian Academy of Medical Sciences N. K. Permyakov.) Translated from Byulleten' Éksperimental'noi Biologii i Meditsiny, Vol. 113, No. 6, pp. 631–634, June, 1992.     

On the familial occurrence of congenital bilateral absence of vas deferens

In this report we present the familial occurrence of congenital bilateral absence of vas deferens (CBAVD) in a 29-year-old, healthy and phenotypically normal male and in his maternal uncle. The incidence and the familial occurrence of CBAVD are reviewed and discussed.     

A study of the post-tetanic twitch depression at the prostatic end of the rat vas deferens

The effects of different drugs on the post-tetanic twitch responses of the prostatic end of the isolation rat vas deferens were examined. Following repetitive field stimulation (4–5 Hz for 40–60 s), the post-tetanic twitches (0.2–0.5 Hz) were depressed relative to the steady-state pretetanic twiches. Maximum post-tetanic twitch depression (PTD) occurred 15–30 s after the tetanic stimulation. The PTD was not reversed but deepened and prolonged by the presynaptic ₂-adrenoceptor antagonists idazoxan (RX 781094) or yohimbine (10^–7 M) alone or combined with the neuronal uptake blocker, desipramine (10^–6 M). The PTD was insensitive to the -adrenoceptor blocker, propranolol (10^–6 M), the P₁-purinoceptor antagonist, 8-phenyltheophylline (10^–5 M) or the prostaglandin E synthesis inhibitor, indomethacin (10^–6 M). Pre- and post-tetanic contractions to superfused noradrenaline (NA), adenosine 5-triphosphate (ATP), or ,-methylene ATP (,-mATP) (bolus injections into superfusate, 1–8×10^–5 M) were not significantly (p<0.01) different. The PTD was absent in high magnesium (6.2–11.2 mM) solutions. These results are consistent with the PTD having an intrinsic presynaptic origin. They are discussed in relation to stimulation-induced modulation of transmitter release.     

Long-term social isolation in the rat induces opposite changes in binding to alpha 1- and alpha 2-adrenoceptors in the brain and vas deferens

Rats isolated at the time of calcification of the incisors show, after 14-18 months of social deprivation, an increased number of alpha 1-adrenoceptors labeled with [3H]WB 4101, both in the striatum and in the vas deferens, as well as a decreased number of alpha 2-adrenoceptors labeled with [3H]-clonidine in the vas deferens. Social isolation does not, however, modify the density of [3H]clonidine binding sites in the cerebral cortex. The functional state of alpha-adrenoreceptors in the vas deferens from isolated rats appears to correlate with the binding studies since the isolated tissue is hypersensitive to the contractile effect of exogenous noradrenaline and subsensitive to the inhibitory effect of clonidine on the electrically stimulated preparation.     

Reserpine-induced potentiation of the inhibitory action of neuropeptide Y on the rat vas deferens neurotransmission

The inhibitory action of neuropeptide Y (NPY) on the muscular activity of the prostatic end of the rat vas deferens elicited by transmural electrical stimulation was examined in control and in reserpinized rats. Pretreatment with 1 mg/kg reserpine for 48 h induced a 6-fold increase in NPY potency. Likewise, the potency of clonidine to inhibit the electrically induced muscular activity or noradrenaline to contract the ductus musculature was also potentiated. It is hypothesized that reserpine via a denervation super-sensitivity-like process increases the density of the NPY receptors. The functional significance of NPY in the motor activity of the vas deferens is discussed.     

The relation between in vitro. efflux of noradrenaline from platelets and vas deferens in man

The efflux of isotope-labelled noradrenaline from platelets and vas deferens was compared in 29 healthy males. Platelets and a preparation of tissue from vas deferens were incubated with isotope-labelled noradrenaline until equilibrium in the uptake was obtained. The spontaneous efflux of noradrenaline in buffer was measured for 20 min. There was a significant positive correlation between the efflux of noradrenaline from platelets and vas deferens (r 0.56, P < 0.001).     

