Testicular Volume Research Articles

Proton pompa inhibitörü esomeprazolün uzun süre kullanımına bağlı gelişen reversibl azospermi: Bir olgu sunumu

OBJECTIVES: The long-term use of esomeprazole, a commonly prescribed proton pump inhibitor, has been associated with a decrease in sperm count and motility, as well as infertility in recent studies. We aimed to present the case of reversible azoospermia developed due to the use of esomeprazole in this study. CASE REPORT: In our study, we examined a 25-year-old unmarried male patient with a desire for children who had been using esomeprazole (40 mg/day) for approximately two years due to gastroesophageal reflux disease. The patient presented to our clinic intermittently with a dull scrotal pain, which was present in both testicles and resolved spontaneously after a short period. The physical examination of the patient revealed no pathological findings, and the testicular volumes and serum hormone parameters were within the normal reference values. The result of scrotal color doppler ultrasound performed on the patient in an external center was reported as scrotal color doppler ultrasound examination within normal limits. Upon the initial presentation of the patient, the semen analysis reported azoospermic pellet positivity. Subsequently, a repeat semen analysis was requested from the patient at a 4-week interval, and the result was once again reported as azoospermic pellet positive. As a result, we discontinued the use of esomeprazole for the patient, and during the first and fourth-month follow-ups, there was a gradual improvement in sperm parameters. The semen analysis parameters evaluated in the fourth month were observed within the normal reference values. CONCLUSIONS: We aimed to emphasize the necessity of considering the use of esomeprazole, which is frequently preferred for gastrointestinal system disorders in our country, as a potential etiology of azoospermia, in a young patient who had been using it for a long time and experienced improvement after discontinuation of the medication. Keywords: azoospermia, esomeprazole, infertility

Investigation of Antioxidant-Oxidant Levels in Infertile Men: A Prospective Cross-Sectional Study

Introduction: The escalating rate of infertility, especially with many of its causes remaining enigmatic, necessitates advanced investigative measures. This study explores the correlation between various biochemical, hormonal, hematological, and oxidative stress parameters in infertile male patients and their sperm parameters. Materials and Methods: From January to July 2023, blood samples of infertile male patients from our outpatient clinic were examined for aforementioned parameters. Patients were categorized into four groups based on their sperm parameters: Group 1 (Normal), Group 2 (Asthenospermia), Group 3 (Oligospermia), and Group 4 (Azoospermia). Results: Infertility duration, FSH, LH, prolactin, and testicular volume (both left and right) varied significantly among the groups (p<0.01). Significant differences were also noted in monocyte, eosinophil, TAS, TOS, OSI, CRP, and ESR levels (p<0.01). Specifically, azoospermia positively correlated with increased Monocyte, TOS, OSI, CRP, and ESR levels (p-values and correlation coefficients ranging from p=0.012, r: 0.141 to p<0.001, r: 0.551). Logistic regression pinpointed TAS, TOS, OSI, and ESR as significant differentiation risk factors. According to ROC analysis, these factors were critical prognosticators for azoospermia. Conclusion: Elevated TOS and OSI, coupled with decreased TAS levels, were linked to monocytes, CRP, and ESR in azoospermia. Thus, TAS, TOS, OSI, and ESR can be pivotal diagnostic tools for infertility, and their evaluation from routine blood samples could streamline the diagnosis and treatment response assessment of infertility.

A dual-center study of predictive factors for sperm retrieval through microdissection testicular sperm extraction and intracytoplasmic sperm injection outcomes in men with non-mosaic Klinefelter syndrome.

This study evaluated the predictors of sperm retrieval (SR) in non-mosaic Klinefelter syndrome (KS) patients undergoing microsurgical testicular sperm extraction (mTESE). The cutoff values of the predictors of SR and overall pregnancy rates after intracytoplasmic sperm injection (ICSI) were analyzed for the positive SR (PSR) cases. The study was a dual-center retrospective study. Overall 118 patients with KS underwent mTESE between January 2011 and July 2021. Clinicopathological factors including comorbidities, endocrine profiles, and testicular volumes were analyzed. A total of 58 patients showed PSR (49.2%) and 60 patients (50.8%) had negative SR (NSR). The mean overall age of the patients was 32.5 years. The NSR patients had a significantly greater prevalence of obesity, diabetes mellitus, and cerebrovascular disease. The PSR group had a significantly higher left testis mean volume (p=0.039). The differences between the two study groups regarding follicular-stimulating hormone, luteinizing hormone, and testosterone variations at 1 and 3 months after mTESE were insignificant. Preoperative mean neutrophil-to-lymphocyte ratio was significantly greater in the NSR group (p=0.011), but the platelet-to-lymphocyte ratio showed no significant difference between the two study groups. A live child birth was achieved in 53.4% of the PSR patients. Multivariate logistic analysis showed that total testicular volume >3.93 mL, left testis volume >1.79 mL, and neutrophil-to-lymphocyte ratio ≤1.82 were significantly associated with PSR. mTESE-ICSI is a feasible method for KS patients to have a child, and total testicular volume, left testis volume, and neutrophil-to-lymphocyte ratio might be predictors of successful SR.

