Effect of tadalafil treatment on ovarian ischemia injury in rats

Purpose: Ovarian ischemia, which is known as one of the most common gynecologic surgery emergencies in women of all ages, is the distruption of the ovarian perfusion. Herein, we aimed to investigate the effect of tadalafil, a phosphodiesterase-5 inhibitor, at different doses and durations in the man...

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Main Authors: Dilan Altıntaş Ural, Sezen Koçarslan, Adem Doğaner, Duygun Altıntaş Aykan
Format: Article
Language:English
Published: Cukurova University 2021-03-01
Series:Cukurova Medical Journal
Subjects:
Online Access:https://dergipark.org.tr/tr/download/article-file/1253943
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author Dilan Altıntaş Ural
Sezen Koçarslan
Adem Doğaner
Duygun Altıntaş Aykan
author_facet Dilan Altıntaş Ural
Sezen Koçarslan
Adem Doğaner
Duygun Altıntaş Aykan
author_sort Dilan Altıntaş Ural
collection DOAJ
description Purpose: Ovarian ischemia, which is known as one of the most common gynecologic surgery emergencies in women of all ages, is the distruption of the ovarian perfusion. Herein, we aimed to investigate the effect of tadalafil, a phosphodiesterase-5 inhibitor, at different doses and durations in the management of ovarian survival in ischemia-reperfusion injury model in rats. Materials and Materials and Methods: Thirty female Wistar albino rats were divided into five groups. Ovarian ischemia was induced by clamping the adnex of uterine tuba for three hours and reperfused for one hour. Drug treatments were given as follows: Group 1: saline (ischemic control), Group 2: tadalafil 1 mg/kg, Group 3: tadalafil 10 mg/kg, Group 4: tadalafil 1 mg/kg for 7 days, Group 5: tadalafil 10 mg/kg for 7 days. At the end of the treatments, ovaries were removed and evaluated for histopathological analysis. Results: Group 4 and Group 5 showed significant decrease in vascular congesion, hemorrhage, edema, neutrophilic infiltration compared to Group 1. All groups showed significant decrease in neutrophilic infiltration compared to Group 1. We found that treatment with tadalafil for 7 days significantly decreased the ovarian tissue damage scores in rats compared to the ischemic control. Conclusion: Our results showed that tadalafil treatment in ischemic ovarian injury is effective in limiting ovarian damage. The reduction in the tissue damage scores suggested that treatment with PDE5 inhibitors, such as tadalafil, may contribute to the healing of conservatively treated ovaries and may play a role in the treatment of adnexal torsion.
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spelling doaj.art-0813720e58374a18b5bcd615e012ed382023-02-15T16:17:36ZengCukurova UniversityCukurova Medical Journal2602-30402021-03-01461556248Effect of tadalafil treatment on ovarian ischemia injury in ratsDilan Altıntaş Ural0Sezen Koçarslan1Adem Doğaner2Duygun Altıntaş Aykan3Kahramanmaras Sütcü Imam UniversityKahramanmaras Sütcü Imam UniversityKahramanmaras Sütcü Imam UniversityKahramanmaras Sütcü Imam UniversityPurpose: Ovarian ischemia, which is known as one of the most common gynecologic surgery emergencies in women of all ages, is the distruption of the ovarian perfusion. Herein, we aimed to investigate the effect of tadalafil, a phosphodiesterase-5 inhibitor, at different doses and durations in the management of ovarian survival in ischemia-reperfusion injury model in rats. Materials and Materials and Methods: Thirty female Wistar albino rats were divided into five groups. Ovarian ischemia was induced by clamping the adnex of uterine tuba for three hours and reperfused for one hour. Drug treatments were given as follows: Group 1: saline (ischemic control), Group 2: tadalafil 1 mg/kg, Group 3: tadalafil 10 mg/kg, Group 4: tadalafil 1 mg/kg for 7 days, Group 5: tadalafil 10 mg/kg for 7 days. At the end of the treatments, ovaries were removed and evaluated for histopathological analysis. Results: Group 4 and Group 5 showed significant decrease in vascular congesion, hemorrhage, edema, neutrophilic infiltration compared to Group 1. All groups showed significant decrease in neutrophilic infiltration compared to Group 1. We found that treatment with tadalafil for 7 days significantly decreased the ovarian tissue damage scores in rats compared to the ischemic control. Conclusion: Our results showed that tadalafil treatment in ischemic ovarian injury is effective in limiting ovarian damage. The reduction in the tissue damage scores suggested that treatment with PDE5 inhibitors, such as tadalafil, may contribute to the healing of conservatively treated ovaries and may play a role in the treatment of adnexal torsion.https://dergipark.org.tr/tr/download/article-file/1253943tadalafilovaryischemiatadalafiliskemiover
spellingShingle Dilan Altıntaş Ural
Sezen Koçarslan
Adem Doğaner
Duygun Altıntaş Aykan
Effect of tadalafil treatment on ovarian ischemia injury in rats
Cukurova Medical Journal
tadalafil
ovary
ischemia
tadalafil
iskemi
over
title Effect of tadalafil treatment on ovarian ischemia injury in rats
title_full Effect of tadalafil treatment on ovarian ischemia injury in rats
title_fullStr Effect of tadalafil treatment on ovarian ischemia injury in rats
title_full_unstemmed Effect of tadalafil treatment on ovarian ischemia injury in rats
title_short Effect of tadalafil treatment on ovarian ischemia injury in rats
title_sort effect of tadalafil treatment on ovarian ischemia injury in rats
topic tadalafil
ovary
ischemia
tadalafil
iskemi
over
url https://dergipark.org.tr/tr/download/article-file/1253943
work_keys_str_mv AT dilanaltıntasural effectoftadalafiltreatmentonovarianischemiainjuryinrats
AT sezenkocarslan effectoftadalafiltreatmentonovarianischemiainjuryinrats
AT ademdoganer effectoftadalafiltreatmentonovarianischemiainjuryinrats
AT duygunaltıntasaykan effectoftadalafiltreatmentonovarianischemiainjuryinrats