4: Urogenital 1: Castration

Question 1

How predictable is the behaviour change following castration?

Answer 1

very

Question 2

How well adhered are the testes to the vaginal tunic?

Answer 2

Fairly

Question 3

Why might an owner or trainer choose to castrate later?

Answer 3

For beneficial effects of androgens

Question 4

Why might you choose to GA a donkey?

Answer 4

Increased haemorrhage risk

Question 5

Advantages of open castration?

Answer 5

Quick and cheap, can do open or GA

Question 6

Disadvantage of open GA?

Answer 6

22% complication rate

Question 7

What do you give pre-op in a standing castrate?

Answer 7

NSAIDs and antibiotics

Question 8

What do you do to the tail in a standing castrate?

Answer 8

Bandage

Question 9

Where do you put local anaesthetic in a standing castrate?

Answer 9

Skin, testis, cord

Question 10

What do you perforate so the testicle hangs but the vascular portion?

Answer 10

Mesorchium

Question 11

How long do you keep emasculators on for?

Answer 11

2 mins

Question 12

Advantage of closed castrate?

Answer 12

Complications only 6%, safer for vet, can do in field

Question 13

Which way do you push the testicles in a closed castrate?

Answer 13

Caudally

Question 14

Which ligatures do you place to prevent evisceration?

Answer 14

Encircling proximally and tranfixing distally

Question 15

How cna you get better drainage following a castrate?

Answer 15

Resect median raphe so one single large opening

Question 16

In which horses might you choose to do a scrotal ablation?

Answer 16

Older stallion with larger testicles

Question 17

Why must scrotal ablation be sterile?

Answer 17

Incision closed

Question 18

How can you encourage castration wounds to drain?

Answer 18

Gentle exercise for 2 weeks

Question 19

What do you do if you get a bleeding vessel?

Answer 19

Grab blind and leave haemostat in for 24 hours

Question 20

What do you do if you can’t find the bleeding vessel?

Answer 20

Pack with swabs, clsoe skin with towel clamps, can soak the swabs with ice cold saline and phenylephrine

Question 21

Why should you remove clots?

Answer 21

Perfect media for bacteria, flush with dilute iodine

Question 22

What can you mistake for a testicle?

Answer 22

The penis

Question 23

What can you do if you cut the penis?

Answer 23

Amputate

Question 24

How can you prevent accidentally cutting the penis?

Answer 24

Feel cranial and caudal pole before cutting