Clinical study of morphological changes in the arterial blood supply of the testicle in children

Abstract

Objective. Studying of clinical and morphological changes in the arterial blood supply of testicle in its surgical diseases and improvement of the surgical treatment tactics. Materials and methods. In the morphological stage of the study, there was obtained the material from 71 preparations of testicle and epitesticle, which were taken while doing necropsy in men of a mature age (22 – 35 years old), also there were processed 38 preparations of membranes in dropsy testicle, taken in a life–time, as well as postoperative material (in non–complete obliteration of vaginal sprout of peritoneum), and 17 testicular biopsy specimens, obtained in infertile men, which were taken during surgical intervention on testis in pediatric patients. Results. Introduction of the innovative method and implementation of complex program for diagnosis and surgical treatment of the testicular diseases in children into clinical practice have permitted to improve a testicular blood supply and to reduce a risk of the ischemia occurrence. Conclusion. Clinical and morphological changes in the arterial blood supply as a part of drainage systems of the testicle in its surgical diseases are expressed in development of total vascular spasm and ischemia, which were caused by narrowing of the arteries lumen, compensatory hypertrophy of the muscle layers of arterial wall, thickening of basal membranes, leading to increase in the number of blood vessels, sclerotic changes in stroma of spermatic cord, deformation of the ductus deferens.

Keywords

• arterial blood supply; combined male infertility; drainage systems of a testicle; children