Cryptorchidism Inguinal herniation
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Transcript of Cryptorchidism Inguinal herniation
Evaluation of potential breeding soundness
Clinic for Large Animals
Desent of the testes
–Mid-gestation: bull, ram
–Last quarter of gestation: boar
– Just before or just after birth: stallion
–Mid-gestation: bull, ram
–Last quarter of gestation: boar
– Just before or just after birth: stallion
Testicular descent abnormalities Testicular descent abnormalities
•Cryptorchidism
• Inguinal herniation
Cryptorchidism• Failure to descend (crypt = hidden, concealed or not
visible to the naked eye; orchid = testis): a testis that is hidden from view
• Capable to produce testosterone →
Normal reproductive behavior
Inguinal herniation� Portion of the intestine in the vaginal cavity
� Treatment (boar: 1 in 200):
� Twisting the testicle (within the parietal vaginal tunic)
� Ligation of parietal and visceral vaginal tunics
Caudal view of a young boar with an inguinal hernia
SI: small intestine
PVT: parietal vaginal tunic
SC: spermatic cord
T: testicles
IC: inguinal canal
PVT: parietal vaginal tunic
SI: small intestines
Position of the intestine with inguinal herniationPosition of the intestine with inguinal herniation FreemartinFreemartin• Free = sterile, martin = bovine
– Heifer calf: sterile
– Male calf: normal and fertile
• Fusing the chorion → sharing the same cotyledons →common blood supply
– Day 39 of gestation: testes → testosteron, anti-müllerian hormone → inhibiting the growth of Müllerian ducts
– Several more weeks: female
FreemartinFreemartin• Canalization of the tract: not complete
• Ovaries ceasing to grow and do not develop the appropriate complement of germ cells → incapable to produce estrogen and often produce testosterone and ansdrostenedione → behaves similarly to a male (asymptomatic to bullish behavior → estrus detection (+ exogenous androgens)
Basic components of the male RSBasic components of the male RSBasic components of the male RS
• Spermatic cord
• Scrotum
• Testis
• Excurrent duct system
• Accessory sex glands
• Penis and muscles for potrusion, erection and ejaculation
• Spermatic cord
• Scrotum
• Testis
• Excurrent duct system
• Accessory sex glands
• Penis and muscles for potrusion, erection and ejaculation
Evaluation of potential dreeding soundness
Breeding soundness Breeding soundness
evaluationevaluation1. History (general and reproductive history)
2. Semen evaluation (collect semen using an artificial vagina)
� Evaluation of sperm motility
� Evaluation of sperm morphology
� Evaluation of longevity of sperm motility
� Determination of total sperm number
Semen evaluation• Daily sperm output (DSO):
– refers to the total number of the sperm that a stallion can ejaculate on a daily basis following depletion of extragonadal sperm reserves (tail of epididymis): 3-4
– A reference point to allow estimation of the number of mares a stallion can breed on a daily basis during the breeding season
– Ejaculating the stallion once or twice daily for 5 to 7 days (semen evaluation)
Spermatogenic efficiencySpermatogenic efficiency• Measure the length, width and height of each testicle
• Testicular volume (cm3): 0.523 x length x width x height
• Total testicular volume (TTV)
• Expected DSO= 0,024 x TTV – 1.26
Spermatogenic efficiencySpermatogenic efficiency� 15-20 million sperm per gram of testicular
parenchyma
� Expected and actual DSO: earliest sign of testicular stress
3. Physical examination3. Physical examination• Overall physical condition (pain): body condition
• Physical examination
– Penis
– Scrotal content (manual/US)
– Accessory glands and ampullae: RP/US
– Terminal aorta
– Bladder
– Internal inguinal rings
Extirpated stallion reproductive tract
Senger, 1999
A: ampulla
UB: urinary bladder
U: ureters
DD: ductus deferens
PS: penile shaft
GP: glans penis
CM: cremaster muscle
SC: spermatic cord
T: testis
TE: tail of epididymis
VG: vesicular gland
P: prostate
BuG: bulbourethral gland
CP: crus penis
IcM: ischiocavernosus muscle
RPM: retractor penis muscle
BsM: bulbospongiosus muscle
CM: cremaster muscle
DD: ductus deferens
T: testis
PVT: parietal vaginal tunic
Dorsal view of the accessory sex glandsDorsal view of the accessory sex glands
DD: ductus defferens
UB: urinary bladder
A: ampulla
VG: vesicular gland
PG: prostate gland
UM: urethralis muscle
BuG: bulbourethral gland
CS: colliculus seminalis
PU: pelvic urethra
Glans penisGlans penis
GP: glans penis
F: free end of penis
PF: prepucial fold
UP: urethral process
Testis in the stallion by US Testis in the stallion by US
3. Physical examination3. Physical examination� Accessory glands:
