Chapter 60 - Testis part I Flashcards

1
Q

What does the scrotum of a horse contain?

A

The testes, associated ducts, and distal spermatic cords.

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2
Q

What is the function of the tunica dartos?

A

It regulates testicular temperature by relaxing with heat and contracting with cold.

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3
Q

Which vessel provides vascular supply to the scrotum?

A

The external pudendal vessels.

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4
Q

What type of muscle is the tunica dartos?

A

Involuntary muscle. This muscle
relaxes with heat and contracts with cold to regulate testicular temperature, thus varying the size of the scrotum

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5
Q

Where is the epididymis located on the testis?

A

On the dorsolateral border of the testis.

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6
Q

Name the three parts of the epididymis.

A

Head (caput), body (corpus), and tail (cauda).

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7
Q

How does sperm travel during ejaculation?

A

Through peristaltic contractions of the epididymis into the ductus deferens.

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8
Q

What covers the testis externally?

A

The tunica albuginea.

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9
Q

What is the role of the Sertoli cells in the testis?

A

They provide mechanical and nutritive support for developing spermatozoa.

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10
Q

What hormone stimulates spermatogenesis?

A

Follicle-stimulating hormone (FSH).

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11
Q

What do Leydig cells produce?

A

Androgens and estrogen.

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12
Q

What structure do the seminiferous tubules form when they converge?

A

The rete testis.

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13
Q

Where do the efferent ductules unite to form a single coiled tube?

A

In the head of the epididymis.

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14
Q

What is the inguinal canal?

A

An oblique passage in the abdominal wall through which the spermatic cord and other structures pass.

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15
Q

What forms the internal opening of the inguinal canal?

A

The deep inguinal ring.

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16
Q

What structure lines the wall of the inguinal canal?

A

The peritoneum, forming the tunica vaginalis.

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17
Q

What two layers make up the tunica vaginalis?

A

The visceral tunic and the parietal tunic.

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18
Q

What is the purpose of serous fluid in the vaginal cavity?

A

It lubricates to facilitate movement of the testis.

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19
Q

What is the gubernaculum testis?

A

A fetal mesenchymal cord that guides testis descent.

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20
Q

What does the cranial part of the gubernaculum testis become?

A

The proper ligament of the testis.

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21
Q

Where is the vaginal ring located?

A

About 10-12 cm abaxial to the linea alba and 6-8 cm cranial to the iliopectineal eminence.

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22
Q

What ligament connects the tail of the epididymis to the parietal tunic?

A

The ligament of the tail of the epididymis.

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23
Q

What could result from abnormal gubernaculum function?

A

Abdominal or inguinal retention of a testis.

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24
Q

What separates the right and left pouches of the scrotum?

A

A sagittal septum formed by the tunica dartos.

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25
Q

Which nerve supplies the scrotum?

A

The genitofemoral nerve.

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26
Q

Which tunic forms the scrotal sac lining?

A

The parietal tunic of the tunica vaginalis.

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27
Q

What hormone produced by the hypophysis stimulates Leydig cells?

A

Luteinizing hormone (LH) or interstitial cell-stimulating hormone.

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28
Q

Which side of the horse’s body usually has a larger, more caudal testis?

A

The left side.

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29
Q

The tail projects beyond the
caudal border of the testis, wraps around to the medial side, and
continues proximally as the

A

ductus deferens

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30
Q
A

Figure 60-1. Left testis and epididymis of a stallion, lateral aspect. a,
Testis; b, head of epididymis; c, body of epididymis; d, tail of epididymis;
e, proper ligamentum testis; f, ligament of the tail of the epididymis; g,
spermatic cord; h, cremaster muscle; i, external inguinal ring; j, vaginal
ring; k, visceral tunic; l, vaginal cavity; m, parietal tunic.

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31
Q
A

Figure 60-2. Graphic representation of the reproductive tract of the stallion, left-sided view. a, Testicular artery and vein; b, spermatic cords with their inguinal canal; c, external lamina of the prepuce; d, testis within scrotum; e, external inguinal ring; f, internal inguinal (vaginal) ring.

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32
Q
A

Figure 60-3. Descent of the testis. G, Gubernaculum; K, kidney; T, testis; U, ureter; V, vaginal ring.

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33
Q
A

Figure 60-4. Transverse section of the spermatic cord. 1, Testicular artery; 2, ductus deferens; 3, pampiniform plexus; 4, testicular nerves and lymphatic vessels; 5, mesorchium; 6, mesoductus; 7, cremaster muscle; 8, vaginal cavity; 9, spermatic fascia; 10, visceral layer of vaginal tunic; 11, parietal layer of vaginal tunic.

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34
Q

At what day of gestation do the gonads begin differentiating into testes or ovaries?