Clinical and laboratory differences between chromosomal and undefined causes of non-obstructive azoospermia: A retrospective study.

Knowledge of clinical and laboratory differences between chromosomal and undefined causes aids etiological research on non-obstructive azoospermia. Compare clinical and laboratory differences between men with non-obstructive azoospermia due to chromosomal anomalies versus undefined causes. A cross-sectional retrospective study conducted at a public university hospital in Campinas (Brazil). All men aged 20-40 years with non-obstructive azoospermia were included in the analysis. The 107 cases included 14 with Klinefelter syndrome (KS) (13%), 1 with mosaic KS, 4 with sex development disorders (2 testicular XX, 1 NR5A1 gene mutation, and 1 mild androgen insensitivity syndrome) (4%), 9 with other non-obstructive azoospermia etiologies (8%), and 79 with undefined causes. The 22 chromosomal anomaly cases (14 KS, 1 mosaic KS, 2 testicular XX, 4 sex chromosome anomalies, and 1 autosomal anomaly) were compared with the 79 undefined cause cases. The KS group had lower average testicular volume, shorter penile length, and lower total testosterone levels but greater height, arm span, serum luteinizing hormone (LH) and follicle stimulating hormone (FSH) levels, and gynecomastia frequency (absent in the undefined group and affecting more than half of the KS group). Patients with testicular XX DSD had LH, FSH, and penile length data intermediate between the KS and undefined cause groups, testicular volume similar to the KS group, and other data similar to the undefined group. Clinical and laboratory data differentiate men with non-obstructive azoospermia and chromosomal anomalies, particularly KS and testicular XX, from those with undefined causes or other chromosomal anomalies.

Characterization of basal seminal traits and semen cryopreservation in Canada lynx (Lynx canadensis)

Little is known about the reproductive biology of the Canada lynx; virtually no data are available describing seminal parameters in this species and sperm cryopreservation studies have not been performed. Our aims were to 1) evaluate effectiveness of two semen collection methods: urethral catheterization (UC) and electroejaculation (EEJ); 2) characterize basal seminal traits throughout the breeding season; 3) compare effectiveness of semen cryopreservation using TEST egg yolk (TEY) or soy lecithin-based (SOY) media; and, 4) evaluate the ability of preserved Canada lynx sperm to fertilize domestic cat in vitro matured oocytes by heterologous in vitro fertilization. Testicular volume averaged 4.5±1.0 cm3. A significant relationship was found between animal body weight and testes volume (P<0.02), as well as for testicular volume and sperm counts per ejaculate (P<0.01). Fecal testosterone concentrations and sperm production were correlated (P<0.01). Electroejaculation was more reliable than UC for sperm collection (8.8 and 1.5 × 106 sperm, respectively; P<0.01). The percentage of sperm with normal morphology was greater in EEJ (29 ± 11 %) than in UC (18 ± 9 %) (P<0.05) samples and primary sperm structural abnormalities were more frequent in UC than EEJ samples (P<0.01). Overall, sperm quality was low in most males throughout the breeding season, but consistent with previous findings in the Lynx genus. Sperm production averaged 10.8 × 106 sperm/ejaculate with 45 % motility; 29 % normal morphology and 69 % acrosome integrity. Motility and acrosome integrity post-thaw declined over time, but were similar between spermatozoa cryopreserved in TEY and SOY media (P > 0.05). Cleavage rates did not differ between TEY (29 ± 17 %) and SOY (27 ± 14 %) and mean numbers of sperm bound to the zona pellucida was similar (20 sperm, TEY vs. 18 sperm, SOY), indicating that both extenders equally preserved the function of Canada lynx sperm for semen banking purposes. Our findings provide zoos and population managers with valuable information about normative reproductive traits in this species, establishing comparative benchmarks for assessing the reproductive potential of specific males recommended for breeding.