� Ampulla
� Vesicular glands (seminal vesicles)
� Prostate
� Bulbourethral glands
Accumulation of sperm in the ampullae Accumulation of sperm in the ampullae
� Partial or complete blockage of one or both ampullae
� Common early in the breeding season
� Irreversible-fertility limiting condition
� 20-70 billion immotile sperm + detached heads (body temperature) or azoospermia
� Treatment: Per rectum massage
� oxytocin
Seminal vesiculitisSeminal vesiculitis� Uncommon
� Uni- or bilateral
� PMN cells and blood (trace to large)
� Commonly misdiagnosed if bacteria originating from the surface of the penis ( Klebsiella pneumoniae, Pseudomonas aureginosa)
� Treatment:
� Antibiotic therapy (locally)
Fertility targetFertility target� 75% PR bred naturally to 40 mares
� 90% PR bred artificially to 120 mares
Noninfectious causes of infertility• Physical trauma
• Hemospermia
• Dermatologic condition
• Urinary tract obstruction
• Inability to mount and copulate
• Psychological trauma
• Urospermia
• Endocrine abnormalities
Physical traumaPhysical trauma
� Trauma of the penis and sheath
� Stall confinement
� Replace the penis into the sheath + compression bandage
� If not, support the penis with a sling
� Cold hydrotherapy for 20-30 min x 2-4 x
� Diuretics, glucocorticoids, NSAID, antibiotics
Physical traumaPhysical trauma
� Trauma of the scrotum and testes
� Agressive therapy
� Antisperm antibody production → subfertility/ sterility
HemospermiaHemospermia• Red blood cells in the ejaculate
– External lesions: mare’s genitalia, stallion
– Internal lesions: urethral ulceration (endoscope)
• Treatment (conservative or surgery):
– Local medication via a perineal urethrostomy
– Sexual rest
– Systemic antibiotics
– Acidification of the urine
– Laser surgery (ulcers)
Dermatologic conditionsDermatologic conditions• Invasive dermatologic conditions: habronemiasis
(Habronema larvae): ulcers on the urethral process, glans or prepuce
• Treatment:– Sexual rest
– Topical medication
– Systemic anthelmintics
– Glucocorticoids
– Or cautery of the lesion
Dermatologic conditionDermatologic condition� Superficial neoplastic lesion: granuloma and ulcers
(biopsy)
� Squamous carcinoma and sarcoid (external genital tumors)
� Seminoma (testis)
Urinary tract obstruction� Urinary calculi
� Scarring (injury)
� Accumulation of dry smegma („bean”) in the urethral diverticulum
Inability to mount and copulateInability to mount and copulate� Lamness (rear limb)
� Neurologic diseases
� Protozoal myoencephalitis
� Equine herpesvirus myeloencephalopathy
� Cervical vertebral intsability
� Penile paralysis (phenothiazine-derivate tranquilizers)
Psychological trauma Psychological trauma � Physical trauma may cause abnormal breeding
behavior
UrospermiaUrospermia� Urination during ejaculation
� Psychological abnormality
� Organic disease
Endocrine abnormalitiesEndocrine abnormalities• Periodic endocrine screening to diagnose the onset of
testicular degeneration is recommended
– Testosterone
– Total estrogens
– Tyroxine and tri-iodothyronine
– Cortisol
– Inhibin
– Insulin
– FSH and LH
Hormonal testing of subfertile and infertile Hormonal testing of subfertile and infertile
stallionsstallions
� Evaluation of breeding records
� General physical examination
� Complete breeding soundness evalaution
� Testicular biopsy (?)
� Hormonal status (season, day: before 9 a.m.)
Baseline plasma or serum Baseline plasma or serum
concentrationsconcentrations
• FSH, LH, estradiol, testosterone, inhibin
– each morning (3 consecutive days)
– 6-8 samples 30-minute intervals
• Poor fertility: high FSH, low estradiol and inhibin, normal to low LH and testosterone
• Monitoring baseline hormone concentration on a yearly basis
SingleSingle--pulse GnRH challenge testpulse GnRH challenge testTesticular and pituitary response to GnRH
•-60 min, - 30 min, 0 (25 ug GnRH IV), 30 min, 60 min, 90 min, 120 min
•Testosterone and LH
•Subfertile and infertile stallion: lower LH and testosterone than normal stallion
•Indicating a primary pituitary or a testicular problem: can not differentiate
LowLow--dose threedose three--pulse GnRH challange testpulse GnRH challange test
� -60 min, -30 min, 0 (5 ug GnRH), 10 min, 20 min, 30 min, 40 min, 50 min, 60 min (5 ug GnRH), ……, 120 min (5 ug GnRH),….. 180 min
� More useful in assessing the pituitary responsiveness to GnRH
� Subfertile, infertile stallion: low LH and testosterone response
hCG stimulation test hCG stimulation test � -60 min, -30 min, 0 (10000 IU hCG IV), after
treatment, 30 min, 60 min, 90 min, 120 min, 150 min, 180 min
� Testosterone and estrogen: lower response
Hormonal treatmentHormonal treatment• GnRH, hCG, FSH: ???
