Ch.43 Male Reproductive Disorders Flashcards
If a stallions penis is injured while erect, it may swell rapidly and massively from vascular rupture and hemorrhage. Hemorrhage usually originates from where?
superfiicial penile vessels in the plexus external to the tunic albuginea
testicular anatomy
stallion penis anatomy
stallion penis anatomy
stallion accessory sex glands
The penis of bulls is susceptible to injury during mating due to
vigorous thrust that accompanies copulation
Bulls: during copulatory thrusting in which the penis is bent, what occurs?
The tunica albuginea ruptures on the dorsal surfeace of the penis opposite teh attachment of the retractor penis mm
consequence of bulls with penile hematomas
larger hematomas restrict full retraction of the penis and result in prolapse of the prepuce from the sheath
Diagnosis of penile hematoma
presence of a swelling immediately cranial to the scrotum– initially soft, fluctuant and painful, then becomes firm as clot organization and fibrin formation progress
Main ddx for penile hematoma
extensive preputial laceration
others include:
rupture of urethra
abdominal hernia
chronic, fibrous adhesions
What signs are typically not seen with penile hematoma?
-dysuria
-other signs of urethral rupture or blockage, such as extensive preputial cellulitis and water belly, INC BUN/CREA, tissue necrosis
What are possible sequelae to penile hematomas:
abscess formation
fibrous adhesions
venous shunts that communicate between the CCP an other peripenile vasculature or corpus spongiosum penis (CSP)
-failure to find females vagina and/or ejaculate (dorsal nerve of the penis are damaged)
-not able to have full erection
Approximately what percentage of bulls with hematomas that are treated conservatively are reported to return successfully to breeding?
approx 50%
Advantages of surgical correction for penile hematoma:
- removing the blood clot before extensive fibrous adhesions develop
- permitting removal of a blood clot from w/in the body of the CCP itself, therefore reducing the chance of blockage of the cavernous filling
- suturing the tunica albuginea, which should reduce the chance of recurrence of the condition after return to service and likelihood fo developngi vascular shunts tha twill prevent complete filling of the CCP
When should surgical correction of a penile hematoma not the attempted?
-before coagulation of the extravasated blood
-once significant fibrin formation is present, px of successful correction is greatly reduce and should be attempted only in valuable bulls
When should surgical correction of a penile hematoma not the attempted?
-before coagulation of the extravasated blood
-once significant fibrin formation is present, px of successful correction is greatly reduce and should be attempted only in valuable bulls
Recommendations before electing surgical intervention for penile hematoma in bulls
-manually extending penis– extended 6 to 8 inc or more beyond heath orifice and penile sensation remains= good px
-if engorgement of the distal penis does not occur after careful stimulation w/ the electroejaculator, blockage of the CCP should be suspected and reduces the prognosis
-abscesses- poor risk b/c severe restrictive adhesions that usu develop
Conservative tx of penile hematomas
- antimicrobials (prevention of abscess formation)- penicillin best d/t usu T. pyogenes infection
Reasons for phimosis in stallions
stenosis preputial orifice
-sequelae to injury leading to cicatrix formation (rarely congenital
-infectious: eq coital exanthema & dourine
Tumors: melanomas or SCC
Habronema granulomas
Define phimosis
inability to extend the penis into the prepuce
Treatment of phimosis in stallions
-diuretics and exercise (tx edema)
-cryotherapy
-emollient antibiotic preparations and hydrotherapy
-systemic antibiotics
NSAIDS
-sexual rest
-sx removal of cicatrix scars (sometimes successful)
-habronemiasis: systemic insecticides or ivermectin– kill larvae
What gene is linked to weak or failed development of the preputial mm, leading to habitual preputial eversion, which predisposes to injury in bulls?