Evaluation of Clinical, Hormonal and Ultrasound Parameters of Male Reproductive System in Leprosy: A Cross-Sectional Study.

Testicular involvement in leprosy is neglected as it is insidious and silent, although it can have an impact on quality of life. Our study aimed at evaluating and estimating the frequency of the hormonal, radiological and clinical parameters in these patients. A cross-sectional study was conducted including 31 male leprosy patients attending our OPD. After detailed clinical assessment, patients were subjected to ultrasonological with Doppler examination of the scrotum and hormonal evaluation by ELISA technique for serum follicle-stimulating hormone (FSH), luteinising hormone (LH) and total testosterone. Thirty-one patients were included with ages ranging from 19 to 54 with a mean of 34 years. Decreased libido (19.3%) was significantly observed in the abnormal FSH (P < 0.01) and testosterone (P < 0.01) groups. The majority of the clinical findings such as erectile dysfunction, infertility and altered pubic hair pattern were seen in the lepromatous spectrum. Six (19.6%) patients had increased LH and FSH. Twenty-three (74%) had testicular atrophy (<12 ml) as assessed by USG. There was a significant association between the bilateral decreased testicular volumes (TVs) and FSH (P = 0.016 on the left and P < 0.01 on the right). Four of 31 patients had altered testicular echo texture of which two belong to the BL spectrum. The increase in the resistive index (RI) corresponded significantly to the decreased TV (P < 0.01) albeit on the left side only. A sizeable proportion (74%) of the study sample had testicular atrophy. The significant association between increased RI and testicular atrophy, especially in patients with infertility, emphasises the ancillary role of Doppler indices in methodical diagnosis. Risk factors noted in the study include increased bacillary index, delayed initiation of treatment and recurrent ENL. Early detection, early initiation of MDT and specific therapies such as testosterone replacement can help improve the quality of life.

Development of a non-invasive method for testicular toxicity evaluation using a novel compact magnetic resonance imaging system.

In non-clinical animal studies for drug discovery, histopathological evaluation is the most powerful tool to assess testicular toxicity. However, histological analysis is extremely invasive; many experimental animals are needed to evaluate changes in the pathology and anatomy of the testes over time. As an alternative, small animal magnetic resonance imaging (MRI) offers a non-invasive methodology to examine testicular toxicity without radiation. The present study demonstrated the suitability of a new, ready-to-use compact MRI platform using a high-field permanent magnet to assist with the evaluation of testicular toxicity. To validate the utility of the MRI platform, male mice were treated with busulfan (40 mg/kg, intraperitoneal injection). Twenty-eight days after treatment, both testes in busulfan-treated and control mice (n = 6/group) were non-invasively scanned in situ by MRI at 1 tesla. On a T1-weighted 3D gradient-echo MRI sequences (voxel size: 0.23 × 0.23 × 0.50 mm), the total testicular volume in busulfan-treated mice was significantly smaller than in controls. On T1-weighted images, the signal intensity of the testes was significantly higher in busulfan-treated mice than in controls. The mice were sacrificed, and the testes were isolated for histopathological analysis. The weight of the testes in busulfan-treated mice significantly decreased, similar to the results of the non-invasive analysis. Additionally, periodic acid-Schiff stain-positive effusions were observed in the interstitium of the busulfan-treated mouse testes, potentially explaining T1 shortening due to a high concentration of glycoproteinaceous content. The present data demonstrated a rapid evaluation of testicular toxicity in vivo by compact MRI.

Longitudinal clinical course in patients with 5α-reductase type 2 deficiency treated with testosterone and dihydrotestosterone during infancy and puberty.

5α-reductase type 2 (5αRD2) deficiency is a 46,XY disorder of sex development caused by impaired conversion of testosterone (T) to dihydrotestosterone (DHT). Penile enlargement therapy is important for male patients with 46,XY 5αRD2 deficiency who have undermasculinized external genitalia, such as severe micropenis. High-dose T and percutaneous DHT replacement are reportedly efficacious for penile enlargement in patients with this disorder. We presented herein the longitudinal course of four patients with 46,XY 5αRD2 deficiency who received T and DHT. T replacement therapy during infancy increased the stretched penile length (SPL) in three of the patients but was ineffective in one patient. DHT was administered to the three patients after T replacement therapy and further increased the SPL. During and after puberty, two patients asked for and received T replacement therapy, which contributed to increasing their SPL. A semen test in one patient with T replacement therapy at age 27 years revealed cryptozoospermia despite normal testicular volume. The clinical course of our patients during infancy indicated that DHT therapy may be preferrable to T replacement therapy for penile enlargement in patients with 5αRD2 deficiency. During and after puberty, T replacement therapy promoted penile enlargement possibly because of increased conversion of T to DHT via increased 5α-reductase type 1 activity even in patients in whom it was ineffective during infancy. In conclusion, DHT is effective for penile enlargement during infancy in patients with 5αRD2 deficiency while T replacement therapy is a viable option during puberty.