A

Day 40.

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35
Q

What ligament suspends the testis cranially at gestational day 55?

A

The cephalic (suspensory) ligament.

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36
Q

How large is the testis at 5 months of gestation compared to a mature stallion?

A

Nearly as large as that of a mature stallion.

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37
Q

What is the concentration of which hormone elevated in the mare during testicular hypertrophy?

A

Estrogen.

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38
Q

What is the gubernaculum’s role in testicular descent?

A

It guides the fetal testis from the kidney region to the scrotum.

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39
Q

At what gestational day does the gubernaculum begin to shorten?

A

Between 8 to 12 months of gestation.

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40
Q

What does the gubernaculum become after testicular descent?

A

It forms various ligaments, including the proper ligament of the testis.

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41
Q

What change occurs to the testis in the last month of gestation?

A

It regresses to one-tenth of its size.

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42
Q

What comprises the spermatic cord?

A

The tunica vaginalis, testicular blood vessels, nerves, lymphatics, and ductus deferens.

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43
Q

Is the cremaster muscle part of the spermatic cord?

A

No, it lies external to the parietal tunic.

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44
Q

What membrane encloses the neurovascular components of the spermatic cord?

A

The mesorchium.

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45
Q

Where does the ampulla of the ductus deferens form in the stallion?

A

Dorsal to the bladder.

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46
Q

What supplies blood to the cremaster muscle?

A

The cremasteric artery.

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47
Q

What structures are in the mesoductus deferens?

A

The ductus deferens and deferential vessels.

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48
Q

What structure is the mesoductus deferens continuous with?

A

The mesorchium.

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49
Q

What allows the testis to pass into the inguinal canal close to birth?

A

Increased intra-abdominal pressure and gubernaculum expansion.

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50
Q

What is monorchidism?

A

The complete absence of one testis.

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51
Q

How can monorchidism be confirmed?

A

Through an hCG-stimulation test or measuring anti-Müllerian hormone levels.

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52
Q

Define cryptorchidism.

A

It is a developmental defect where one or both testes fail to descend into the scrotum.

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53
Q

Why are bilateral cryptorchids typically sterile?

A

Because the seminiferous tubules are rudimentary due to high abdominal temperatures.

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54
Q

Why might cryptorchidism be considered genetically unsound?

A

The condition can be inherited and is often linked to genetic abnormalities.

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55
Q

What is the approximate prevalence of cryptorchidism among young colts?

A

About 17%.

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56
Q

Which breeds have the highest prevalence of cryptorchidism?

A

Percherons, American Saddlebreds, American Quarter Horses, ponies, and crossbred horses.

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57
Q

What dysfunction is thought to contribute to cryptorchidism?

A

Improper function or failure of the gubernaculum to enlarge or regress.

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58
Q

What role do androgens play in testicular descent?

A

They influence the development of the vaginal process and gubernaculum differentiation indirectly through the genitofemoral nerve.

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59
Q

How does the cranial suspensory ligament affect testicular descent?

A

Failure to regress may result in the testis remaining near the kidney.

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60
Q

What genetic factor was initially proposed in cryptorchidism studies?

A

Cryptorchidism could be an autosomal dominant or recessive trait, though the inheritance mechanism is complex.

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61
Q

What percentage of cryptorchid horses exhibit bilateral retention?

A

Studies show between 9% and 14%, with most retained testes being abdominal.

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62
Q

A study with 350 crypto found that ____% of left undescended testes were located within the abdomen, whereas only ___% of right undescended testes were retained abdominally

A

75% of left undescended testes were located within the abdomen, whereas only 42% of right undescended testes were retained abdominally

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63
Q

What type of intestine usually protrudes in inguinal herniation in horses?

A

Ileum or distal jejunum.

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64
Q

What is another term used interchangeably with inguinal herniation?

A

Scrotal herniation.

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65
Q

What occurs in a ruptured inguinal hernia?

A

Intestine protrudes through the vaginal ring and a rent in the parietal tunic and scrotal fascia, lying subcutaneously.

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66
Q

What distinguishes inguinal rupture from a direct hernia in horses?

A

Inguinal rupture lacks a peritoneum-lined sac.

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67
Q

Which horses are almost exclusively affected by inguinal herniation and rupture?

A

Stallions.

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68
Q

Why do geldings rarely develop inguinal hernias?

A

The vaginal rings decrease in size post-castration.

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69
Q

What type of inguinal hernia is typically congenital in foals?

A

Reducible hernia.

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70
Q

What potential congenital cause leads to inguinal hernia in foals?

A

Excessive outgrowth of the extraabdominal part of the gubernaculum

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71
Q

By what age do congenital inguinal hernias in foals typically resolve?

A

3 to 6 months.