• Progestagen treatment : altrenogest 0.044 mg/kg for 30 days– Minimal effect on stallion behaviour
– No effect of spematozoal characteristics
– No FSH, sign. low LH, testosterone, estrogens, inhibin
– Testosterone: continued to suppress after 60 days
• 0.088 mg kg for 57 days:– Sexual aggressiveness, sperm output, testosterone: sign.
Decrease
– Long term effect ???
ImmunocastrationImmunocastration• GnRH vaccine:
– Sign. reduce sperm production
– and sexually aggressive behaviour
– Promising results however considerable variations
and reversibility may occur
Infectious diseasesInfectious diseases• Systemic infections → compromise of the
thermoregulatory mechanism: 60-70 days
– Pyrexia
– Reproductive tract inflammation
– Toxins, chemicals, or other substances → decrease or eliminate libido
• Complete semen evaluation:
– Immediately after the resolution of the problem
– 60 days later: poor semen quality →
– 15-day interval further examination
Infectious diseasesInfectious diseases• Bacteria:
– External genitalia: not sterile– Normal flora (many bacteria)– be of concern if
• Pseudomonas aureginosa• Klebsiella pneumoniae• Streptococcus zooepidemicus• Taylorella equigenitalis
– May be transmitted venereally to susceptible mares or exist in the stallion without being transmitted to mares
– Internal or external reproductive organs: overt clinical signs• ASSESSMENT OF BREEDING RESULTS (reduced PR, EM↑)• culture
Infectious diseasesInfectious diseases• Suspicions of subfertility
– Semen collection and evaluation
– Culture:
• external genitalia rinsing with clear warm water → to remove debris and smegma
• Dry with a clean cloth or paper towel
• Scrubbing with soap, detergent or disinfectant must be avoided
• Swabs from fossa glandis, shaft of the penis, urethra following teasing, urethra following ejaculation, raw ejaculate
• Transport medium
Infectious diseasesInfectious diseases• Suspicions of subfertility (cont.)
– Stained smears of the ejaculate: inflammatory cells
– Accessory sex glands: swelling with discharge of purulent exudates into the ejaculate
• Rectal palpation
• US
• Urethroscopy
• Stained smear
• Selective culture
Infectious diseasesInfectious diseases� If accessory sex glands are involved
� Systemic antibiotic therapy ???
� AI: semen extender containing antibiotics: 30 min waiting
� Natural breeding: semen extender (antibiotics) intrauterine
� Lavage of the uterus 4 to 8 h after breeding
Infectious diseasesInfectious diseases� Stallion can be infected
� Infected mare (T. equigenitalis: clitoral fossa, - sinuses) → stallion: assymptomatic carrier
� Overzealous scubbing with soap or detergents
� Equipment
Infectious diseasesInfectious diseasesVirus infection
–Equine arteritis virus
• Scrotal oedema → temporary infertility
• Asymptomatic carriers and shed the virus in the ejaculate
• Shedding from a few weeks to more than 3 years
Virus infection (cont.)• Coital exanthema (Equine herpex virus III.):
external genital infection (most common)
– Vesicles on the penis and prepuce
– Rupture
– Pustules with ulcers (pain, haemorrhage) beneath crusts
• Systemic signs: dullness, anorexia, fever
• Reinfection: common
• Asymptomatic carrier for a long period of time
www.youtube.com/watch?v=vq-ecA1IeHU&feature=related
http://www.youtube.com/watch?v=qtRsxX2gv4M
BullBull• In addition to freedom from disease, a bull requires
the following attributes to be fertile:
– Good libido
– Physical soundness
– Good semen quality
Libido and serving capacityLibido and serving capacity� Serving capacity describes the number of matings a
bull is willing and able to perform in a test situation.