Immunocontraception of male domestic cats using GnRH vaccine Improvac

The domestic cat is a highly prolific species; thus, reproductive control is crucial to reducing feral cat overpopulation. This study aimed to assess the effect of a commercially-available GnRH vaccine for swine on suppressing sperm production in male cats. Twelve sexually mature tomcats were randomly divided into two groups. Treated cats (n = 9) received a GnRH vaccine (Improvac, Zoetis Belgium SA, 0.5 mL sc) twice 4 wk apart, and the control group (CON, n = 3) saline solution (0.5 mL sc). Reproductive parameters and blood samples were recorded every 2 wk, from 6 wk before vaccination until 24 wk after the first dose. Day 0 of the study was defined as the day of primary immunization with either the vaccine or saline solution.Serum testosterone concentrations of treated cats dropped to basal levels 6 wk after D0, while CON cats maintained serum testosterone concentrations between normal ranges during the study period. No differences were observed in pretreatment and CON seminal samples. However, a progressive decrease in seminal quality was observed in treated cats from wk 8 until the end of the study. By wk 24, sperm concentration and total sperm count decreased by 90%, motility decreased by 70%, and viability decreased by 60%. Moreover, testicular volume was reduced by 49%, and penile spines showed almost complete atrophy by the end of the study.Although treated cats showed a decrease in the hematocrit, erythrocyte count, and hemoglobin concentration, values were within the reference range for domestic cats. No differences were observed in the other hematological and biochemical parameters evaluated.Our results agree with previous immunocontraception studies in cats, showing that Improvac vaccination effectively reduced sperm quality, testicular volume, and serum testosterone concentration. Further studies should be carried out to define the Improvac long-term effect.

Testicular histopathology and associated factors in men with non-obstructive azoospermia

The testicular histopathological characteristic in azoospermic men can significantly help in the diagnosis, prognosis and treatment of infertile patients. This study assessed the pathology specimens of 88 azoospermic infertile men seen at Hanoi Medical University Hospital. The most common histopathological pattern was Sertoli cell-only syndrome (40.9%), followed by hypospermatogenesis (29.5%) and Germ cell maturation arrest (18.1%). There were significant differences in the mean testicular volume and serum concentrations of LH and FSH among patients with different histopathology patterns. Analysis using multinomial logistic regression model showed only FSH was significantly associated with the severity of histopathological pattern. Each unit increase in the level of FSH was associated with a 7.1% increase in the odds of a more severe histopathology (95%CI: 1.01 - 1.12).

Сравнительная оценка эффективности использования пахового и мошоночного доступов при лечении рецидива крипторхизма.

Introduction. The average recurrence rate after inguinal orchiopexy is 1%, and with scrotal access – 3%. The high incidence of cryptorchidism determines a relatively large number of patients who need redo orchiopexy, which explains the interest in studying the results of the use of inguinal and scrotal approaches in the surgical treatment of recurrent cryptorchidism. Materials and methods. In the period from 2016 to 2021, 36 operations were performed for relapses of cryptorchidism. Right-sided cryptorchidism was in 22 (61.1%) patients, left-sided – 14 (38.9%) boys. The average age of patients was 6.4 ± 3.6 years (1.5-17.1 years). The study included patients whose entire testicular volume was located outside the scrotum. The patients were divided into two groups: group I, 21 (58.3%) children who had relapse eliminated by scrotal access, group II, 15 (41.7%) who used inguinal access. The duration of the operation and the time spent in the hospital, the frequency of repeated malposition and testicular atrophy, the duration of the use of analgesics were studied. Results. In group I patients, the median time of the operation was 35 minutes [25;100], the average length of hospital stay was 2.5 days, and the average duration of anesthesia was 0.4 days. In group II, the median time of the operation was is 90 minutes [60;130], which is significantly longer than in group I (p=0.002), the average length of stay in the hospital is 4 days, the average time of anesthesia is 1.4 days. In 2 (12.5%) patients of group I, there was a need for conversion and the use of inguinal access. 7 (19.4%) patients did not come for a follow-up examination. Group I included 16 (55.2%), group II 13 (44.8%) boys. Testicular atrophy was in group I in 1 (6.25%) patient, there was no malposition, in group II 2 (15.3%) there was atrophy, malposition in 1 (7.6%) case. Conclusion. Both scrotal and inguinal access during repeated orchiopexy are highly effective in the treatment of recurrent cryptorchidism, while scrotal access reduces the time of surgery and the extent of injury

Maternal fever during pregnancy and male offspring reproductive health: A longitudinal cohort study in young Danish males.

