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Ar 1091920104
Ar 1091920104
Its relative surgical ease, apparent low in- emphasized t h e response of t h e excurrent duct
cidence of clinical complications, and overall system, rather t h a n t h e testis (Bedford, '76;
effectiveness have contributed to t h e current Alexander, '75).
popularity of vasectomy as a means of ster- Accordingly, a multidisciplinary investiga-
ilization. Although as many as one million va- tion of t h e immunologic and morphologic ef-
sectomies are performed each year in t h e fects of vasectomy in rhesus monkeys was un-
United States alone (Derrick et al., '73), few dertaken. The surgical procedures, observed
comprehensive studies of t h e effects of t h e effects at t h e gross anatomical and light mi-
procedure have been conducted; even these croscopic (LM) levels, and results of immu-
offer no uniformity of surgical technique and nologic studies have been published earlier
underscore t h e considerable species variation (Harrison e t al., '77; Heidger e t al., '78; Dom-
in response t o vasectomy. Studies at t h e elec- ingue et al., '77). The present paper describes
tron microscopic (EM) level, where more sub- at t h e electron microscopic level t h e response
tle alterations might be detected, have been of t h e seminiferous epithelium of t h e rhesus
particularly limited (reviewed by Heidger and monkey testis t o vasectomy.
Sawatzke, '77); other studies in primates have Received Jan. 23, '78. Accepted Mar. 29, '78.
TABLE 1
Note: Four additional animals were originally included in this study but were not used for morphological analysis for various
reasons: death, disease. or use of the animal for active immunization experiments.
' At the LM level, one of these animals exhibited tubules containing only Sertoli cells and spermatogonia.
'At the LM level, one of these animals exhibited tubules containing only Sertoli cells and spermatogonia; such affected tubules
contained spermiopbages within their lumina, and late spermatids were noted within the basal Sertoli cell cytoplasm.
VASECTOMY IN RHESUS MONKEYS 43
tomized animals was compared with that of merous, small, electron-dense mitochondria;
monkeys subjected to sham operation; in addi- lipid droplets were plentiful, as were dense
tion, the seminiferous epithelium from the li- bodies. Rough endoplasmic reticulum and
gated side was compared with that of the multivesicular bodies were also notable com-
unoperated side. Attention was directed to- ponents of the Sertoli cell cytoplasm. Germ
ward certain features which seemed most cells were present at various stages of matura-
susceptible to change after vasectomy as re- tion, suggesting no apparent disruption of
ported in studies involving other species. Mi- spermatogenesis (fig. 2). Acrosomal develop-
crographs were selected to illustrate these ment appeared to be normal. Typical junctions
points and to indicate the general quality of between Sertoli cells and germ cells, composed
the tissues studied. of the Sertoli cell plasma membrane, the clas-
sical parallel array of electron-dense fibrils,
Sham-operated control animals
and a discontinuous layer of cisternae of the
No consistent fine structural alterations endoplasmic reticulum, were frequently en-
were found in the testes from COS animals, countered. The morphology of the myoid cells
nor was any seasonal variation in tubular was consistent with that present in the con-
morphology noted. trol animals. These plaque-shaped cells were
Unilateral silk vasoligation animals characterized by overlapping cell processes,
numerous microfilaments, and an abundance
Changes in the morphology of the semi- of pinocytotic vesicles. In two of three ani-
niferous epithelium in monkeys sacrificed 66 mals, the basal lamina appeared to be dupli-
weeks after vasectomy were found within the cated and folded upon itself in certain areas of
basal lamina and the basal Sertoli cell cyto- testis from the vasectomized side, similar to
plasm. In one animal, in which focal areas of that cited above in the 66-week animals (figs.
bilateral aspermatogenesis were noted a t the 3, 4). Interestingly, the animal in which LM
LM level, several late spermatids and sperm studies revealed isolated areas of epithelium
tails were found in the basal and perinuclear consisting of Sertoli cells and spermatogonia
Sertoli cell cytoplasm on both sides. This was only, and with spermiophages present in the
also the case on the operated side of a second lumen (Heidger et al., '781, did not show any
animal; this latter animal had exhibited no evidence of testicular alteration in the sam-
changes a t the light microscopic level, how- ples studied a t the EM level.
