4: Urogenital 1: Castration Flashcards
How predictable is the behaviour change following castration?
very
How well adhered are the testes to the vaginal tunic?
Fairly
Why might an owner or trainer choose to castrate later?
For beneficial effects of androgens
Why might you choose to GA a donkey?
Increased haemorrhage risk
Advantages of open castration?
Quick and cheap, can do open or GA
Disadvantage of open GA?
22% complication rate
What do you give pre-op in a standing castrate?
NSAIDs and antibiotics
What do you do to the tail in a standing castrate?
Bandage
Where do you put local anaesthetic in a standing castrate?
Skin, testis, cord
What do you perforate so the testicle hangs but the vascular portion?
Mesorchium
How long do you keep emasculators on for?
2 mins
Advantage of closed castrate?
Complications only 6%, safer for vet, can do in field
Which way do you push the testicles in a closed castrate?
Caudally
Which ligatures do you place to prevent evisceration?
Encircling proximally and tranfixing distally
How cna you get better drainage following a castrate?
Resect median raphe so one single large opening
In which horses might you choose to do a scrotal ablation?
Older stallion with larger testicles
Why must scrotal ablation be sterile?
Incision closed
How can you encourage castration wounds to drain?
Gentle exercise for 2 weeks
What do you do if you get a bleeding vessel?
Grab blind and leave haemostat in for 24 hours
What do you do if you can’t find the bleeding vessel?
Pack with swabs, clsoe skin with towel clamps, can soak the swabs with ice cold saline and phenylephrine
Why should you remove clots?
Perfect media for bacteria, flush with dilute iodine
What can you mistake for a testicle?
The penis
What can you do if you cut the penis?
Amputate
How can you prevent accidentally cutting the penis?
Feel cranial and caudal pole before cutting