Maternal fever during pregnancy has been associated with an increased risk of genital malformations, but the implication for long-term reproductive health in the offspring is unknown. To investigate associations between timing, duration, and temperature of fetal exposure to maternal fever and sons' semen quality, testicular volume, and levels of reproductive hormones in early adulthood. Further, to examine whether concurrent use of antipyretics and/or antibiotics modified the effect. We used the Fetal Programming of Semen Quality cohort consisting of men born to women enrolled in the Danish National Birth Cohort. Self-reported information on maternal fever was collected twice during pregnancy (median 16 and 31 pregnancy weeks) and categorized as any fever during pregnancy, fever during early pregnancy (weeks 1-15), and fever exclusively during late pregnancy (weeks 16-42). Semen quality and concentrations of reproductive hormones were measured at a clinical examination at the age of 18.9 years. We used negative binomial regression to examine the associations, adjusting for maternal age at birth, maternal smoking, family occupational status, and precision variables related to semen quality and hormonal levels, for example, abstinence time. 986 men were included in the study, of which 23% had mothers reporting at least one episode of fever. We found no strong indications of associations between maternal fever during pregnancy and male reproductive health in young men. Concurrent use of antipyretics and antibiotics did not modify the association. Strengths include the large sample size, prospectively collected data, and the adjustment for maternal factors during pregnancy and important precision variables. A limitation is the crude self-reported information on maternal fever. We found no evidence to support that timing, duration, or temperature of maternal fever during pregnancy has a long-term impact on semen characteristics, testicular volume, or level of reproductive hormones in male offspring.

Relationship of Testic Volume Towards Semen Analysis in Male Patients in Andrology Poly, RSUD Dr. Soetomo Surabaya

Examination of semen / ejaculates / sperm is the first screening examination that a subfertile / infertile couple needs to undertake in an attempt to find out the cause of infertility that may come from his side. Besides spermanalysis, it is also necessary to do physical examination, especially about internal and external genital tool because as it is known abnormal result of sperm analysis can be caused by anatomical abnormalities and or testis function. To determine the relationship of testicular volume to semen analysis on male patients in Andrology clinic RSUD Dr. Soetomo Surabaya. The research is a kind of observational analytic research to find out the correlation of testicular volume to semen analysis on male patients in Andrology clinic RSUD Dr. Soetomo Surabaya by using secondary data. Based on the results of statistical tests of 64 samples by using chi square test can be seen that the value of significance or p-value 0.005 &lt;0.05. So it can be concluded that there is a relationship between testicular volume with morphology, motility and sperm concentration. Data were analyzed using chi square test to determine the relationship between testicular volume and semen analysis. Testicular volume is one of the risk factors of decreased semen analysis results

Association between body image dissatisfaction and body anthropometric indices among Chinese children and adolescents at different developmental stages.

Children at different developmental stages show different physical development and psychological cognitive characteristics and may pay different attention to body parts. The purpose of this study was to analyze the associations between body image dissatisfaction (BID) and body anthropometric indices (BAIs) among Chinese children and adolescents at different developmental stages. A total of 609 Chinese primary and secondary school students aged 8-15 years (329 boys and 280 girls) were selected using stratified cluster sampling. The students' body height, sitting height (SH), weight, chest circumference (CC), hip circumference (HC), waist circumference (WC), scapular skinfold thickness (SST), triceps skinfold thickness (TST), and abdominal skinfold thickness (AST) were measured. Boys' testicular volumes and first spermatorrhea and girls' breast measures and menarche were assessed using the Tanner stage standard. A body shape questionnaire (BSQ) was used to survey the subject's BID. In boys with testicular volume < 4 ml, the hip-to-height ratio (HHR) was positively correlated with BSQ score (β = 8.17, P < 0.01). In boys with testicular volume ≥4 ml and nonfirst spermatorrhea, the HHR and SST were positively correlated with BSQ score (β = 2.51, P = 0.04; β = 4.98, P < 0.01). In boys with first spermatorrhea, weight was positively correlated with BSQ score (β = 10.30, P < 0.01). In girls with breast development < Tanner stage II, waist-to-height ratio (WHtR) was positively correlated with BSQ score (β = 5.12, P < 0.01); In girls with breast development ≥ Tanner stage II and nonmenarche, chest-to-sitting height ratio (CSHR) was positively correlated with BSQ score (β = 10.82, P < 0.01), and waist-to-hip ratio (WHR) was negatively correlated with BSQ score (β = -3.61, P = 0.04). In girls with menarche, WHtR and sitting height-to-height ratio (SHHR) were positively correlated with BSQ score (β = 6.09, P < 0.01; β = 2.05, P = 0.02). The associations between body image dissatisfaction and anthropometric indices among Chinese children and adolescents at different developmental stages are different.