� Yearling (do not provide reliable results)
� and 2-year-old bulls
� 20-minute test: the most practical and of sufficient
1. Methods of testing libido and serving 1. Methods of testing libido and serving
capacitycapacity
� Estrous strong cow (30 ml of a sterile lubricated jelly)
� 10 min of sexual stimulation (watching another bull)
� Serving capacity
� of 0 to 1: low
� of 2 to 3: medium
� of 4 or more: high
2. Physical examination2. Physical examination• General health (attitude, general appearance, BC,
faecal characteristics)
– Examination of the eyes: squamous cell carcinoma (heritability) or corneal opacity (pinkeye): common
• Musculoskeletal system:
– Foot and leg problems (heritability): corkscrew claw defect, interdigital fibroma /corns/, weak pasterns, post-leggedness, sickle hocks
2. Physical examination2. Physical examination� Examination of the scrotum and testes:
� Restraining
� Semen collection first
� Palpation (US)
Extirpated bull reproductive tract
Senger, 1999
A: ampulla
DD: ductus deferens
CM: cremaster muscle
PS: penile shaft
GP: glans penis
T: testis
TE: tail of epididymis
CM: cremaster muscle
SC: spermatic cord
UB: urinary bladder
VG: vesicular gland
BP: body of prostate gland
UM: urethralis muscle
IcM: ischiocavernosus muscle
CP: crus penis
SF: sigmoid flexure
RPM: retractor penis muscle
Infrared thermogram of bull
scrotum
LL: left leg
Excised testicleExcised testicle
DD: ductus deferens
CM: cremaster muscle
PVT: parietal vaginal tunic
EB: epididymal body
ET: epididymal tail
T: testis
Dorsal view of the accessory sex glands
DD: ductus defferens
UB: urinary bladder
A: ampulla
VG: vesicular gland
PG: prostate gland
UM: urethralis muscle
IcM: ischiocavernosus muscle
BP: base of penis
RPM: retractor penis muscle
CS: colliculus seminalis
PU: pelvic urethra
Glans penisGlans penis
GP: glans penis
F: free end of penis
PF: prepucial fold
UP: urethral process
2. Physical examination2. Physical examination• Scrotum:
– Shape of the scrotum: countercurrent heat exchange): scrotal neck
– Abnormal shape: • short caudal fraenulum of the scrotum, unilateral testicular
hypoplasia, orchitis, scrotal hernia, rotation of the testis, displacement of the cauda epididymidis, or rotation of the scrotum
– Thickness of the scrotal wall
– Amount of the fat in the neck
– Lesions
2. Physical examination2. Physical examination� Testicular cords:
� Abscesses, variceles, or scrotal hernia
� Caput epididymidis: enlargement due to inflammation or sperm granulomas
� Corpus epididymidis: problems are extremely rare
� Cauda epididymidis: turgid and prominent
� Segmental aplasia (inherited condition)
2. Physical examination2. Physical examination� Testes: moving freely
� Abscesses, tumors, hematoceles, or calcification
� Soft: testicular degeneration (semen analysis)
2. Physical examination2. Physical examination� Scrotal circumference (SC): moderately to highly
heritable: better correlation than age or weight: > 32 cm
� SC measurements:
� highly correlated with paired testis weight
� Directly and highly correlated with daily sperm production
� and with high semen quality traits
2. Physical examination2. Physical examination� Scrotal circumference (SC):
� Affected by breed, body weight and age at the onset of puberty
� High-energy diet with adequate protein, vitamins and minerals: hasten the onset of puberty
� Excessive energy intake may cause abnormal foot growth and conformation because of laminitis and possible epiphysitis. ↑risk of rumenitis and liver abscesses →vesicular adenitis and epididymitis
2. Physical examination2. Physical examinationScrotal circumference (SC)
•Effect of breed: 1 g → 17 million sperm per day
– Faster-gaining breeds of lager mature size: greater weight
– Slower-gaining breeds of smaller size: lower weight
2. Physical examination2. Physical examinationScrotal circumference (SC)
•Measurement of SC:
– Positioned firmly into the lower part of the scrotum
– Loop tape measure around the greatest diameter of the testes: firmly pulled
SC measurementsSC measurements 2. Physical examination2. Physical examinationTransrectal internal examination:
•Vesicular glands: lobular structure, 8 to 15 cm long, 3 to 5 cm wide, and 1 to 2 cm thick
– Congenital defects: aplasia, hypoplasia, cysts, or duplication of the gland
•Bulbourethral glands: in the urethralis muscle →cannot palpate
•Urethra: firm tubular structure: pulsatile
2. Physical examination2. Physical examinationTransrectal internal examination:
•Prostate glands: transverse smooth band
•Ampullae: 10 to 15 cm long, 5 to 8 mm in diameter
•Inguinal rings: 15 to 20 cm ventral to the pelvic brim, 5 to 15 cm lateral to the midline
2. Physical examination2. Physical examinationTransrectal internal examination:
•Most common abnormal finding:
– enlargement, excessive firmness, or loss of lobulation ofthe vesicular glands
– Vesicular adenitis: 2 to 4 % (1-2 y), 1 % older bull
• Up to 49%
• Uni- or bilateral
• Long standing case: adhesions, abscessation, fistula (rectum), peritonitis
• Neutrophils in the semen (1 or more NG per 3 fields: severe inflammation (superficial injury of the penis and prepuce!!!)
