Division of the genitofemoral nerve and late orchiectomy: effects on the contralateral testis in ipsilateral testicular torsion |
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Authors: | B Tander K Sarica D Baskin L Abbaso?lu D Sakiz M Bulut |
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Institution: | (1) Department of Pediatric Surgery, Şişli Children's Hospital, Istanbul, Turkey, TR;(2) Department of Pathology, Şişli Children's Hospital, Istanbul, Turkey, TR |
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Abstract: | Unilateral torsion of the spermatic cord has been demonstrated to damage the contralateral testis; however, the pathogenesis
has not yet been examined in detail. The purpose of this study was to evaluate the influence of unilateral torsion on the
contralateral testis in rats by performing ipsilateral division of the genitofemoral nerve (GFN) and/or late orchiectomy.
Male 25-day-old, prepubertal Wistar albino rats were divided into five groups: (1) sham operation; (2) unilateral testicular
torsion; (3) simultaneous unilateral testicular torsion and ipsilateral GFN division; (4) unilateral testicular torsion and
orchiectomy on the 4th day after torsion; and (5) simultaneous unilateral testicular torsion and GFN ipsilateral division,
and orchiectomy on the 4th day after torsion. Torsions performed were 720°, all on the right testes. On day 55 after torsion,
which represents the early postpubertal period of the rat, the contralateral testes were removed. Tubular biopsy score (TBS)
was calculated, and seminiferous tubular diameters (STD) were measured. Student's t-test was used for statistical analysis. There was no contralateral testicular damage in the control group, but in all of
the study groups destructive changes were found in the left gonad after torsion of the right testicle. The mean TBS of the
study groups was higher than that of the control group. STD values were lower in the study groups, but the differences were
not statistically significant between groups. In prepubertal rats, unilateral torsion causes histologically measurable changes
in the contralateral testis. Ipsilateral division of the GFN and late orchiectomy did not cause any significant alterations
in terms of contralateral damage. Further investigations are needed to determine the role of the GFN in testicular torsion. |
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Keywords: | Testicular torsion Genitofemoral nerve |
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