[Obesity and penile morphology: is there a relationship? (Experimental study)]. 2020

A A Artamonov, and S V Bogolyubov, and T I Eliseeva, and O B Pozdnyakov, and A V Astakhova
FGBOU VO Tver State Medical University, Tver, Russia.

Erectile dysfunction (ED) is a condition characterized by the inability to achieve or maintain an erection sufficient for sexual intercourse. The prevalence of ED ranges from 6% to 64% depending on age. Obesity is one of the factors leading to ED, which is widespread in the world. Men with obesity are 30% more likely to develop ED compared with men with normal body weight. The aim was to identify morphological changes in the cavernous tissue of the penis of patients with obesity using the biological model of laboratory rats as an example. In vivo modeling of diet-induced obesity was performed. A total of 22 laboratory sexually mature white rats weighing 140-160 g were included in the study. The animals were divided into two groups, the control group (n=10) and experimental group, which included rats with diet-induced obesity (n=12). After 12 weeks, the experiment was completed. All rats underwent: 1) calculation of the Lee index (body mass index in rats); 2) determination of blood glucose level; 3) determination of the level of total cholesterol and triglycerides in the blood; 4) sampling of the penis with fixation in 10% formalin; histological sections 6-8 m thick were stained with hematoxylin and eosin, and frozen sections were prepared with subsequent staining with Sudan 3 to identify adipose cells. In the experimental group, alimentary obesity developed. There were no differences in glucose and total cholesterol levels between two groups. However, a significant difference was found in the serum triglycerides level (1.24+/-0.05 mmol/L in the control group vs. 1.6+/-0.1 mmol/L in the experimental group). In the control group, the average number of adipocytes was 10+/-5 per sample; in the experimental group, their number increased by 3 times (p<0.01). In obese rats, there was an increase not only in the number of adipose cells, but also in their area compared with the control group (17.7+/-7.5 m and 12.9+/-5.3 m, respectively, p<0.01). In rats with alimentary obesity, deposition of adipose tissue is observed not only in the visceral and paratesticular regions, but also in the cavernous tissue of the penis, which can negatively affect erectile function.

UI MeSH Term Description Entries
D007172 Erectile Dysfunction The inability in the male to have a PENILE ERECTION due to psychological or organ dysfunction. Impotence,Male Impotence,Male Sexual Impotence,Dysfunction, Erectile,Impotence, Male,Impotence, Male Sexual,Sexual Impotence, Male
D008297 Male Males
D009765 Obesity A status with BODY WEIGHT that is grossly above the recommended standards, usually due to accumulation of excess FATS in the body. The standards may vary with age, sex, genetic or cultural background. In the BODY MASS INDEX, a BMI greater than 30.0 kg/m2 is considered obese, and a BMI greater than 40.0 kg/m2 is considered morbidly obese (MORBID OBESITY).
D010410 Penile Erection The state of the PENIS when the erectile tissue becomes filled or swollen (tumid) with BLOOD and causes the penis to become rigid and elevated. It is a complex process involving CENTRAL NERVOUS SYSTEM; PERIPHERAL NERVOUS SYSTEMS; HORMONES; SMOOTH MUSCLES; and vascular functions. Tumescence, Penile,Nocturnal Penile Tumescence,Penile Tumescence,Erection, Penile,Penile Tumescence, Nocturnal,Tumescence, Nocturnal Penile
D010413 Penis The external reproductive organ of males. It is composed of a mass of erectile tissue enclosed in three cylindrical fibrous compartments. Two of the three compartments, the corpus cavernosa, are placed side-by-side along the upper part of the organ. The third compartment below, the corpus spongiosum, houses the urethra. Glans Penis,Penis, Glans
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000273 Adipose Tissue Specialized connective tissue composed of fat cells (ADIPOCYTES). It is the site of stored FATS, usually in the form of TRIGLYCERIDES. In mammals, there are two types of adipose tissue, the WHITE FAT and the BROWN FAT. Their relative distributions vary in different species with most adipose tissue being white. Fatty Tissue,Body Fat,Fat Pad,Fat Pads,Pad, Fat,Pads, Fat,Tissue, Adipose,Tissue, Fatty
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D051381 Rats The common name for the genus Rattus. Rattus,Rats, Laboratory,Rats, Norway,Rattus norvegicus,Laboratory Rat,Laboratory Rats,Norway Rat,Norway Rats,Rat,Rat, Laboratory,Rat, Norway,norvegicus, Rattus

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