2. Physical examination2. Physical examinationTransrectal internal examination:
•Most common abnormal finding:
– Culture and antibiotic sensitivity: A. pyogenes
3. Semen quality3. Semen quality• Methods of semen collection:
– Electroejaculation
– Massage
– Artificial vagina
• Evaluation of semen quality
– Semen density and volume
– Sperm motility
• Gross motility
• Individual motility
– Sperm morphology
Breeding soundness classification• Satisfactory
• Questionable
• Decision deferred
• Unsatisfactory
�http://www.youtube.com/watch?v=yqpGGUEPGN8&feature=related
Diseases of the reproductive system in the Diseases of the reproductive system in the
bullbull
Common penile problems:
•Penile fibropapillomatosis: warts (viral aetiology) –single or multiple
– Young bulls and only on the penis
– Bleeding
– Reluctance to mate
– Phimosis or paraphimosis because of the large wart
– Treatment: surgical removal, vaccine (???)
Fibropapilloma (Fibropapilloma (‘‘wartwart’’))
Blowey and Weaver, 2003
Friesian bull: 2-year-old
Highly vascular ulcerated masses
Treatment:
• removal with ligation
• smaller tumors regress over time
Fibropapilloma (Fibropapilloma (‘‘wartwart’’))
Blowey and Weaver, 2003
Friesian bull: 2-year-old
• 4 months later
• used for service
• some case: scarring and distorsion of
the penile tunic
Diseases of the reproductive system in the Diseases of the reproductive system in the
bullbull
Common penile problems:
•Persistent penile frenulum (congenital bend)
– Surgical correction (terminal sires)
Persistent penile preputial frenulumPersistent penile preputial frenulum
Congenital anomaly:
persistence of or incomplete
separation of the penis and
prepuce along the ventral
raphé during the first year
A: longitudinal band of
connective tissue
Blowey and Weaver, 2003
Diseases of accessory sex glands� Vesiculitis: < 2 y or > 9 y old
� B. abortus, A. pyogenes, Haemophilus somnus
� IBR and enteroviruses
� Pneumonia, liver abscesses, navel ill ↔ vesiculitis
� Enlarged, painful and firm. Loss of lobulation. Adhesions, uni- or bilateral, PMN cells↑, sperm motility ↓,
� Long term antibiotic treatment (?)
� Surgical removal : ventral pararectal approach (?)
Seminal vesiculitis
Right SV: normal
Right ampulla: exposed
Left SV: cystic, hemorrhagic and mild
inflammatory changes
Left ampulla: missing
Purulent preputial discharge after service:
• A. pyogenes, Brucella, E.coli
Diagnosis: RP (firmness, pain, lack of
symmetry) and semen evaluation
Blowey and Weaver, 2003
Epididymal diseasesEpididymal diseases� Epididymitis
� Unilateral and tail
� Alone or associated with vesiculitis or orchitis
� A. pyogenes and B. abortus: most common
� Hot, swollen and painful → chronic case: small, hard and misshapen
� Treatment: little value
Epididymal diseasesEpididymal diseases� Congenital absence
� Unilateral
� Segmental aplasia
� Culling
Diseases of the reproductive system in the Diseases of the reproductive system in the
bullbull
Common penile problems:
•Inflammation of the penis and prepuce:• BHV-1: necrosis, ulcers, adhesions
•Hair rings: young bulls
Posthitis and balanoposthitis
BHV 1 (genital IBR infection):
• balanoposthtis with multiple pale
vesicles, confluent vesicles (some)
Treatment: local medical one
Posthtis = inflammation of the prepuce; Balanoposthitis: inf. of both prepuce
and testis
Blowey and Weaver, 2003
Posthitis and balanoposthitis
Piedmontese bull:
• central prepuce: posthitis
• distal part: tight band around the
penis
• pink penis: congested and enlarged
Treatment: conservative
Posthitis = inflammation of the prepuce; Balanoposthitis: inf. of both prepuce
and testis
Blowey and Weaver, 2003
Testicular diseasesTesticular diseases
� Orchitis:
� Unilateral
� Painful, hot, oedematous
� B. abortus, A. pyogenes
� Treatment: antibiotics (?), cold water hydrotherapy, surgical removal
Orchitis
Simmental bull: 4-year-old
Enlargement of right testis:
• painful and sensitive
•Unilateral
Traumatic
Bacterial: B. abortus, Mycobacterium bovis,
A. pyogenes
Blowey and Weaver, 2003
Acute Brucella orchitis
Severe periorchitis (pale area: A):
inflammation of tunics and epididymis