Influence of castration on the membrane reactivity of the guinea-pig vas deferens

The guinea-pig vas deferens is a quiescent muscle which after castration undergoes atrophy and shows spontaneous contractions preceded by membrane spike activity. The influence of castration on the spontaneous release of neurotransmitters and on the internal concentration of sodium and potassium ions was studied. Utilizing the microelectrode technique it was shown that castration induces a partial depolarization (10 mV) of the cell membrane, but did not change the frequency of spontaneous excitatory junction potentials (SEJPs) of guinea-pig vas deferens. However, the time-course and the amplitude of the SEJPs were increased after castration, probably because of changes in membrane properties related to organ atrophy. Castration probably promotes a change in the ionic permeability of the smooth muscle fibre, since the ratio pNa/pK was twice that of control muscles.     

Expression and functional activity of phosphodiesterase type 5 in human and rabbit vas deferens

The molecular mechanisms underlying the regulation of vas deferens (VD) motility and semen emission are still poorly understood. We now report evidence on VD expression of phosphodiesterase type 5 (PDE5), which regulates nitric oxide (NO)-induced relaxation and cGMP breakdown in smooth muscle cells. In human VD, the PDE5 abundance was relatively high (>3 x 10(6) molecules/microg total RNA), although 10-fold lower than in corpora cavernosa (CC). Also cGMP metabolising activity was higher in CC than in VD. However, both tissues share the same sensitivity to a broad panel of cGMP-related PDE inhibitors: sildenafil, tadalafil, dipyridamole, zaprinast, vinpocetine, EHNA and cilostamide. Based on the rank order of potency of these PDE inhibitors, we found that the cGMP metabolizing activity in human VD mostly corresponds to PDE5. PDE5 was immunolocalized in all the muscular layers of human and rabbit VD and was found to be negatively involved in regulating NO-induced relaxation. In addition, by using a rabbit model of hypogonadotropic hypogonadism, we found that PDE5 gene expression and activity are androgen-dependent in VD, as previously demonstrated in CC. In fact, the sensitivity to a NO-donor (NCX4040), its enhancement by PDE5 inhibitors and the PDE5-related cGMP breakdown were all affected by androgen manipulation. Our results provide a hypothesis explaining the beneficial effects of PDE inhibitors in patients with rapid ejaculation.     

Decrease in membrane conductance induced by noradrenaline in the smooth muscle of guinea-pig vas deferens

The electrical response of the smooth muscle of guinea-pig vas deferens to exogenously applied noradrenaline (NA) was examined using the double sucrose-gap method. NA evoked a depolarization of the smooth muscle membrane which was associated with an increase in the size of electrotonic potentials. A conditioning depolarization of the membrane induced by current application enhanced the size of NA-induced depolarization, whereas a conditioning hyperpolarization reduced it. When a conditioning hyperpolarization of 25 mV in magnitude was applied, the direction of potential change induced by NA was reversed. These results are discussed with respect to the ionic mechanism of the electrical event in response to NA in this tissue.     

Immunology: Congenital unilateral absence of the vas deferens: a heterogeneous disorder with two distinct subpopulations based upon aetiology and mutational status of the cystic fibrosis gene

A total of 21 infertile men with congenital unilateral absenceof the vas deferens (CUAVD) were studied to determine if thisdisorder involves mutations in the cystic fibrosis (CF) gene.This hypothesis derives from previous work which has establishedthe genetic commonality of CF and congenital bilateral absenceof the vas deferens (CBAVD). Both CF and CBAVD may result fromcompound heterozygosity for CF mutations. In our patients withunilateral vasal aplasia, 12 had anatomically complete and patentvasa deferentia on the contralateral side, i.e. side of thescrotally palpable vas. No CF mutations were detected in thissubgroup. The remaining nine patients had a noniatrogenic occlusionof the contralateral vas at either the inguinal or pelvic level.In this subgroup, eight out of nine (89%) had a mutation detectedin one of their two CF genes. This is the first study to defineaccurately the clinically and anatomically heterogeneous natureof CUAVD and to begin to clarify the genetic basis of unilateralabsence of the vas deferens.     

