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[Characterization of the convoluted seminiferous tubule wall. I. Ultrastructural aspects after the ligation of the vas deferens and the efferent tubules].

The structure of the wall of the rat seminiferous tubules has been studied by electron microscopy. No significant modifications have been revealed after the ligature of the vas deferens while on the contrary the ligature of the efferent ductules produces a reduction of the contractile filaments and of the pinocytosis vesicles, as well as an increase of the amount of collagen fibers in the basal membrane.

Animals↗

[Histologic and immunologic study of the testis after ligation of the vas deferens in dogs].

We wanted to study the effect of bilateral ligature and section of the deferentia of 12 dogs from the histological and immunological aspects. We looked for circulating anti-sperm antibodies and anti-basal membrane of the testes antibodies at the same time as histological study to find out what happened to these lesions after epididymo-deferential anastomosis had been carried out 16 weeks later. The histological lesions (disappearance of exfoliation of the germ cells and of necrobiosis of these cells) disapperared after anastomosis. Anti-basal membrane antibodies were never found. Anti-testicular circulating auto-antibodies were never found. Anti-sperm antibodies appeared between 1 and 5 months after ligature and then disappeared a few months later. Failures to fertilise after epiddidymo-deferential anastomoses therefore do not seem to be due to these two factors.

Animals↗

The ligation of the male reproductive organs and the role of the spermatic cyst.

The effects of ligation of the vas deferens, the corpus epididymis and the vasa efferentia on spermatozoa and testicular morphology were studied in sexually mature rats. Following the ligation of the vas deferens, headless and immotile spermatozoa were observed on the second day in the vas deferens. Decapitation occured in more than ninty per cent of the spermatozoa on the sixth day and the motility became almost zero. On the contrary, in the epididymis normal spermatozoa were observed for a relatively long period. Even three weeks after the vas ligation, more than ninty per cent of spermatozoa showed normal morphology. Spermatic cyst formation was observed so early as four days following ligation of the vas. By the third week cysts were observed in most rats, either unilaterally or bilaterally. In addition, ligation of the corpus epididymis resulted also in the formation of a spermatic cyst on the proximal site of the ligature. A strong correlation was observed between spermatic cyst formation and the occurrence of morphological changes in the testis, as well as the motility and the normality of spermatozoa. When the spermatic cyst was formed, the testis showed almost normal morphology for a long period as well as spermatozoa in the ductal system. When a spermatic cyst was not formed, degenerative changes took place promptly and abnormal spermatozoa were observed in the ductal system. These observations suggest that the seminiferous tubules may be very sensitivie to the increase in intratubular pressure and in such instances the spermatic cyst acts as a "shock absorber" to prevent the abnormal increase of pressure within the ductal system, especially the seminiferous tubules. In addition, the result suggests further that a need for caution and careful follow-up are necessary in the vasectomized man.

Animals↗

Fibrin glue and conventional sutured vasal anastomosis in the rat.

The present study was undertaken to evaluate the use of fibrin glue (Tisseel, Immune U.S., Inc) for vasovasostomy and to compare this technique to conventional sutured vasovasostomy. Thirty immature Sprague-Dawley rats, weighing from 60 to 80 g, were used in this study. A conventional one-layer sutured anastomosis (Ethilon 10-O) in 10 rats was compared to a fibrin glue technique of vasal anastomosis (10 rats). The fibrin glue technique was performed without sutures and was unstented. The biological glue was utilized to seal both ends of the vas. The contralateral vas was ligated with 5-O prolein. In the control group (10 rats) the left vas was ligated in the same way, and only the contralateral vas was explored. After 2 months, one male and two female rats were placed in a cage for a further 2 months. At the end of this period, the fertility rate was 80% (n = 8) of the control group, 60% (n = 6) of the conventional anastomosis, and 70% (n = 7) of fibrin glue groups, respectively. The testes and vasal specimens were evaluated for the presence of sperm granuloma, and histologic studies were performed. The incidence of sperm granuloma after vasovasostomy was 20% (n = 2) for the fibrin glue group and 30% (n = 3) for the sutured group. The sperms were seen in the proximal and distal side of the vasal anastomosis in 10 rats in the control group, in 8 in the glue group, and in 8 in the conventional sutured anastomosis group.(ABSTRACT TRUNCATED AT 250 WORDS)

Anastomosis, Surgical↗

Histopathological examination of both ipsilateral and contralateral testes with different obstructive models in prepubertal and adult rats.