Effects of alpha-lipoic acid on sperm quality in patients with varicocele-related male infertility: study protocol for a randomized controlled clinical trial

BackgroundVaricocele is a high incidence and is considered to be the most common and correctable cause of male infertility. Oxidative stress (OS) plays a central role in the pathogenesis of varicocele-related male infertility. In addition to varicocelectomy, antioxidant supplementation seems to be an effective scheme for the treatment of varicocele-related male infertility, but it is still controversial. The purpose of this study is to determine the effects of alpha-lipoic acid (ALA) supplementation on sperm quality in patients with varicocele-related male infertility.MethodsIn this randomized controlled clinical trial, we will randomize 80 patients with varicocele-related male infertility from Guilin People’s Hospital. The non-surgical observation group (n = 20) will receive ALA, the non-surgical control group (n = 20) will receive vitamin E, the surgical observation group (n = 20) will receive ALA after the operation, and the surgical control group (n = 20) will receive vitamin E after the operation. The course of treatment will be 3 months. The results will compare the changes in semen parameters, sex hormones, testicular volume, sperm DNA fragment index (DFI), seminal plasma malondialdehyde (MDA), and total antioxidant capacity (TAC) between the groups at baseline and after 3 months of antioxidant supplementation.DiscussionWhether it is necessary to use antioxidants in varicocele-related male infertility, how potent antioxidants should be used, postoperative application or non-surgical independent application still needs to be explored. This study attempts to compare the effects of two antioxidants (ALA and vitamin E) on sperm quality in patients with varicocele-related male infertility (surgical or non-surgical) and attempted to answer the above questions.Trial registrationChinese Clinical Trial Registry (ChiCTR) ChiCTR2100054958. Registered on 29 December 2021

Asinara male donkey (Equus africanus asinus var. Albina) and stallion (Equus ferus caballus) reproductive characteristics: Correlations between testicular blood supply and sperm production