ever. The germ cells and acrosomal complex Both animals sacrificed a t 18 weeks post-
appeared to be normal in all cases, and the spe- vasectomy exhibited generally normal mor-
cialized Sertoli cell-germ cell and Sertoli-Ser- phology, with only a few exceptions. The Ser-
toli cell junctions appeared to be intact (fig. toli cells contained the usual array of lipid
1). The basal lamina displayed prominent droplets, dense bodies, endoplasmic reticulum,
infoldings and projections into the Sertoli cell and normal mitochondria. However, late sper-
cytoplasm bilaterally in one of these animals matids and sperm tails were occasionally pres-
and on the operated side of the second. Few ent in the basal and perinuclear Sertoli cell
spermatocytes or early spermatids appeared cytoplasm on the operated side of one animal
t o be present on the side contralateral to va- (fig. 5). In addition, spermatids and sperm
sectomy in one animal; however, the signifi- tails were often seen in a similar position in
cance of a reduced number of developing germ the contralateral side of the same animal.
cells is difficult to ascertain. LM examination Some of these spermatids exhibited the usual
of this animal revealed areas of epithelium array of membranes: the spermatid nuclear
consisting of Sertoli cells and spermatogonia membrane, the inner and outer acrosomal
only (Heidger et al., '78). Several instances of membranes, the spermatid plasma membrane,
residual bodies located in the perinuclear Ser- and the abutting Sertoli cell plasma mem-
toli cell cytoplasm were noted; this was never brane, while others were surrounded by rem-
encountered in the testes from control-oper- nants of the usual investing membranes. In
ated animals. control animals, late spermatids were often
The seminiferous epithelium of the three seen embedded within the luminal cytoplasm
animals examined 48 weeks postvasectomy of the Sertoli cell, but never within the basal
exhibited few alterations when compared to cytoplasm. In the second vasectomized ani-
the control animals sacrificed a t the same mal, residual bodies were seen more basally
time. The Sertoli cells typically contained nu- within the seminiferous epithelium than were
44 E. S. CHAPMAN ET AL.
similar bodies within the control tissue. In cells and their junctions with Sertoli cells ap-
addition, fewer developing germ cells ap- peared to be normal; the structure of the Ser-
peared t o be present in some tubules, but it is toli-Sertoli cell junctions also was apparently
difficult to quantitate such an impression due unaltered by vasectomy. The basal lamina and
to the small size of the tissue samples used in myoid layer in both animals exhibited normal
electron microscopy and the focal nature of morphology.
such lesions. Our LM studies failed to reveal Two UCV animals were sacrificed 36 weeks
any such changes in the number of developing after vasectomy. On the vasectomized side of
germ cells in these 18-week animals. While one animal, sperm tails were found in the Ser-
the myoid layer in the vasectomized animals toli cell cytoplasm in some tubules. Testes
was indistinguishable from that of controls from the vasectomized side of both animals
sacrificed a t the same time, the basal lamina contained some bundles of fibrils in the basal
in some areas exhibited convolutions and dup- Sertoli cell cytoplasm, similar t o those de-
lications extending into the Sertoli and germ scribed in the results from the 1-week USV
cell cytoplasm (fig. 7 ) . In control animals, the animals. In addition, the basal lamina dis-
basal lamina was usually flat and even, or played folds similar to those mentioned previ-
somewhat wavy, but never as highly infolded ously. The side contralateral t o vasectomy in
as in these tubules. Several examples of un- the first animal was normal except for the
usual, abnormally formed spermatids were presence of a degenerating late spermatid in
encountered in these animals, but small num- the perinuclear Sertoli cell cytoplasm. In the
bers of abnormal spermatids were also a fea- second animal, late spermatids, sperm tails,
ture of the testes from COS animals. and residual bodies were present in the basal
Few alterations were noted in the semi- Sertoli cell cytoplasm in some tissue speci-
niferous epithelium of the three animals mens from the contralateral side.