Testicular enlargement and compression by
The tunica albuginea
Testicular necrosis
B: subcutaneously edematous fluid
Blowey and Weaver, 2003
Testicular diseasesTesticular diseases� Testicular hypoplasia
� Small testis
� congenital
� Uni-, bilateral
� Diagnosis: SC (< 30 cm) and semen analysis
� Treatment: culling
Testicular hypoplasia with cryptorchidismTesticular hypoplasia with cryptorchidism
Blowey and Weaver, 2003
Holstein Friesian calf:
Left testicle: normal size
Right testicle: small, incopletely descended
in the scrotal neck
Testicular diseasesTesticular diseases� Cryptorchidism
� Unilateral
� Rare
� Culling
CryptorchidismCryptorchidism
Blowey and Weaver, 2003
Hereford cross calf: 4-week-old
• Right testicle: normal
•Left testicle: inguinal position (A)
Testicular diseasesTesticular diseases� Testicular degeneration:
� Uni- or bilateral
� Terporary or permanent
� Fever, high environmental temperature, inflammation of the scrotal skin, excessive scrotal fat, orchitis, testicular trauma
� Diagnosis: SC, semen analysis, US
Spiral deviation of penis Spiral deviation of penis
((‘‘corkscrew peniscorkscrew penis’’))
Blowey and Weaver, 2003
Charolais: 2-year-old
• 90o ventral curvature
Spiral deviation of penis Spiral deviation of penis
((‘‘corkscrew peniscorkscrew penis’’))
Spiral deviation
difficult intromission
Blowey and Weaver, 2003
Penile and parapenile hematomaPenile and parapenile hematoma
((‘‘fracture of penisfracture of penis’’, , ‘‘broken penisbroken penis’’))
Blowey and Weaver, 2003
Hereford bull:
• prescrotal hematoma and edema
due to ruptured tunical albuginea
•secondary prolapse of the penis
Differencial diagnosis:
•Parapenile abscess
Penile and parapenile hematomaPenile and parapenile hematoma
((‘‘fracture of penisfracture of penis’’, , ‘‘broken penisbroken penis’’))
Blowey and Weaver, 2003
Postmortem specimen:
• Ruprured corpus cavernosum penis
Prolapsed prepuceProlapsed prepuce
Blowey and Weaver, 2003
Brahman bull (Bos indicus): 6-year-old
• breed characteristic
• partial prepucial prolapse
Treatment:
• conservative treatment: cleansing,
disinfection, replacement, retention by a
purse-string suture
• surgical resection
• severe case: before pressure-bandage
Preputial and penile abscessPreputial and penile abscess
Blowey and Weaver, 2003
Hereford bull: 5-year-old
Prognosis: poor
Scrotal herniaScrotal hernia
Hereford bulll: 6-year-old
•Soft, painless, partially reducible
swelling in the left scrotal neck
• rare
• traumatic injury
• seldom results in intestinal
strangulation
Blowey and Weaver, 2003
Scrotal hematoma
Friesian bull:
• trauma
• large scrotum, relatively painless
Differencial diagnosis: orchitis, scrotal hernia
Treatment: spontaneous recovery
Blowey and Weaver, 2003
Inguinal herniaInguinal hernia
Suxxes bull:
•Soft, reducible swelling in the inguinal region
(omentum, or/and small intestine loops)
Differencial diagnosis:
• fat deposits
• abscess
Treatment:
• culling
Blowey and Weaver, 2003
Scrotal necrosis and gangrene
Friesian bull:
Faulty application of a bloodless castrator
(Burdizzo)
Blowey and Weaver, 2003
Scrotal necrosis and gangrene
Friesian bull: 2-month-old
Rubber castration ring (after 1 week is
too late):
•Dark, necrotic diastal part
•Swelling proximal to the ring
Blowey and Weaver, 2003
Scirrhous cordScirrhous cord
Friesian bull: 4-month-old
Enlarged spermatic cord after castration
Dry blood clot
Treatment:
• drainage,
• clinsing,
• systemic antibiotics (5 to 7 days)
Prevention
Blowey and Weaver, 2003
Scrotal frostbiteScrotal frostbite
Simmental bull: 2-year-old:
•Moderate frostbite (-30oC, 2-8 weeks
previously)
•Poor semen: < 10 % live cells
•Normal semen: within 2-3 months
Blowey and Weaver, 2003
Breeding soundness examinationBreeding soundness examination1. Free from Brucella ovis:
�Primary cause of low fertility
�Contagious venereal disease: epididymidis
� mucus membrane → blood → reproductive organs
�Enlargement and fibrosis of epididymidis
�Some case only the secondary sex glands: microscopic examination of semen, semen culture, or serology
�Treatment: immediate culling