The Asinara donkey is a rare small albino variety of feral donkey listed as "critical" by the Food and Agriculture Organization of the United Nations (FAO) and by the Domestic Animal Diversity Information System (DAD-IS) in 2022. The objectives of the present study were to evaluate the reproductive characteristics of healthy male Asinara donkeys through andrological evaluation and testicular echo-color-Doppler examination to assess correlations between testicular blood supply and sperm production and to compare it with horse reproductive characteristics. Eight healthy donkeys and stallions were subjected to semen collection and evaluation, ultrasound and Doppler evaluation of the testicles and serum testosterone determination. The testosterone concentrations in donkeys were 1.42 ± 0.69 ng/ml while in horses were 1.90 ± 0.63 ng/ml within the normal values reported in these species. Horses had greater mean and total testicular volume, semen gel-free volume, and total sperm number than donkeys (P < 0.001). Blood flow analysis of the testicular artery in both locations was a relatively simple procedure. The waveforms recorded in a convoluted location (-con) of the testicular artery were characteristic of the high-resistance vessel, while in the marginal location (-marg) were of low-resistance. It was also recorded a gradual decrease in peak systolic velocity (PSV), resistive index (RI), pulsatility index (PI), mean velocity (MV) and testicular arterial blood flow (TABF) values along the peripheral course of the testicular artery. Therefore, donkeys had greater PSV-con (P ≤ 0.01), PSV-marg (P < 0.01), MV-con (P < 0.001), MV-marg (P < 0.01), testicular arterial blood flow rate (TABFr-con) (P < 0.001) and TABFr-marg (P < 0.01) than horses. Conversely, pulsatility index (PI-con) was higher in horses (P < 0.05). The comparative analysis between the Doppler parameters and the reproductive/seminal characteristics showed a positive correlation of TTBF-con with Testosterone (ρ = 0.976, p < 0.01 and ρ = 0.905, p < 0.01 in donkeys and horses, respectively), with Total Testicular Volume (ρ = 0.952, p < 0.01 and ρ = 1.000, p < 0.01 in donkeys and horses, respectively), and with Total spermatozoa concentration (ρ = 0.905, p < 0.01 and ρ = 0.813, p < 0.05 in donkeys and horses, respectively). Additionally, only in the donkey there was a positive correlation with Semen gel free volume (ρ = 0.881, p < 0.01) and Spermatozoa concentration × ml (ρ = 0.786, p < 0.05). The testosterone concentration was positively correlated in both species with Total testicular volume (ρ = 0.976, p < 0.01 and ρ = 0.905, p < 0.01 in donkeys and horses, respectively) and Total sperm concentration (ρ = 0.881, p < 0.01 and ρ = 0.976, p < 0.01 in donkeys and horses, respectively). It was also correlated positively with Semen gel free volume (ρ = 0.857, p < 0.01) and spermatozoa concentration (ρ = 0.762, p < 0.05) in donkeys. Finally, the PI-con (ρ = − 0.786, p < 0.05) was negatively correlated with Semen gel free volume in the donkeys. The results of this study show that Total Testicular Blood Flow is the parameter, together with testosterone, most positively correlated with testicular volume and total sperm concentration in both species. Furthermore, differences in both reproductive and testicular hemodynamic characteristics between the Asinara donkey and stallion are highlighted, suggesting that caution should be taken in transferring knowledge from one species to another. New data on reproductive aspects, seminal characteristics, testicular blood flow perfusion in healthy Asinara donkeys were reported and these may represent reference value for further research or clinical applications.

Prospective Randomized Controlled Trial Comparing Laparoscopic Palomo Surgery versus Scrotal Antegrade Sclerotherapy in Adolescent Varicocele.

Varicocele is a common condition in adolescence and the most common correctable cause of infertility. This study aimed to analyze and compare the outcomes of scrotal antegrade sclerotherapy (SAS) and laparoscopic Palomo surgery (LPS) in a tertiary referral centre. Patients with left grade 3 varicocele indicated for surgery were prospectively enrolled and randomly allocated to the SAS and LPS groups, with their respective contralateral normal testes taken as controls. The primary outcome measures were clinical varicocele recurrence, testicular catch-up growth, and post-operative hydrocele. All patients were evaluated clinically and using Doppler ultrasound by radiologists. From 2015 to 2020, 113 patients completed the study and were statistically analyzed (SAS, n = 57; LPS, n = 56). All patients had significantly smaller testes pre-operatively that the testicular volume differences with control testes were -23% in SAS and -19% in LPS. At 12-month follow-up, there were no statistical significant difference in clinical recurrences between the 2 groups (SAS = 5.3% vs LPS = 5.4%, P>.05, non-inferiority test). Testicular catch-up growths were observed in both groups, the mean testicular volume difference between the treatment and control testes reduced from -23% to -8.1% in SAS (P<.001) and -19% to -9.3% in LPS (P<.001) at 12-month follow-up. There was no post-operative hydrocele in SAS compared to 7 in LPS (0% vs 13%, P = .006). Both SAS and LPS are safe and effective procedures for treatment of adolescent varicocele with significant positive effect on testicular catch-up growth. SAS is not inferior to LPS in terms of clinical recurrence rate and with significantly less post-operative hydrocele.

