PMID- 15072502 OWN - NLM STAT- MEDLINE DCOM- 20040830 LR - 20190906 IS - 0301-1623 (Print) IS - 0301-1623 (Linking) VI - 35 IP - 2 DP - 2003 TI - The effects of human chorionic gonadotropin treatment on the contralateral side in unilateral testicular torsion. PG - 237-45 AB - BACKGROUND/PURPOSE: Unilateral testicular torsion can cause histologic damage, consisting of aspermatogenesis and tubular atrophy, in the contralateral testis human chorionic gonadotropin (HCG) treatment is widely used in undescended testis, and has been shown to improve histomorphometric alterations beside the testicular descent. However, the role of HCG in testicular torsion has not been investigated before. Therefore, this experimental study was conducted to evaluate the effects of HCG treatment on contralateral testicular histology and function in unilateral testicular torsion. METHODS: Forty adult male Wistar rats were randomized into 4 groups: SHAM, SHAM+HCG, TORSION, and TORSION+HCG. Torsion was created by twisting the righ testis 720 degrees and maintained by fixing it to the scrotum. HCG treatment started 24 hours after the torsion at a dose of 100 IU/kg, twice weekly for three weeks. Left orchiectomy was performed one month after the torsion and removed testes were immersed in Bouin's fixative for histopathological evaluation. Mean seminiferous tubule diameter (MSTD) was measured and Johnsen's score was calculated. Blood samples were taken for assaying serum testosteron level. RESULTS: Unilateral testicular torsion resulted in a significant decrease in spermatogenesis and MSTD on the contralateral side. Serum testosteron level was also reduced. HCG treatment improved these parameters in the contralateral 'untwisted' testis beside the serum testosteron. CONCLUSIONS: Our data demonstrates that unilateral testicular torsion adversely effects its counterpart. HCG treatment improves contralateral histomorphometric alterations and serum testosteron in unilateral torsion. FAU - Savas, Cagri AU - Savas C AD - Suleyman Demirel University Medical School, Department of Pediatric Surgery, Isparta, Turkey. cagrisavas@yahoo.com FAU - Ozguner, Meltem AU - Ozguner M FAU - Ozguner, Faruk AU - Ozguner F FAU - Delibas, Namik AU - Delibas N LA - eng PT - Journal Article PL - Netherlands TA - Int Urol Nephrol JT - International urology and nephrology JID - 0262521 RN - 0 (Chorionic Gonadotropin) SB - IM MH - Animals MH - Chorionic Gonadotropin/*pharmacology MH - Male MH - Rats MH - Rats, Wistar MH - Spermatic Cord Torsion MH - Testis/*drug effects/pathology EDAT- 2004/04/10 05:00 MHDA- 2004/08/31 05:00 CRDT- 2004/04/10 05:00 PHST- 2004/04/10 05:00 [pubmed] PHST- 2004/08/31 05:00 [medline] PHST- 2004/04/10 05:00 [entrez] AID - 10.1023/b:urol.0000020288.58686.5b [doi] PST - ppublish SO - Int Urol Nephrol. 2003;35(2):237-45. doi: 10.1023/b:urol.0000020288.58686.5b.