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72
Q

what complication may arise from longstanding congenital inguinal hernias?

A

Testicular atrophy.

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73
Q

What activities may contribute to inguinal herniation in adult horses?

A

Exercise or copulation.

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74
Q

Which breeds show a higher incidence of acquired inguinal herniation?

A

Standardbreds, draft breeds, and Andalusian horses.

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75
Q

What clinical signs indicate obstruction of the small intestine in acquired inguinal hernia?

A

Nasogastric reflux recovery and palpable distended small intestine.

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76
Q

What typically causes strangulation in inguinal hernias?

A

Constricted intestine by the vaginal ring.

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77
Q

What condition may cause inguinal rupture in foals during birth?

A

Compression of the abdomen during parturition.

78
Q

How might an inguinal rupture affect the overlying skin?

A

It can reduce skin viability due to compromised blood supply

79
Q

What occurs in torsion of the spermatic cord?

A

The attached testis rotates on its vertical axis.

80
Q

What term is incorrectly used to describe torsion of the spermatic cord?

A

Testicular torsion.

81
Q

What are the consequences of testicular vessel twisting in spermatic cord torsion?

A

Venous and arterial obstruction leading to testicular congestion and edema.

81
Q

In which breed is torsion of the spermatic cord most commonly reported?

A

Standardbreds.

82
Q

What degree of spermatic cord torsion in horses generally requires emergency surgery?

A

360 degrees or more.

83
Q

What might mild torsion of the spermatic cord in an abdominally located testis cause?

A

Mild colic signs.

84
Q

What anatomic change indicates torsion of 180 degrees in the spermatic cord?

A

Tail of the epididymis in the cranial scrotum.

85
Q

Why might 360 or 720-degree torsion of the spermatic cord be hard to palpate?

A

Severe swelling masks the epididymis.

86
Q

What might predispose horses to testicular torsion anatomically?

A

Horizontally positioned testis in the scrotum.

87
Q

How might abnormal ligaments increase risk for torsion?

A

Long ligaments make the spermatic cord prone to twisting.

88
Q

What procedure can prevent torsion in the contralateral testis?

A

Orchiopexy (orchidopexy).

89
Q

What is the suspected torsion risk difference between abdominal and descended testes?

A

Higher risk in abdominal testes.

90
Q

What surgical action is often necessary in cases of severe torsion?

A

Removal of the affected testis

91
Q

How is the proper ligament related to spermatic cord torsion?

A

Abnormally long proper ligament in abdominal testis may predispose to torsion.

92
Q
A
93
Q
A
94
Q

In horses, where does torsion of the spermatic cord of the descended testis occur?

A

Intravaginally (within the vaginal process).

95
Q

What is a hydrocele?

A

An abnormal collection of serous fluid between the visceral and parietal layers of the tunica vaginalis.

96
Q

What causes a hydrocele?

A

It occurs when fluid production by the vaginal tunic exceeds the rate of resorption by lymphatic vessels and veins.

97
Q

What term is sometimes used interchangeably with hydrocele?

A

Vaginocele.

98
Q

What are some possible causes of hydrocele?

A

Testicular neoplasia, orchitis, abdominal fluid entering the vaginal cavity, parasite migration, torsion of the spermatic cord, trauma, and high temperature with inactivity.

99
Q

How does a hydrocele affect spermatogenesis?

A

It may insulate the testis, causing temperature-induced dysfunction of spermatogenesis.

100
Q

What are typical ultrasonographic findings in a hydrocele?

A

Anechoic to semiechoic fluid around the testis and epididymis.

101
Q

What is the usual treatment for a persistent unilateral hydrocele?

A

Removal of the affected testis and parietal tunic.

102
Q

Why is sclerotherapy rarely used for hydrocele in horses?

A

It is untested in stallions and could potentially reduce fertility.

103
Q

What characterizes a hematocele?

A

A collection of blood within the vaginal cavity.

104
Q

What often causes a hematocele?

A

Testicular or scrotal trauma or an extension of hemoperitoneum.

105
Q

How is a hematocele differentiated from a hydrocele?

A

Through ultrasonographic examination and aseptic aspiration.

106
Q

What potential complication can arise from a hematocele?

A

Formation of adhesions between the visceral and parietal tunica vaginalis.

107
Q

What might indicate a rupture of the tunica albuginea in a hematocele?

A

Ultrasonographic examination showing possible damage to the testis.

108
Q

What is a varicocele?

A

An abnormally distended and tortuous pampiniform plexus.

109
Q

What causes a varicocele?

A

Valvular incompetence of the testicular vein, leading to increased hydrostatic pressure.

110
Q

How might a varicocele affect spermatogenesis?

A

By causing elevated scrotal temperature and testicular hypoxia.

111
Q

What sensation might a varicocele produce upon palpation?

