Hemodynamic monitoring of the contralateral testis during unilateral testicular torsion describes the mechanism of damage.

Salman A., Mutlu S., Iskit A. B., Guc M., Mutlu M., Tanyel F. C.

European urology, vol.33, no.6, pp.576-80, 1998 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 33 Issue: 6
  • Publication Date: 1998
  • Doi Number: 10.1159/000019659
  • Journal Name: European urology
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.576-80
  • Hacettepe University Affiliated: Yes

Abstract

Contralateral testicular perfusion during unilateral testicular torsion was evaluated using simultaneous blood flow and O-2 content determinations. Two groups, each consisting of 7 rats, were studied. Sham operation or 720 degrees clockwise twisting was performed on the left testes, and blood flow, O-2 content and temperatures were monitored in the right testes for 180 min. An ultrasonic perivascular Doppler flowmeter system, an electronic thermometer and an O-2 electrode were used for the monitoring. The contralateral testicular blood flow and relative O-2 contents were stable in the control group. However, the initial and 180 min blood flow values decreased from 0.21 +/- 0.04 to 0.11 +/- 0.02 ml/min (p < 0.001), and the O-2 contents from 0.857 +/- 0.123 to 0.319 +/- 0.037 (1.0 corresponds to 19.6 mm Hg PO2, P < 0.05) in the experimental group. Unilateral testicular torsion decreases the blood flow and O-2 content of the contralateral testis. The contralateral testicular injury encountered following unilateral testicular torsion might result from hypoxia following the decrease in blood flow.