Breeding soundness examinationBreeding soundness examination2. Libido: inadequate libido → culling
3. Physical examination: � Restraining
� Standing position
� Structural soundness examination� Feet, legs and teeth
� Physical soundness examination� BC (2,5 to 3.5),free: from foot rote, lip and leg ulcerations,
pizzle rot which can be transmitted to the ewe: if cannot be corrected: culling
Glans penis
GP: glans penis
F: free end of penis
PF: prepucial fold
UP: urethral process
Breeding soundness examination4. Examinations of reproductive organs
�Testes and epididymides
� Palpation:
� testicular tone and symmetry: pathologic problem: swelling, atrophy, lack of tone and symmetry
� Caput, corpus and cauda epididymides can be palpated : enlargement due to inflammation and fibrosis
� B. ovis: mature ram
� Histophilus spp., or Actinobacillus spp.: young ram
� Corynebacterium pseudotuberculosis
Breeding soundness examination4. Examinations of reproductive organs
�Testes and epididymides
� Scrotal circumference: scrotal tape
� > 30 cm (>150 lb)
� > 36 cm (> 250 lb)
� yearling ram (12-18 months): > 33 cm
� Turgid testes: soft, flaccid testes → poor semen quality
Breeding soundness examination4. Examinations of reproductive organs
�Testes and epididymides
� Prepuce
� free of any raw or ulcerative lesions (pizzle rot /sheath rot, ulcerative posthitis/, lip and leg ulceration or phimosis
� Penis: can be extended
� Cannot: previous injury or disease → adhesions
Breeding soundness examinationBreeding soundness examination5. Semen evaluation
�Semen quality
�Microscopic evaluation
� Motility
� White blood cells
� Morphology
Breeding soundness examinationClassification:
� free from B. ovis
�good libido
�passed structural and physical examination
Breeding soundness examinationBreeding soundness examination1. Free from congenital diseases:
�Intersexes: abnormal sexual differentiation
� True hermaphrodite: carries both gonads
� Pseudo-hermaphrodite: carries one or the other type of gonads (male PH: testes, female PH: ovaries)
Breeding soundness examinationBreeding soundness examination1. Libido
2. Physical examination� General examination: health, hind limb
� Foot rot, foot abscesses (regular trimming: important)
3. Examination of the reproductive tract
�Testes: size, form, symmetry, consistency
�Penis: urethral process: 2-3 cm: urinary calculi: removing
Breeding soundness examinationBreeding soundness examination4. Semen evaluation
� volume
�Colour
�Motility
�Concentration
�Morphology
ClassificationClassification• Excellent
• Satisfactory
• Questionable
• Unsatisfactory
Diseases of the reproductive organsDiseases of the reproductive organs
Testicular and epididymal abnormalities:�Testicular degeneration and mineralization:
hyperechoic (US)� TD or atrophy: systemic disease, epididymitis, debility due to
poor nutrition, parasitism, aging, higher or lower environmental temperature
�Testicular hypoplasia: (atrophy: difficult to distinguish)� Severe malnutrition, intersexes
� Hypothyroidism and severe zinc deficiency → reduced feed intake → decreased weight of testes and epididymis → ↓
spermatogenesis → ↓ degenerative changes of the repr. organs
Diseases of the reproductive organsDiseases of the reproductive organs
Testicular and epididymal abnormalities:
�Cryptorchidism:
� One or both testes fail to descend
� Leyding cells are not affected: libido normal
�Orchitis and epididymitis
� Testes: hot swollen and painful, systemic signs: pyrexia, depressed appetite, loss of libido, inability to walk long distances
� Chronic orchitis: fibrous adhesions: loss of testicular motilitywithin the scrotum, atrophy: indurated and fibrous testes
� Coliform, Pseudomonas
Diseases of the reproductive organsDiseases of the reproductive organs
Testicular and epididymal abnormalities:
�Sperm ganulomas: culling
� Heritable
� Corpus epididymis: efferent ductules with blindly ends →distended tubules → rupture → sperm into the stroma →severe inflammatory reaction → granuloma formation which may calcify (US: fluid filled structures) → back pressure →degeneration of testes and mineralization