Heterogeneity for mutations in the CFTR gene and clinical correlations in patients with congenital absence of the vas deferens

Congenital absence of the vas deferens (CAVD) is a heterogeneous disorder, largely due to mutations in the cystic fibrosis (CFTR) gene. Patients with unilateral absence of the vas deferens (CUAVD) and patients with CAVD in association with renal agenesis appear to have a different aetiology to those with isolated CAVD. We have studied 134 Spanish CAVD patients [110 congenital bilateral absence of the vas deferens (CBAVD) and 24 CUAVD], 16 of whom (six CBAVD, 10 CUAVD) had additional renal anomalies. Forty-two different CFTR mutations were identified, seven of them being novel. Some 45% of the CFTR mutations were specific to CAVD, and were not found in patients with cystic fibrosis or in the general Spanish population. CFTR mutations were detected in 85% of CBAVD patients and in 38% of those with CUAVD. Among those patients with renal anomalies, 31% carried one CFTR mutation. Anomalies in seminal vesicles and ejaculatory ducts were common in patients with CAVD. The prevalence of cryptorchidism and inguinal hernia appeared to be increased in CAVD patients, as well as nasal pathology and frequent respiratory infections. This study confirms the molecular heterogeneity of CFTR mutations in CAVD, and emphasizes the importance of an extensive CFTR analysis in these patients. In contrast with previous studies, this report suggests that CFTR might have a role in urogenital anomalies.     

CASE REPORT: Pregnancy using spermatozoa aspirated from the vas deferens in a patient with ejaculatory failure due to spinal injury

Aspiration of the vas deferens under local anaesthesia was carriedout in a man with ejaculatory failure due to tetraplegia afterrectal electrostimulation had failed to provide an ejaculatesatisfactory for use in in-vitro fertilization. After passagethrough a discontinuous Percoll gradient and exposure to 3 mmolpentoxifylline and 3 mmol 2-deoxyadenosine, the final preparationconsisted of 50 000 spermatozoa with 4% progressive motility.This was sufficient for the insemination of seven of the 23oocytes that were collected from the patient's wife by transvaginalultrasound-guided follicular aspiration. Three high-grade embryoswere produced which were transferred transcervically into theuterus 2 days later. A singleton pregnancy resulted which iscurrently ongoing at 30 weeks gestation. Aspiration of the vasdeferens is a relatively simple technique which provides anacceptable alternative to rectal electrostimulation, artificialsperm reservoirs and donor insemination in patients with ejaculatoryfailure.     

Evidence for an increase in membrane conductance during adenosine triphosphate-induced depolarization in the guinea-pig vas deferens

The effects of exogenously applied adenosine triphosphate (ATP) on the smooth muscle of guinea-pig vas deferens were studied with the double sucrose-gap method. ATP evoked a membrane depolarization which was associated with a decrease in the size of electrotonic potentials. Conditioning hyperpolarization induced by current application caused an increase in the magnitude of the ATP-induced depolarization; the larger the conditioning hyperpolarization, the greater the ATP-induced depolarization. These results are discussed with respect to the ionic mechanism of the electrical event in response to ATP in this tissue.     

Contractile response and electrophysiological properties in enzymatically dispersed smooth muscle cells of rat vas deferens

Electrophysiological studies were performed on single smooth muscle cells isolated from the vas deferens of the rat. The tissue was preincubated in Ca-free modified Tyrode's solution for 1 h and then transferred to a high-K solution for 1 h. It was next minced and treated with the enzyme solution composed of 600–800 unit/ml collagenase and 40 unit/ml elastase. The procedure yielded about 50% spindle shaped Ca-tolerant cells (100–250 m in length and about 10 m in diameter). These cells could contract during the superfusion with the solutions containing 10^–8 to 10^–3M norepinephrine (NE) or adenosine triphosphate (ATP). The cells isolated from the epididymal portion were more sensitive to norepinephrine than were those from the prostatic part. Their basic electrical properties were studied using tight-seal suction electrode technique. The cells had resting potentials around –40 mV and their input resistance was about 0.8 G. Action potentials could be evoked by application of depolarizing current. During whole cell voltage clamp, an inward current followed by an outward current was recorded when 800 ms pulses from a holding potential of –60 mV to test potentials positive than –40 mV were applied. The transient outward current generally recorded in other smooth muscle cells was not seen in these cells. The amplitude of the inward current was Ca dependent and sensitive to a Ca antagonist, nicardipine, indicating that Ca ion is the main carrier of this component of the current. When the pipette was filled with Cs-containing solution, the outward current was abolished. In this condition, the reversal potential of Ca current was +53.4 mV, and the time course of inactivation was composed of more than one exponential component. The results suggest that these isolated cells retain many characteristics of analogous multicellular preparation and that they are a useful model of the postsynaptic properties in smooth muscle especially when studied electro-physiologically.