4, 5, 6: clin approach to M repro failure Flashcards
1* cause for M repro fail?
management
what is impotentia coeundi?
conditions that interfere w ability of M to complete copulation successfully
C - cannot do it
what is impotentia generandi?
conditions resulting in conception failure after normal copulation
Gen - can do it but it is not successful
ex of impotentia coeundi:
unwilling to breed
unable to copulate
why might an animal be unwilling to breed?
inherently poor libido
psychogenic impotence [some kind of negative reinforcement]
why might animal be unable to copulate?
non genital dz - musculoskeletal or extremely poor BCS
path problem, may or may not involve normal libido
how common is inherently poor libido?
not common - very rare
over diagnosed
causes of poor libido?
- abnormality of sexual development
- e2 secreting neoplasia (sertoli cell tumor)
how does time of puberty contribute to impotentia coeundi?
immature, inexperienced
behavior - needs time and practice to figure out how to do it
also new Mm and Nn used in process of mating/copulation
examples of social cues importance for impotentia coeundi?
- take stud dog to FM territory
- old, dominant hembra may not kush for novice M
- young boar may not breed of older or dominant boar is around
how can psychogenic impotence impede M ability to breed?
- negative reinforcement for sexual behavior display [often in show animals]
- overuse
- inadequate facilities: slippery floor, roof too low, etc
come musculoskeletal issues making M unwilling or painful when mounting?
- hind feed : abscess, white line dz, interdigital fibroma in bulls
- hocks : poor conformation - joint pathology, chronic high demands physically
- back issue: vertebral spondylosis in old bulls
ex of neuro issues making M unwilling to mount or unable to mount?
neurologic
- equine protozoal myelitis
- wobbler’s dz [stallions]
- degenerative myelopathy
- dog; lumbosacral dz
why not able to achieve intromission?
failure to achieve erection
erectile dysfunction (abnormal erection)
lesions of penis / prepuce
what does erection require?
- neuro output
- occlusion of venous outflow from cavernous spaces by contraction of ischiocavernosus Mm (ICM)
- ICM contraction -> inc blood flow into penile Aa and cavernous spaces -> inc CCP pressure -> erection
mechanism of erection failure, possible issues?
failure of neuro input
lack of blood flow into CCP
leakage of blood from CCP
MC neuro or blood flow issue to penis pathology?
neuro issues are more common
what may occur if there is a rent in the corpus spongiosum penis of the stallion?
Tx?
- small rent: normal erection
- hemospermia
- No Tx
how does hemospermia affect stallion and dog sperm?
stallion - kills sperm
dog - okay, no effect
what happens when broken penis occurs in bull?
where is MC site?
why does it occur?
- ruptured tunica albuginea (TA) allows blood to escape from CCP and form hematoma
- MC site: just distal to sigmoid flexure, near insertion of retractor penis M
- there is a drastic pressure change from non erection to erection
- if an unnatural force bends penis during erection
- typical story: heifer collapses during mating and breaks penis of bull
clin signs of broken penis in bull?
acute and chronic presentation?
- preputial swelling just Cr to scrotum
- abscess of hematoma site
- prolapse of internal preputial lamina and penis
- secondary trauma to prolapsed tissue
acute: hematoma
chronic: abscess
dx broken penis in bull?
Tx?
clin signs
u/s - see disrupted TA, hematoma or abscess
u/s guided needle aspiration to differentiate hematoma from abscess
Tx? acute: drain and lavage abscess
chronic: poor prognisis - salvage semen if valuable bull
MC reason M fails to achieve intromission due to abnormal erection? bulls
penis deviations
what is corkscrew penis in bulls?
can be repaired? heritable?
spiraling of penis that normally occurs after intromission takes place prematurely, px intromission from occurring
progressive - may have low preg rate 1st season then worse rates 2nd season
heritable - no repair - soln is to cull
persistent penile frenulum: what is it? what species? how does it affect breeding ability? Tx?
- fibrous attachment of lamina interna to free portion of penile tip
- penis fails to protrude fully and may deviate ventrally
- bull, dog, boar, camelids
- frenulum normally disrupted at puberty
- heritable in angus
- surgically disrupt for commercial stock production ONLY; NOT for seedstock offspring
- or cull
what species may experience congenital “shortness” of the penis?
cause?
associated w other issues?
bull, buck and boar
- bull may get heifers preg but not cows b/c can’t reach cows
absence of sigmoid flexure - penis cannot extend so cannot reach
may be assoc w split scrotum
what is hypospadias?
species MC seen in?
how does it affect breeding?
associated w other issue?
- varying location of urethral orifice [penile, scrotal, perineral]
- lack of penile protrusion so inability to achieve intromission
- MC in dog and buck but all species can have it
- assoc w cleft scrotum
penile paralysis def:
no feeling in penis
impotentia coeundi
paraphimosis def:
internal lamina of prepuce is outside of sheath and cannot be retracted into penis
impotentia coeundi
priapism def:
erection in absence of sexual arousal or prolonged erection after
impotentia coeundi
phimosis def:
impotentia coeundi
penis cannot get out of sheatl
lesions of prepuce that potentially px protrusion and intromission?