Polled gene
Causes of phimosis in bulls
trauma to prepuce
congenital anomalies: such as short penis, short retractor mm
developmental anomalies: pseudohermaphrodites
Phimosis is rare in small ruminants, but may be due to:
-congenital -acquires- d/t adhesions or preputial scarring with trauma or balanoposthitis
–acquired phimosis in sm ruminants may be d/t: ulcerative prosthitis d/t Corynebacterium renale, C. pilorum or, C. cystitidis
define paraphimosis
inability to retract the penis into the prepuce
define priapism:
persistent erection
Penile paralysis in stallions likelyd evelops sceondary to:
insuffieicent tone of the trator penis mm
Motor innervation of the retractor penis mm is supplied by
alpha adrenergic fibers
**alpha adrenergic blocking drugs, such as phenothiazine derivative tranquilizers are admin– paralysis of mm can cause penile prolapse
Development of priapism:
-engorgement of CCP with blood and although the horse may not achieve full erection, penis is not flaccid
-penis fails to detumesce, CO2 tension in the CCP increases resulting in INC blood viscosity& subsequent venous occlusion where collecting veins joint the cavernous spaces
-edematous swelling fails of corporal trabeculae further dec venous outflow, thus INC the likelihood of irreversible venous occlusion, fibrosis and arterial occlusion
Causes of penile paralysis
-exhausted or debilitated horses
-myelitis
-spinal injury
-severe injury to penis
What is prognosis for stallion paraphimosis
px for recovery- guarded to grave as chronicity of the problem increases
Treatment of paraphimosis
-retaining the penis within the prepuce: purse string or pro-bang or bottle technique
-injecting bezotropine mesylate (drug induced)
phenylephrine into CCP
-flush CCP with heparinized LRS with 12 gauge needs to remove sludged blood (priapism of 12 to 24 hours duration)
-amputation if blood clot present, px is poor
Causes of paraphimosis in bulls
-same as phimosis
plus: penile tumors, parasitic invasion, traumatic or spinal dz, inadvertently severe retractor penis mm, physical trapping d/t constricted prepuce after injury
-spinal injury
-rabies
C/S of uroliths in stallions
-dribbling of urine with chronic cystitis
-dysuria and stranguria
-occasional hematuria
-recurrent colic
-stilted, painful gait in hind quarters
Define balanitis
inflammation of the glans penis
Define posthitis
inflammation of prepuce
define balanoposthitis
inflammation of prepuce and glans penis
Causes of balanoposhtitis
dourine
equine herpesvirus 3 (EHV-3)
miscellaneous bacteria
parasites
Causative organism of equine coital exanthema
EHV-3
How do stallions become infected with EHV-3
Inapparently infected mare transmits the virus to a stallion at time of breeding
**vice versa
Stallion C/S of Equine coital exanthema
systemic manifestations: dullness, anorexia and fever
-vesicles: up to 1.5 cm, penis then prepuce
-pustules, with raised borders– slough and ulcerate
-refuse to breed mares (when leasons are present)
–healed lesions– depigmented spots
Diagnosis of equine coital exanthema in stallions
-characteristic C/S
-PCR of of swabs or scrapings from edge of lesions, inclusions in lesion specimens or confirmed by using EM typical herpesvirus particles in fluid or tissue samples
Treatment of EHV-3 in stallions
infection is usu self-limiting
If concerned for bacterial infection affecting fertility of stallions, where should swabs be collected from?
-fossa glandis
-free portion of the penile body
-folds of external prepuce
**before washing the genitalia of stallion presented to a mare in behavioral estrus
Treatment of stallion infected with Pseudomonas aeruginosa and Klebsiella pneumoniae
-washing penis (including fossa glandis & diverticulum) daily with iodine based surgical scrub
- rinse with tape water with dilute disinfectants
-drying of penis followed by application of 1% SSD
**concern with reinfection from removing natural flora from the stallions genitals.
transfaunation with healthy stallion smegma may be indicated
Balanoposthitis in bulls is usually associated with traumatic injury and then infection. What infectious agents have been reported to cause Balanoposthitis without trauma?
-bovine rhinotracehitis-infectious pustular vulvovaginitis (IBR-IPV) caused by bovine herpesvirus 1 (BHV-1)
-tuberculosisi
-screwworm infestation
Bulls: acute lesions caused by BHV-1
-numerous small pustules that progress to ulcers and erosion
-purulent preputial discharge
-prepuce and penis inflamed and swollen
Bulls treatment with BHV-1 ccaused balanoposthitis?
spontaneously heal in 1 week and usu complete in 2 weeks
How long should bulls with balanoposthitis be sexually rested?
for 6 to 8 weeks to prevent spread and avoid abrasions
**can be spread venerally for 2 weeks or longer
Bulls infected with BHV-1 remained infected for life, as the virus remains latent in what location?
in the sacral ganglia
Viral shedding of BHV-1 in semen is intermittent, if valuable bulls need to be used, what should be performed?
detection of BHV-1 in semen by real-time PCR is more sensitive than virus culture isolation, two straw of extended processes ejaculate are necessary to detect the presence of the virus
In sheep, important to differentiate pizzle rot from
ulcerative dermatosis (caused by parapozivurs)
What is a cause of balanoposthitis in males and vulvovaginitis in female goats?
caprine herpesvirus
**can also cause abortion
Penile deviations can occur in stallions due to what pathogenesis?
D/t semen collection through most of their breeding carrier– most commonly (in US) to the right d/t repeat bending of the penis to the left to facilitate entry into the artificial vagina which causes damage tot eh CCP/tunic albuginea on right side, resulting in filling defects and fibrotic lesions that lead to penile deviation
define phallocampsis
deviation of the erect penis
phallocampsis is common in what spp
bulls
what is the most common cause of phallocampsis in bulls?
due to persistent penile frenulum
other causes: spiral, ventral and S -curved deviations
Less common; preputial or penile injury
Describe the appearance of a persistent penile frenulum in the bull during erection?
-remains connected to ventral surface of tip of penis & prepuce an causes the penis to bend ventrally during erection by prevention complete extension