� Normal libido, but sterile
Diseases of the reproductive organsDiseases of the reproductive organs
Testicular and epididymal abnormalities:
�Scrotal hernia: surgery + bilateral castration
� Described only sheep
Diseases of the reproductive organsDiseases of the reproductive organs
Penile and prepucial abnormalities
�Hypospadias and failure of prepucial closure: intersex condition
�Posthitis (pizzle rot): scabs and ulcers of the skin and mucosa:
� high protein diet and Corynebacterium renale
� Herpex virus: pustules and ulcers
Diseases of the reproductive organsDiseases of the reproductive organs
Penile and prepucial abnormalities
�Urinary calculosis:
� Urolithiasis occasionally, more frequently in castrated bucks
� Typical signs: straining and attempts to urinate
� If at the urethral process: urethrostomy
Diseases transmitted by semenDiseases transmitted by semen� Foot and mouth disease virus, bluetongue virus,
leptospiras, mycoplasmas, toxoplasmas
� Probably transmitted: Brucella melitensis, Mycobacterium paratuberculosis
Breeding soundness examinationBreeding soundness examination� Clinical examination
Extirpated boar reproductive tractExtirpated boar reproductive tract
Senger, 1999
UB: urinary bladder
DD: ductus deferens
CM: cremaster muscle
SC: spermatic cord
PS: penile shaft
GP: glans penis
T: testis
VG: vesicular gland
PG: prostate gland
UM: urethralis muscle
BuG: bulbourethral gland
BsM: bulbospongiosus muscle
CP: crus penis
IcM: ischiocavernosus muscle
RPM: retractor penis muscle
TE: tail of epididymis
BE: body of epididymis
HE: head of epididymis
Excised testicle
DD: ductus deferens
PP: pampiniform plexus
EH: epididymal head
EB: epididymal body
ET: epididymal tail
PVT: parietal vaginal tunic
Dorsal view of the accessory sex glandsDorsal view of the accessory sex glands
DD: ductus defferens
UB: urinary bladder
VG: vesicular gland
PG: prostate gland
UM: urethralis muscle
BuG: bulbourethral gland
BsM: bulbospongiosus muscle
Glans penisGlans penis
GP: glans penis
F: free end of penis
PF: prepucial fold
UP: urethral process
Diseases of the reproductive organsDiseases of the reproductive organs
• Infectious causes
– Inflammation of the testicular parenchyma:
• Brucella
• Chlamydia
• Japanese B encephalitis virus
• Rubulavirus
Diseases of the reproductive organsDiseases of the reproductive organs
• Infectious causes
– Systemic illness:
• Swine influenza virus
• Mycoplasma
• Erysipelas
Diseases of the reproductive organsDiseases of the reproductive organs
� Infectious causes
� Diseasas transmitted by semen
� Swine fever
� Leptospira
� Aujeszky’s disease (Pseudorabies virus)
� Parvovirus
� Porcine reproductive and respiratory syndrom (PRRS) virus
Diseases of the reproductive organsDiseases of the reproductive organs
� Non-infectious causes
� Ambient temperature > 27 C and 50% relative humidity or heat stress: sperm motility ↓, morphologically abnormal sperm ↑ and total sperm number ↓
� Changes: 2 weeks after initial stress exposure and can last for up to 5 to 8 weeks or more
Diseases of the reproductive organsDiseases of the reproductive organs
� Non-infectious causes
� Vaccination: PRRS, SIV, PRV
� Negative effect on spermiogram: 20.3 days
� Recovery: 5.5 weeks
Diseases of the reproductive organs
� Non-infectious causes
� Nutritional imbalances:
� Excess feed: overweight: foot and leg problems
� Restricted energy
� Selenium deficiency: ↓ sperm production and motility
� Zink deficiency: retard testicular development
� Mycotoxins (aflatoxin B1, vomitoxin, zearalenone): mold inhibitors and binding agents
Numbers of females per maleNumbers of females per maleSpecies Mating system Overall ratio
(female/male)
Spontaneously cyclic
Oestrus synchronized (OS)
In hand
Bull 20-40 10 4-12 40-80
Ram 40-80 OS in season10-20
OS out of season5-10
80-120
Boar Synchronized by weaning2 group
In hand
1-4
20-30
Roberts, 1986
Accessory sex glandsAccessory sex glands
Species Ampulla Vesicular gland
Prostate Bulbourethral gland
Stallion ++ ++ ++ +
Bull (+) +++ ++ +
Ram (+) +++ ++ +
Boar ++ + +++
(+) Ampullae are present but are not anatomically prominent