Journal of Andrology
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Published-Ahead-of-Print May 9, 2007, DOI:10.2164/jandrol.106.002212

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OUTCOME OF FOWLER-STEPHENS OPERATION FOR UNDESCENDED TESTES. EXPERIMENTAL STUDY

Evagelia Gougoudi *, Emmanouil Pikoulis , Ioannis Karavokyros , Karen Gorgas , Evagelos Felekouras , Sotiris Georgopoulos , Christos Tsigris , Athanasios Giannopoulos , and Zacharias Zachariou

* To whom correspondence should be addressed. E-mail: evagougoudi{at}yahoo.com.

Aim: To investigate the outcome of Fowler-Stephens (FS) operation in prepubertal Wistar rats. Material-Method: 32 animals, 30 days old, underwent a laparoscopic FS procedure on the right testicle (8 of them formed the control group). 9, 30, 70 and 90 days later we assessed the testes histologically and at the same time determined inhibin {beta}B serum concentration, while one day earlier an ultrasound study was also performed. Results: Decrease of central testicular vascularity and heterogenous parenchymal echogenicity were the initial sonographic evidence of testicular damage, which either regressed in time or extended towards periphery. On histology, early degenerative changes either remained mild and restricted in the germinative epithelium, or became more severe affecting additional structures. A decrease of seminiferous tubule area, a thickening of the tunica albuginea and an increase in the mast cell number were changes reaching significance. Also a significant decrease of serum inhibin {beta}B was found and it correlated significantly with both the thickening of tunica albuginea and the increase of mast cell number but not with the decrease of seminiferous tubule area. Conclusion: Division of the spermatic vessels causes severe testicular degeneration as evidenced by changes on u/s and histology features combined with a drop of serum inhibin {beta}B levels.



Key words: Hormone • Spermatogenesis • Surgery • Testis • cryptorchidism • inhibin bB • mast cells • orchiopexy • postoperative testicular atrophy







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