Electrophysiologic evaluation of cremasteric reflex in experimental orchitis

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dc.contributor.authorSoyer, Tutku
dc.contributor.authorInal, Elem
dc.contributor.authorBoybeyi, Ozlem
dc.contributor.authorBalci, Mahi
dc.contributor.authorAslan, Mustafa Kemal
dc.contributor.authorAydin, Gulumser
dc.date.accessioned2020-06-25T18:06:56Z
dc.date.available2020-06-25T18:06:56Z
dc.date.issued2013
dc.departmentKırıkkale Üniversitesi
dc.descriptionSoyer, Tutku/0000-0003-1505-6042
dc.description.abstractAim: Absent cremasteric reflex (CR) is a well known but not reliable sign of testicular torsion. We hypothesized that CR can also be altered in other causes of acute scrotum in children. An experimental study was performed to evaluate the clinical and electrophysiological features of CR in orchitis. Method: Eighteen Wistar albino rats were allocated into three groups: control (CG), sham (SG) and orchitis (OG). In CG, after anesthetization with ketamine hydrochloride, the medial site of the anterior superior iliac spine was stimulated to obtain CR electrophysiologically, and latency and duration were recorded with a needle electrode placed in the cremasteric muscle. Electrophysiologic evaluations were performed 24 h after injection of 0.1 ml of 10(6) cfu/ml Escherichia coli (0: 6 strain) in 1 ml of physiologic saline into the right testicle in OG, and 1 ml of saline only in SG. All testicles were sampled to check for orchitis after the electrophysiologic evaluations. Results: CR was obtained in all rats in CG and in 83.3% and 66.6% in SG and OG respectively (p < 0.05). The latency of CR was significantly higher in OG (15.1 +/- 0.9 ms) and SG (15.5 +/- 1.2 ms) than CG (10.5 +/- 0.7 ms) (p < 0.017). The duration of CR was 15.1 +/- 3.2 ms in CG, 16.2 +/- 4.9 ms in SG and 18.5 +/- 3 ms in OG (p > 0.05). Histopathologic confirmation of orchitis was obtained in all testicle samples in OG, and number of neutrophils and total orchitis score was significantly higher in OG than the other groups (p < 0.05). Conclusion: Electrophysiologic parameters of CR may be altered in orchitis. Prolonged latency of CR in orchitis may be due to inflammation of the genitofemoral nerve or cremasteric muscle. (C) 2013 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1016/j.jpurol.2013.03.014
dc.identifier.endpage1102en_US
dc.identifier.issn1477-5131
dc.identifier.issn1873-4898
dc.identifier.issue6en_US
dc.identifier.pmid23660491
dc.identifier.scopus2-s2.0-84888434005
dc.identifier.scopusqualityQ2
dc.identifier.startpage1098en_US
dc.identifier.urihttps://doi.org/10.1016/j.jpurol.2013.03.014
dc.identifier.urihttps://hdl.handle.net/20.500.12587/5417
dc.identifier.volume9en_US
dc.identifier.wosWOS:000327254600027
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofJournal Of Pediatric Urology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCremasteric reflexen_US
dc.subjectOrchitisen_US
dc.subjectTesticular torsionen_US
dc.subjectElectrophysiologyen_US
dc.titleElectrophysiologic evaluation of cremasteric reflex in experimental orchitisen_US
dc.typeArticle

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