eprintid: 9131 rev_number: 10 eprint_status: archive userid: 2098 dir: disk0/00/00/91/31 datestamp: 2024-09-11 06:53:52 lastmod: 2024-09-11 06:53:52 status_changed: 2024-09-11 06:53:52 type: article metadata_visibility: show contact_email: repository@staff.ukdw.ac.id creators_name: , Leonardo Cahyo Nugroho creators_name: , Afif Iman Hidayat creators_name: , Adityas Mahendra Putra title: PROTECTIVE ROLE EFFECT OF MANNITOL AND METHYLPREDNISOLONE ON TESTICULAR INJURY POST TORSION-DETORSION IN RAT ispublished: pub subjects: RD divisions: fak_kedokteran full_text_status: public keywords: Methylprednisolone; Mannitol; Torsion-detorsion; Diagnosis; Surgical intervention abstract: Introduction: Testicular torsion is one of the differential diagnoses of acute scrotal and is a urological emergency. When torsion occurs, the testicles experience ischemia, if blood flow is not restored, the damage will be irreversible starting from 4 hours and complete damage will occur at 8 hours to 12 hours after torsion. Methods: The samples in this study were 30 male Wistar rats aged 14-18 weeks with an average weight of 180 gm-230 gm, involving 2 large groups consisting of one control group and four intervention groups. Results: In the treatment group given both Mannitol and Methylprednisolone (group X1), there were significant decrease in MDA and Caspase-3 expression and significant increase in neutrophil adhesion. There was no significant different between group given Mannitol and/or Methylprednisolone and group underwent torsion-detorsion. Group X1 also showed the best results compared to other treatment groups regarding spermatogenesis and number of seminiferous tubular cell layer. Discussion: The osmotic properties of Mannitol provide a protective effect against I/R injury by restoring microvascular circulation in the early phase of the I/R injury period. Methylprednisolone can reduce neutrophil migration which in turn can reduce ROS and ultimately reduce apoptosis in germ cells. Conclusion: Antioxidant-antioxidant combinations are more effective than the use of a single antioxidant to reduce the occurrence of apoptosis and prevent reperfusion ischemic injury. date: 2023-02 publication: International Journal of Pediatric Surgery volume: 4 publisher: medtextpublications.com pagerange: 4-9 refereed: TRUE issn: 2766-5577 official_url: https://www.medtextpublications.com/international-journal-of-pediatric-surgery-home.php funders: leonardocahyo@gmail.com citation: Leonardo Cahyo Nugroho and Afif Iman Hidayat and Adityas Mahendra Putra (2023) PROTECTIVE ROLE EFFECT OF MANNITOL AND METHYLPREDNISOLONE ON TESTICULAR INJURY POST TORSION-DETORSION IN RAT. International Journal of Pediatric Surgery, 4. pp. 4-9. ISSN 2766-5577 document_url: https://katalog.ukdw.ac.id/9131/1/Protective%20Role%20Effect%20of%20Mannitol%20and%20Methylprednisolone.pdf