OBJECTIVE: To determine the histopathological changes in both the ipsilateral and contralateral testes of prepubertal and adult male rats 60 days after creating different obstructive models. MATERIAL AND METHODS: Thirty-six prepubertal and 32 adult albino male rats were examined in three different obstructive models of the right testis. In group 1 the spermatic cord was ligated, in group 2 the ligation was between the caput epididymis and testis, and in group 3 the vas deferens was ligated. Sixty days after ligation both testes were removed and evaluated for testis diameter, mean seminiferous tubule diameter (MSTD), and degenerative, obstructive and inflammatory changes. RESULTS: The diameter of the obstructed right testis and MSTD were significantly greater in prepubertal rats but there was no apparent difference in adult rats. For obstructive changes, sloughing of germ cells in the prepubertal rats and germ cell absence in adult rats were significantly more common in group 3. The contralateral testis diameter and MSTD of group 3 was significantly greater only in prepubertal rats. Statistically significant values of obstructive change, e.g. sloughing of germ cells and apical vacuolation in Sertoli cells, were apparent in prepubertal rats, but tubular ectasis was the only statistically significant criterion of obstruction in adult rats. CONCLUSION: The testes are more susceptible to obstruction of the vas deferens in prepubertal than in adults rats, resulting in increased hydrostatic pressure and oedema of both the ipsilateral and contralateral testes, which might be caused by collateral circulation and rat testicular microcirculation, with a rhythmic pattern of arteriolar dilatation and constriction (vasomotion). Although the presence of oedema and high hydrostatic pressure was not prominent in adults, formation of spermatic granulomas and absence or sloughing of germ cells in the obstructed and contralateral testes reflect the early effects of vas ligation on spermatogenesis in adulthood.

Animals↗

Serum-mediated immunoresponses to spermatozoa.

Sixty male Lewis rats were immunized in groups of 10 by: (i) conventional vasectomy with ligation of the vas deferens; (ii) vasectomy without ligation of the vas deferens; (iii) sham vasectomy (control); (iv) subcutaneous injection of 10(9) allogeneic spermatozoa (from inbred BN rats) in complete Freund's adjuvant (CFA); (v) subcutaneous injection of 10(9) syngeneic spermatoza in CFA; (vi) subcutaneous injection of 10(9) syngeneic spleen cells in CFA (control). One in vivo and one in vitro assay for serum-mediated immunity were performed for each group of rats. The assays were: (i) 3-hr footpad swelling response to the injection of spermatozoa or spleen lymphocytes (Arthus response); and (ii) release of radioactivity from 51Cr-labeled spermatozoa or lymph node cells (cytotoxic antibody). A serum-mediated immunoresponsiveness specific to spermatozoa was observed in all experimental groups, except rats vasectomized without ligation of the vas deferens. Since the rats vasectomized by different methods bore similar size sperm granulomas, a pathologic explanation for the variance in immune response is not apparent. The specificity of the serum response to allogeneic (BN) spermatozoa in rats immunized with allogeneic spermatozoa is surprising, because spermatozoa probably carry histocompatibility antigens. Possible explanations for the patterns of immunoresponsiveness to spermatozoa are discussed.

Animals↗

Is routine pathological evaluation of pediatric hernia sacs justified?

BACKGROUND/PURPOSE: Herniorrhaphy is the most common general surgical procedure performed on children, and hernia sac material is one of the most common tissue specimens microscopically examined in the authors' surgical pathology laboratory. The risk of accidental vas deferens ligation has prompted the recommendation that all hernia sacs be examined pathologically. The authors hypothesized that the incidence of unrecognized vas deferens or epididymis ligation is actually very low and may not warrant routine pathological examination of all pediatric hernia sacs. METHODS: Over a 3-year period (1994 to 1996), pathology reports from all hernia repairs at the authors' institution were reviewed. A total of 1,494 inguinal hernia sacs were pathologically evaluated from 1,077 pediatric patients (417 were bilateral). Pathological diagnoses not affecting clinical management (ie, chronic inflammation, irritated hernia sacs, embryonal remnants, adrenal cortical rests) were classified as incidental findings. Identification of true vas deferens was classified as a positive finding. RESULTS: The study population had a mean age of 3.9 +/- 0.1 years and 963 (89%) were boys. The incidence of vas deferens injury from herniorrhaphy was found to be 0.13% (2 of 1,494), and these were recognized by the pediatric surgeon in the operating room. CONCLUSIONS: When vas deferens injury is suspected, the sample should always be sent to the pathology department for confirmation. However, no occult carcinoma or other pathology was identified, and the remainder of the histological findings did not change the clinical treatment of any child. Given a fixed cost of pathological analysis, elimination of routine hernia sac examination may result in substantial annual savings. Therefore, in the current era of cost containment, recommendations for routine pathological examination of excised pediatric hernia sacs should be reevaluated.

