Compromised vitality of spermatozoa after contact with colonic mucosa in mice: implications for fertility in colon vaginoplasty patients

Pediatr Surg Int. 2019 Jan;35(1):71-75. doi: 10.1007/s00383-018-4377-3. Epub 2018 Oct 29.

Abstract

Aim of the study: Colon vaginoplasty (CV) is often performed for cloacal malformation (CM). We used mice to study the vitality of spermatozoa after contact with colonic mucosa as a factor contributing to infertility.

Methods: Spermatozoa isolated from the epididymides of C57BL/6J male mice (n = 23) were syringed directly into the vaginas (Vag-group) or colons (Colo-group) of female mice (n = 45). Vitality was determined by assessing motility using computer-assisted sperm analysis, viability by staining with SYBR-14 and propidium iodide, and fertility by in vitro fertilization, prior to deposition, and at 5, 10, 30, and 60 min after deposition.

Main results: Motility was significantly decreased in Colo only at 10 and 60 min. Viability of Colo spermatozoa was significant at all assessment times, except at 10 min. Normal fertilization was observed with all Vag spermatozoa, but with Colo, there was arrest of embryo development with spermatozoa collected at 5 and 10 min, and no fertilization with spermatozoa collected at 30 and 60 min.

Conclusions: The vitality of spermatozoa is compromised by contact with colonic mucosa which could contribute to infertility in CM after CV, because their ovaries and fallopian tubes are considered to be normal.

Keywords: Cloacal malformation; Colon vaginoplasty; Infertility; Spermatozoa.

MeSH terms

  • Animals
  • Colon / cytology*
  • Embryonic Development / physiology*
  • Epididymis
  • Female
  • Fertility / physiology*
  • Fertilization in Vitro
  • Humans
  • Intestinal Mucosa
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Models, Animal
  • Pregnancy
  • Pregnancy, Animal*
  • Sperm Motility
  • Spermatozoa / metabolism*