| Effect of unilateral testicular torsion on blood flow and histology of contralateral testes. | |
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MedLine Citation:
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PMID: 10359163 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND/PURPOSE: Infertility occurs in 25% of patients after unilateral testicular torsion; hence, the authors examined hemodynamic and histological changes in both testes after acute testicular torsion in neonatal piglets. METHODS: The animals were anesthetized, intubated, ventilated, catheterized, and assigned randomly to a sham group or one of three experimental groups undergoing 720 degrees torsion of the left testis for 8 hours after which it was untwisted in group I and removed in group II. In group III, both testes were removed. Data were collected at baseline (T = 0), 4 hours (T = 4), and 8 hours of torsion (T = 8) and at the ninth hour of the experiment (T = 9). Testicular blood flow was determined by using radiolabeled microspheres. The testes also were examined blindly with routine and electron microscopy. RESULTS: In group I, testicular blood flow decreased in the affected testis during torsion and increased significantly after detorsion, whereas blood flow to the contralateral testis increased significantly after detorsion. Sham-operated animals showed no histological abnormality in either testis. In all torsion groups, the affected testis showed extensive changes caused by hemorrhagic necrosis. The contralateral testis only showed changes in group I. CONCLUSION: Unilateral testicular torsion resulted in ipsilateral damage caused by a decrease and subsequent increase in blood flow while in the contralateral testis; damage was the result of a significant increase in blood flow after detorsion. |
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Authors:
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L Nguyen; G Lievano; L Ghosh; J Radhakrishnan; L Fornell; E John |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of pediatric surgery Volume: 34 ISSN: 0022-3468 ISO Abbreviation: J. Pediatr. Surg. Publication Date: 1999 May |
Date Detail:
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Created Date: 1999-07-15 Completed Date: 1999-07-15 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0052631 Medline TA: J Pediatr Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 680-3 Citation Subset: IM |
Affiliation:
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Department of Pathology, University of Illinois College of Medicine at Chicago, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Animals Male Regional Blood Flow Spermatic Cord Torsion / pathology*, physiopathology* Swine Testis / blood supply*, pathology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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