Morphological and microcirculatory evaluation of the @entity35 XXXX after detorsion with or without a capsular release with a tunica vaginalis flap.

@entity39 @entity63 @entity194 @entity1062 @entity35
UNASSIGNED: Testicular torsion may lead to serious @entity63 , and the viability depends on the duration of torsion and the effect of @entity63 -reperfusion. Testicular decompression and tunica vaginalis flap application technique were introduced in 2008 by Kutikov et al. We aimed to examine the impact of this method on the testicular microcirculation and hemorheological parameters in a @entity35 model. Six adult @entity35 underwent bilateral scrotal exploration. Intravaginal torsion of the @entity1062 was created by 720   rotation on both sides for 2 h. After detorsion, the right testes underwent tunica albuginea incision and tunica vaginalis flap application. Testicular microcirculation was monitored and hematological parameters, erythrocyte deformability, and aggregation were determined. Measurements were performed before and after torsion, directly after detorsion, on the 1 st -2 nd and 8 th postoperative day. After the last sampling, testicles were removed to determine their volume for histological examinations. The microcirculatory parameters demonstrated slight differences between testicles. Apical zone of the left (nondecompressed) testicles had elevated compared to the middle zone (P < 0.05). On the 2 nd and 8 th day, the microcirculation of the testes normalized but not equally. The erythrocyte aggregation and deformability decreased by the 8 th day. Both testicles underwent @entity194 and epithelial @entity39 , but the volume of the decompressed ones was lower (1.07    0.08 vs 1.25    0.31). Histologically, there was no significant difference in epithelial damage score between decompressed and nondecompressed testes. In conclusion, 2-h @entity63 led to alteration in testicular microcirculation, reduction in volume, changes in hemorheological parameters and serious epithelial @entity39 both in decompressed and nondecompressed testicles without remarkable differences.