Sperm parameters in the Great Dane: Influence of age on semen quality

Not all sires have sperm suitable for chilled or frozen storage, and success in artificial insemination (AI) varies highly among individual dogs and breeds. Fertilizing potential is further complicated as sperm quality declines with the aging process. Due to the rapidity of aging and senescence in large breed dogs, associated health and fertility changes may be observed over a shorter period, though this period remains undefined for any breed. Working with a population of purebred Great Danes (GD), our aims were (1) to characterize the distribution of a series of sperm parameters, (2) to distinguish sources of variation in sperm quality within this rapidly aging breed, and (3) to identify changes in sperm quality that may accompany aging. Ejaculates collected from young, middle-aged, and senior Great Dane dogs (n = 50) were evaluated for semen volume, total sperm number and viability, and reactive oxygen species (ROS), in addition to sperm morphology and kinematic parameters. Total testicular volume was also determined using ultrasonography. Testicular volume was not a predictor of sperm production in the GD, however, significant differences between coat colors were identified. Age was negatively associated with total motility, progressive motility, and amplitude of lateral head displacement (ALH) (p < .05). We identified significant relationships between GD male age and TM, PM, and immotility with −9.9%, −9.0%, and +8.3% change per year of age, respectively, which support the anecdotal reports of decline of the fertility with the advance of age in this breed. Sperm of younger GD dogs aged 12 ≤ x < 24 months had significantly higher TM, PM, ALH, and nonlinear motility (p < .05) than older dogs (x ≥ 48 months). High ROS levels were positively associated with TM and PM, average pathway distance (DAP) and straight line distance (DSL), average pathway velocity (VAP), straight line velocity (VSL), and the presence of hairpin tails (p < .05). While age and ROS have significant influences on sperm parameters in the GD, the influence of selection for breed specific phenotypes could help explain the functional significance of the diversity among GD males.

Effect of xylazine sedation on testicular blood flow, testicular echotexture, and circulating hormones in Shiba goats.

Under field conditions, sedation may be required for a full assessment of the reproductive potential of farm animals. The present study aimed to investigate the effect of xylazine sedation on testicular hemodynamics (TBF), echotexture, testicular volume (TV), and circulating hormones in goats. Sixteen male Shiba goats were sedated using the recommended dose of xylazine (0.05mg/Kg BW). Testicular hemodynamics were evaluated using color-pulsed Doppler ultrasonography before and after sedation. Echotexture of the testicular parenchyma and TV were assessed using computerized image analysis. Concentrations of testosterone, estradiol (E2), inhibin, cortisol, follicle-stimulating hormone (FSH), and luteinizing hormone (LH) were measured using radioimmunoassay. There were no effects of xylazine sedation in TBF, TV, testicular parenchyma parameters, and concentrations oftestosterone, inhibin, FSH, and LH (P ˃ 0.05). However, after sedation, there was significantly (P ˂ 0.05) lower cortisol and E2 concentration (42.88 ± 6.79 ng/ml and 2.47 ± 0.58 pg/ml, respectively) than before sedation (94.89 ± 13.74 ng/ml and 8.65 ± 1.79 pg/ml, respectively). The required time to perform thefull scanning of the testis was significantly lower (8.50 ± 0.38min) after xylazine sedation compared to the non-sedated goats (25.75 ± 1.14min). In conclusion, xylazine sedation may be practically recommended for the evaluation of TBF in goats because it did not significantly alter velocities parameters and Doppler indices of blood flow within the testicular arteries. Most plasma hormones did not significantly change; however, E2 and cortisol were significantly reduced after xylazine administration.

Longitudinal evaluation of breast tissue in healthy infants: Prevalence and relation to reproductive hormones and growth factors.

Breast tissue in infancy is a rather undescribed phenomenon. We aimed to describe the prevalence and progression of palpable breast tissue in healthy boys and girls aged 0-1 years and to evaluate clinical markers, individual serum hormone concentrations as well as combined hormone profiles as determinants of the persistence of breast tissue. In total, 233 term infants (119 boys, 114 girls) were included and followed from birth until 1 year of age in The COPENHAGEN Minipuberty Study (ClinicalTrials.gov #NTC02784184). Infants were followed up to six times with a clinical examination and serum sampling. Principal component analyses (PCAs) produced combined hormone profiles. A total of 98% of all infants aged 0-1 year exhibited breast tissue at some point. 50% still had breast tissue present at 0.5-0.6 years in girls and 0.3-0.4 years in boys ('persistent'). At one year, more girls than boys had breast tissue present (p=0.010). Most clinical and hormonal markers did not differ in infants with/without persistent breast tissue. However, in those with persistent breast tissue, estradiol (first visit, girls, p=0.034), androstenedione, corticosterone, cortisol (first visit, boys, all p<0.050), length (first visit, boys, p=0.030), and testicular volume (0.3-0.4 years, p=0.040) were higher, while IGF-I (0.3-0.4, boys, p=0.033) was lower. In boys, a combined, PCA-derived hormone profile (first visit) was able to predict the persistence of breast tissue (area under the curve=83%) better than any single marker. Palpable breast tissue in infancy is common in both sexes although it persists in significantly more girls than boys at one year of age. Data supports both the early origin of breast tissue (in utero- and early postnatal) as well as a role of endogenous hormone production in later development and maintenance.