“…Even short periods of ischaemia, for 3 hours or less, can lead to a high levels of oxidative stress in the testes, depletion of testicular glutathione levels and the consequent disruption of spermatogenesis. Significantly, the level of peroxidative damage observed in testicular tissue increases following detorsion, indicating the induction of reperfusion injury 54. The biochemical basis for reperfusion injury is thought to involve a key metabolic enzyme, xanthine dehydrogenase, which becomes converted to a xanthine oxidase during ischaemia, due to oxidation of essential -SH groups and/or a limited proteolytic clip.…”