Adolescent↗

Toxicant-induced acceleration of epididymal sperm transit: androgen-dependent proteins may be involved.

Previously we established that a 4-d exposure to chloroethylmethanesulphonate (CEMS), a chemical that significantly reduces serum testosterone (T) levels, resulted in a significant decrease in cauda epididymal sperm reserves in adult male rats while homogenization-resistant testicular spermatid numbers were unaffected. This epididymis-specific alteration occurred whether or not circulating T levels were maintained using T-filled Silastic implants. To determine whether this epididymis-specific decrease in sperm number was the result of decreased epididymal transit time, the vas deferens was ligated at its midpoint just prior to the first of 4 d of exposure to CEMS with and without T implantation. If epididymal sperm transit was accelerated due to treatment, there would be fewer sperm in the caput/corpus and more sperm in the cauda/vas of the treated animals compared to control. The number of sperm in the caput/corpus decreased significantly (P < 0.05) while the number of sperm in the cauda/vas increased significantly in both the CEMS and CEMS + T animals. Daily sperm production was unaffected, but transit time through the caput/corpus epididymidis was decreased significantly in both treatment groups. To determine if testicular fluid played a role in the epididymis-specific decline in sperm numbers, the efferent ducts were ligated at the same time the vas deferens was ligated. Again, the number of sperm in the caput/corpus decreased significantly with treatment while there was a reciprocal increase in the number of cauda/vas sperm relative to controls. Finally, to determine whether an androgen-mediated process might be involved, the known antiandrogen hydroxyflutamide (HFLUT) was given to castrated, T-implanted animals in which the fertilizing ability of epididymidal sperm is maintained over 4 days. Once again, the number of sperm in the caput/corpus decreased significantly while there was a reciprocal increase in cauda/vas sperm. A quantitative evaluation of the protein profile in homogenates of the caput/corpus epididymidis revealed treatment-related diminutions in two proteins CC9 (M(r) = 42 kDa, pI = 4.2) and CC34 (M(r) = 35 kDa, pI = 5.5), and the level of each of these proteins in the caput/corpus was significantly correlated with the decrease in caput/corpus sperm number. Thus, both CEMS and HFLUT accelerate sperm transit through the proximal segment of the epididymis; and, while this effect is not dependent on the testis, it may involve a lesion in androgen-dependent epididymal function.

Animals↗

The effects of orchidopexy and orchidectomy on testes of rats subjected to ipsilateral abdominal testis with vas deferens obstruction.

An experimental study was planned to evaluate and compare the effects of orchidopexy and orchidectomy on the testes of rats subjected to unilateral abdominal testis with vas deferens obstruction. Four groups were established. Rats in the control group underwent a sham procedure. While the testis was maintained in the abdomen with the vas deferens ligated for 8 weeks in group 2, rats in groups 3 and 4 underwent orchidopexy or orchidectomy after 4 weeks. Remaining testes were harvested at the end of the 8-week period. Testis and body weights were obtained during harvest. Samples were evaluated through DNA flow cytometry, and percentages of haploid cells were determined. Groups were compared through unpaired t-test, and p-values less than 0.05 were considered significant. All three treatments had decreased testis weight over body weight values of ipsilateral testes. Ipsilateral orchidectomy increased the value among contralateral testes. However, none of the groups had a contralateral testicular value less than the sham-operated group. All three treatments decreased the percentage of haploid cells among ipsilateral testes, but only an abdominal testis was associated with a decrease in the percentage of haploid cells among contralateral testes. Maintaining a testis with an obstructed vas deferens in the abdomen for 8 weeks damages both ipsilateral and contralateral testes. Orchidopexy, while showing amelioration of the ipsilateral testis, spares the contralateral testis as well as orchidectomy. Orchidopexy for an undescended testis with vas deferens obstruction is a rational approach.

Animals↗

Scanning electron microscopic observation of spermiophage cell within the lumen of the epididymal duct of the vasectomized Japanese monkey (Macacus fuscatus).

The spermiophagic process by intraluminal macrophages in the epididymal ducts of the vasectomized Japanese monkey was well visualized with scanning electron microscope. The fragments of disintegrated spermatozoa were seen in the phase enveloped in bulk by flap-like cytoplasmic extensions or in the phase ingested within the cytoplasm.

Animals↗