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Effect of tropical vaginal hydroceles on testicular morphology and histology

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Author(s): Srinath C | Ananthakrishnan N | Lakshmanan S | Kate Vikram

Journal: Indian Journal of Urology
ISSN 0970-1591

Volume: 20;
Issue: 2;
Start page: 109;
Date: 2004;
Original page

Keywords: Hydrocele | testicular histology | sperm count | testosterone.

ABSTRACT
Objectives : Currently data on the effect of long stand-ing hydrocele on the testis is contradictory. A study was carried out to evaluate whether vaginal hydroceles affect testicular morphology andd histology. Methods : Twenty-five patients with unilateral vaginal hydroceles were prospectively studied. The morphology and histology of the affected testis was studied and com-pared with the opposite unaffected testis. Results : It was found that unilateral hydroceles did not affect ipsilateral scrotal temperature or the ipsilateral testicular volume. Histologically there was marked thick-ening of the tunica albugenia and the basement membrane on the affected side. There was distortion of the seminifer-ous tubules arrangement with marked intertubular edema. There was also significant reduction in the total seminif-erous cell count on the affected side due primarily to a decrease in spermatids. There was premature sloughing of the spermatogenic cells into the lumen of the tubules. .None of these changes correlated with the duration of the hydrocele, volume of the hydrocele fluid or intratunica vaginalis pressure. Conclusions : It is concluded that vaginal hydroceles significantly affect the morphology of the testis by caus-ing reduction in the number of seminiferous tubules pri-marily spermatids besides producing changes in the structure and arrangement of the seminiferous tubules. It is not known whether these changes are reversible with treatment of the hydrocele.
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