- congenital preputial stenosis
- adhesions btwn penis and prepuce OR internal lamina / sheath
- trauma w 2* inflammation, infection
balanitis def:
penis inflammation
posthitis
prepuce inflammation
balanoposthitis def?
how does it affect ability to breed?
penis and prepuce inflammation
impotentia coeundi - px protrusion and intromission
balanoposthitis in stallion:
predisposition?
resolve issue?
cause / concurrent path?
- excessive sheath cleaning may predispose
- normal flora is good
- hard to resolve
- consider SCC, equine coital exanthema (EHV3)
- may be sign of something worse
- secondary infections may occur
balanoposthitis in dog:
cause?
Tx? prognosis?
disruption of normal flora - opportunistic infection
- tx: preputial lavage and intramammary abx
- maybe systemic abx
- okay prognosis
balanoposthitis in bull:
cause?
Tx?
- infectious pustular vulvovaginitis virus (genital BHV1)
- venereal dz
- ulcerations, erosions, sloughing of penile mucosa, 2* bacT infection
- adhesions if severe => can cause phimosis if severe
- Tx: sexual rest
- prophylactic intra preputial abx infusion to px 2* bacT infections
balanoposthitis in sheep: MC in ram or wether? common name? etiology? predisposition? Tx?
- MC wether over ram
- aka pizzle rot
- cause: corynebacterium renale
- high protein intake -> inc urea in urine -> inc bacT conversion to ammonia -> urine scalding of prepuce -> necrosis, blockage of preputial orifice -> urine retention
- ulceration and adhesions of penis
- Tx: dec protein intake and shear underside of ram/wether
phimosis:
- cause?
- how does it affect breeding?
- Tx/prognosis
- congenital: persistent penile frenulum or preputial stricture
- trauma
- chronic inflammation and or infection
- px protrusion
- tx depends on casue: Sx maybe
congenital better prognosis than acute trauma better prognosis than chronic inflammation/infection
preputial eversion:
when is physiological and when is pathological?
physio: bulls and stallions when urinating; post breeding in macho
- ‘hanging out’ - predisposes to internal lamina trauma
Tx preputial eversion?
prognosis?
- fast to px 2* trauma and necrosis
- clean: dec edema w hydroscopic agent -> replace -> purse string suture
- abx, anti inflammatories
- sexual rest
- good prognosis
extended penis anatomy: distal to proximal?
preputial ring or reflection
free portion of prepuce or lamina interna
external preputial orifice
sheath
equine pathology of penile paralysis and paraphimosis?
- EMP, EHV, spinal cord injury occurs
- dec retractor penis M tone
- penile paralysis
- penile swelling
- paraphimosis
- out: swells worse, inc intra preputial pressure
- paraphimosis, swelling, M fxn compromise - cycle continues and worsens
do not give what drug to stallions to px paraphimosis?
ace
Tx paraphimosis?
mechanical: hydroscopic agents (glycerol, epsom salt soak), massage distal to proximal, assess tissue health
medical: hydrothearapy to dec edema, clean gross area, NSAIDs, abx (systemic and topical)
mgmt: assess urination, retraction, forced exercise, cold water 15 mins BID, avoid sexual arousal
- ## may use compression bandage, topical tx for lubrication and abx
methods of retention for tx paraphimosis?
- purse string suture (local anesthetic)
- penis retainer (homemade)
- probang penis repulsion device (PCV pipe anchored to ventral body wall, holds penis)
- towel clamps
indications for urinary catheter placement?
- penile paralysis
- paraphimosis
- rare: spinal cord lesion (stallion)
- preputial injury NOT commonly effect urination so NOT an indication
chronic paraphimosis options for bull, stallion, gelding, dog?
bull: semen collection if wanted and if possible - cull
others:
phallectomy
perineal urethrostomy
castration (if intact)
paraphimosis prognosis in stallion?
good if Tx before 24 hours
prognosis worsens with time
paraphimosis prognosis in bull?
better if Tx in acute phase
2* infection, adhesion make prognosis worse
dog paraphimosis: etiology?
Tx?
prognosis?
emergency!!!
abnormal preputial orifice (lax, stenotic) or too short prepuce
failure to replace penis into prepuce after breeding
trauma
intra perputial messes (TVT)
Tx - same idea: clean, hydroscopic agents, lubricate, catheter if needed, abx
prognosis: Tx in 24 hrs improves prognosis
may need Sx to enlarge preputial orifice or amputate penis
castrate
priapism MC affects what species?
stallion / gelding
then dog
then bull, ram, buck
t/f: priapism is not an emergency
FALSE
emergency in any species
etiology and pathophysiology of priapism in equine:
- lesions of spinal cord, nematodiasis, neoplasia
- dec venous drainage from CCP
- persistent erection and penile protrusion
- edema at preputial reflection
how to differentiate priapism from edema in equine?
priapism: firm core of penis to shaft - cannot be reduced back into sheath
NOT priapism: edema and can be put back into sheath
edema prominent in priapism?
where is it found?
little edema present
if so, MC loc at preputial reflection
priapism in dog:
etiology?
- trauma post mating
- neuro disorder [distemper, spinal cord]
- penile thromtoembolism
- UTI
- constipation
- idiopathic