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Comparison of erythropoietin and sildenafil protective role against ischemia/reperfusion injury of the testis in adult rats.

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Title: Comparison of erythropoietin and sildenafil protective role against ischemia/reperfusion injury of the testis in adult rats.
Authors: Zavras, Nick, Kostakis, Ioannis, Sakellariou, Stratigoula, Damaskos, Christos, Roupakas, Evangelos, Tsagkari, Eleni, Spartalis, Eleftherios, Velaoras, Konstantinos, Dontas, Ismene, Karatzas, Theodore
Superior Title: International Urology & Nephrology; Apr2014, Vol. 46 Issue 4, p731-736, 6p
Abstract: Purpose: Tissue damage in testicular torsion/detorsion is caused not only by the ischemia, but also by the ischemia/reperfusion injury after detorsion. Erythropoietin and sildenafil are considered to protect against ischemia/reperfusion injury. Here, we studied and compared their actions in testicular torsion/detorsion in adult rats. Methods: Twenty-two adult male Wistar Albino rats were divided into four groups. Rats in group A ( n = 5) were sham operated. Rats in group B ( n = 5), group C ( n = 6) and group D ( n = 6) underwent torsion of the right testis and detorsion after 90 min. No pharmaceutical intervention was performed in group B. Erythropoietin (1,000 IU/kg) and sildenafil (0.7 mg/kg) were injected intraperitoneally in groups C and D, respectively, after 60 min of torsion. All animals were killed 24 h after detorsion, and their right testis was extracted, placed into 10 % formalin solution and sent for histopathological examination. The histological changes in the testes were scored according to the four-point grading system proposed by Cosentino et al. Results: All rats in group A had normal testicular architecture (grade 1). The untreated group B had a mean grade of 3.81 (range 3.65-4). The treated groups C (mean grade 3.24; range 3.05-3.45) and D (2.69, range 2.4-2.9) presented statistically significant better results (lower grades) compared with the untreated group B. Group D had significantly better results (lower grades) than group C. Conclusions: The intraperitoneal injection of erythropoietin and sildenafil protects against ischemia/reperfusion injury after testicular torsion and detorsion. Sildenafil may have a stronger action than erythropoietin at the doses used in this study. [ABSTRACT FROM AUTHOR]
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