killed four weeks after vasectomy. The Sertoli The animal sacrificed a t 18 weeks post-va-
cells contained the usual complement of or-
sectomy displayed few alterations in its semi-
ganelles - mitochondria, dense bodies, rough
niferous epithelium. In several instances on
endoplasmic reticulum, lipid droplets. On the
vasectomized side of one animal, late sper- the side contralateral to vasectomy, observa-
matids and numerous sperm tails were seen in tion of the basal and perinuclear Sertoli cell
the Sertoli cell cytoplasm near the basal lami- cytoplasm revealed late spermatids and sperm
na. The remaining germ cells and their germ tails (fig. 10).The basal lamina of both sides
cell-Sertoli cell junctions appeared t o be nor- exhibited areas of infoldings and duplications,
mal, as did the Sertoli-Sertoli cell junctions. but not to the degree seen in some other ani-
Some infoldings of the basal lamina were seen mals. The remaining germ cells and their
in certain tubules on the vasectomized side in junctions, as well as the Sertoli-Sertoli cell
two monkeys; such infoldings were not nearly junctions, exhibited normal morphology.
as pronounced as in the longer term animals. DISCUSSION
Three animals were sacrificed one week
after vasectomy; in general, the seminiferous Although others (Bedford, '76; Alexander,
epithelium of these animals appeared normal. '75) have examined the excurrent duct system
On the vasectomized side of one animal, bun- of the rhesus monkey following vasectomy,
dles of filaments were observed within the and have given brief attention to testicular ef-
basal Sertoli cell cytoplasm (fig. 6 ) . These fects, the present study is the first t o empha-
bundles were of variable length and diameter; size the fine structural response of the rhesus
the filaments comprising them were approx- monkey testis to vasectomy. In assessing the
imately 65 A in diameter and closely packed. effects of vasectomy upon the testis of any
species, several variables must be considered.
Unilateral clasp vaso-occlusion animals In particular, these include: (1) well-con-
Few alterations were present in the semi- trolled surgical procedures which avoid such
niferous epithelium of the two monkeys sac- secondary effects as post-operative cryptor-
rificed 66 weeks post-vasectomy. On the va- chidism, infection, and the compromise of the
sectomized side of one animal, the basal cy- testicular blood supply; (2) the inherent dis-
toplasm of some Sertoli cells contained, in tensibility of the duct system of the species
addition t o the normal complement of organ- studied; and (3) the development of gran-
elles, late spermatids enveloped in a loose ulomas of the vas or epididymis following va-
configuration of membranes (figs. 8, 9).Germ sectomy. The results of our present study are
VASECTOMY IN RHESUS MONKEYS 45
discussed below with reference to these con- post-vasectomy (Heidger and Sawatzke, ' 7 7 ) .
siderations. In t h e present study, 8 of 26 animals de-
Concerning t h e first variable, t h e authors veloped granulomas a t t h e site of vasectomy;
a r e confident t h a t the surgical procedures these included 3 USV animals and all 5 UCV
used were carefully performed and controlled animals (table 1).However, there appears to
such t h a t t h e effects seen in t h e post-vasec- be no correlation between alterations in the
tomy seminiferous epithelium were due t o seminiferous epithelium and t h e presence or
vasectomy alone. Support for this view lies in absence of a spermatic granuloma; i.e., the
t h e complete lack of any effect of t h e control role of granuloma formation in the develop-
operation upon t h e testes of t h e COS animals. ment of testicular alterations after vasectomy
It should be noted also t h a t differences in sur- remains unclear. With respect to granuloma
gical procedure may preclude direct com- formation, t h e present study suggests t h a t
parison of results from different laboratories clasp-ligated animals are more likely to de-
even utilizing t h e same species. velop such granulomas and t h a t granulomas
Correlation of t h e distensibility of t h e duct may develop as early as four weeks post-vas-
system and t h e role of pressure damage with ectomy in t h e monkey. Further studies on
t h e testicular response to vasectomy h a s been the spermatic granuloma of t h e vas - t h e
attempted by many investigators. Studies at most common complication of vasectomy
t h e EM level in t h e rabbit by Flickinger ('75) in humans (Alexander and Schmidt, '77;
and Alexander and Tung ('77) have shown Schmidt and Morris, '73) - are in progress.
t h a t t h e rabbit testis is apparently unaltered Our evaluation of spermatic granulomas of
up to six months post-vasectomy; they re- t h e epididymis, which may also afford relief of
ported t h a t t h e rabbit duct system exhibits a pressure on t h e testis, has not progressed suf-
remarkable degree of distensibility. Corre- ficiently a t this time to permit correlations
spondingly, t h e dog, which exhibits little dis- between epididymal granuloma formation and
tention of t h e excurrent duct system after possible testicular alterations.
vasectomy, h a s been reported to show altera- Our studies demonstrate t h a t t h e altera-
tions in t h e testis at both t h e LM and EM tions which may accompany vasectomy are
levels as early as one month post-operatively more prevalent a t t h e longer post-operative
(Heidger and Sawatzke, '77; Grewal and Sa- times evaluated. No remarkable changes were
chan, '68; Derrick et al., '74). From his short present in animals followed for one week. Few
term studies of t h e rhesus monkey response t o alterations were present in animals followed
vasectomy, Bedford ('76) suggested t h a t tes- for four weeks, with a higher frequency of al-
ticular changes in this species may be pre- terations found in animals vasectomized for
vented for a short time after vasectomy by t h e longer periods. These results are similar to
distention of t h e vas and the presence of low those reported in t h e rabbit (Flickinger, '75)
epididymal cysts. Certainly our findings of lit- and rat (Bedford, '76); however, they clearly
tle or no alteration in t h e rhesus testis up to differ from findings in t h e dog (Heidger and
18 weeks post-vasectomy are consistent with Sawatzke, '77; Grewal and Sachan, '68; Der-
those of Bedford. Longer term studies in all of rick et al., '74) in which alterations developed
t h e above species show alteration in t h e testis shortly after vasectomy and later subsided.
following vasectomy, implying t h a t there is a We would stress t h a t alterations detected in
limit to t h e protection from pressure afforded t h e seminiferous epithelium were focal in
by distensibility. nature. In this respect, our findings corre-
Pressure upon t h e testis which may develop spond t o those in t h e dog (Heidger and
after vasectomy may be minimized not only by Sawatzke, '77) and rabbit (Alexander and
distensibility of t h e excurrent duct system, Tung, '77) and a r e distinctly different from
but also by t h e formation of spermatic gran- those reported in t h e vasectomized guinea pig
ulomas of t h e vas. Kuwahara and Frick ('75) (Alexander, '73). This is noteworthy in t h a t
noted t h a t r a t s which developed large gran- other studies (Alexander, '75) have utilized
ulomas exhibited normal testicular morphol- testicular biopsies to evaluate t h e testicular
ogy three weeks after vasectomy; in their response t o vasectomy; our d a t a suggest t h a t
study, tubular degeneration was evident in restricted tissue sampling may fail to detect
those animals which did not develop gran- focal alterations. Furthermore, we would em-
ulomas. Granuloma formation is rare in t h e phasize Flickinger's ('73) point t h a t electron
dog, in which tubular alterations occur early microscopy is limited as a survey technique
46 E. S. CHAPMAN ET AL.
EXPLANATION OF FIGURES
48
PLATE 1
VASECTOMY IN RHESUS MONKEYS
E. S. Chapman et al.
PLATE 2
EXPLANATION OF FIGURES
5 Electron micrograph of the basal Sertoli cell cytoplasm from an 18-week USV ani-
mal, unoperated side. The presence of sperm tails (arrowheads) and a developing
spermatid (arrow) in the basal Sertoli cell cytoplasm reflects a disruption in the
usual Sertoli cell-germ cell spatial relationship within such tubules. X 9,000.
50
PLATE 2
VASECTOMY IN RHESUS MONKEYS
E. S. Chapman e t al.
51
PLATE 3
EXPLANATION OF FIGURES
9 Electron micrograph of the basal Sertoli cell cytoplasm from a 66-week UCV ani-
mal, operated side. Note the presence within the Sertoli cell cytoplasm of a late
spermatid (arrowhead) with its enclosing membranes in disarray, suggestive of
phagocytosis by t h e Sertoli cell. Several extensive Sertoli-Sertoli cell junctional
complexes are cut in oblique section (arrows). X 8.000.
10 Electron micrograph of the basal portion of a Sertoli cell from the 18-week UCV
animal. Note the presence of a late spermatid (arrowhead) with intact Sertoli cell-
spermatid junctional complex in t h e Sertoli cell cytoplasm. Sc, Sertoli cell nucleus.
X 24,700.
52
VASECTOMY IN RHESUS MONKEYS PLATE 3
E. S. Chapman e t al.