A

A “bag of worms” texture in the affected spermatic cord.

112
Q

What is the common treatment for a varicocele in stallions?

A

Removal of the affected spermatic cord and testis, if fertility is affected.

113
Q

What can cause a testis to retract into the inguinal canal?

A

Persistent contraction of the cremaster muscle, often due to pain.

114
Q

What surgical procedure can reposition a retracted testis?

A

Transection of the cremaster muscle.

115
Q

What is a primary presenting sign of testicular neoplasia in horses?

A

Insidious testicular enlargement.

116
Q

What are the two main categories of testicular tumors?

A

Germinal and nongerminal tumors.

117
Q

Which type of testicular tumor is the most common in horses?

A

Seminoma.

118
Q

From what cells do seminomas originate?

A

Germinal cells of the seminiferous tubules.

119
Q

How does cryptorchidism relate to seminomas in horses?

A

Seminomas occur more frequently in cryptorchid testes and older horses

120
Q

What is a potential sign of metastasis in testicular neoplasia?

A

Enlargement of the sublumbar lymph nodes.

121
Q

What is a typical appearance of a seminoma on cross-section?

A

Lobulated, homogeneous, and grayish-white or white.

122
Q

From what cells do Sertoli cell tumors arise?

A

Nonspermatogenic cells of the seminiferous tubules.

123
Q

Are Sertoli cell tumors in horses typically benign or malignant?

A

They can be malignant, with cases of metastasis reported.

124
Q

What type of testicular tumor is yellow to brown in color?

A

Leydig cell tumor.

124
Q

What is the potential association between cryptorchidism and Leydig cell tumors?

A

Leydig cell tumors often occur in undescended testes.

125
Q

what effect might a varicocele have on a stallion’s fertility?

A

It may reduce fertility, although unilateral varicoceles sometimes occur in fertile stallions.

126
Q

What is the treatment for a hydrocele if it persists despite other interventions?

A

Removal of the affected testis and parietal tunic.

127
Q

How can one diagnose a hematocele versus a hydrocele?

A

Through ultrasonographic examination and fluid aspiration to identify blood versus serous fluid.

128
Q

How might an inguinal hernia relate to the conditions described in the text?

A

It can cause testicular trauma or vascular issues, potentially leading to conditions like hydrocele or hematocele.

129
Q

What type of cells are responsible for the development of teratomas, and where are they commonly found?

A

Pluripotential cells; commonly found in the gonads.

130
Q

Which germ layers contribute to the tissue composition of equine teratomas?

A

All three germ layers: ectoderm, mesoderm, and endoderm.

130
Q

How do teratocarcinomas differ histologically from teratomas?

A

Teratocarcinomas contain undifferentiated embryonic tissue along with differentiated tissues, making them malignant.

130
Q

What common assumption about cryptorchidism and teratoma formation is debated among researchers?

A

Some believe cryptorchid testes are more prone to teratomas, while others think cryptorchidism might be caused by teratomas rather than being a predisposing factor.

131
Q

What are the defining characteristics of an equine male pseudohermaphrodite?

A

They have testes (gonadal male) but external genitalia resembling those of a female, often with hypoplastic testes and a penis-like structure resembling a clitoris.

131
Q

What potential origin of some cases of equine hermaphroditism is suggested by researchers?
.

A

Chimerism resulting from double fertilization or blastocyst fusion

132
Q

What external genital characteristics might a true hermaphrodite display?

A

They may display both male and female genital characteristics externally.

133
Q

How do teratocarcinomas and embryonal carcinomas affect the prognosis of horses compared to teratomas?

A

Teratocarcinomas and embryonal carcinomas are malignant and rapidly fatal, unlike benign teratomas.

134
Q

What chromosomal anomaly is commonly associated with equine male pseudohermaphrodites?

A

Many equine male pseudohermaphrodites are genetically female, with a 64, XX karyotype.

135
Q

What type of information is collected in the history for testicular problems?

A

Infertility, testicular pain, size changes, surgery, illnesses, and drug therapy.

136
Q

Why might knowledge of the onset of testicular pain be useful?

A

It helps in diagnosing testicular issues, especially if pain occurs after exercise or copulation

137
Q

What are the key features assessed during physical examination of the testes?

A

Size, shape, texture, and temperature.

138
Q

What does a scrotal scar potentially indicate?

A

It may suggest an attempted orchidectomy, even if it wasn’t completed.

138
Q

Why is asymmetry in the scrotum of a normal stallion common?

A

Because the left testis has a longer spermatic cord, making it more pendulous.

138
Q

What does scrotal edema usually imply?

A

It’s likely a result of fluid retention from diseases in other systems, not genital disease.

139
Q

What condition might insensitivity to digital compression of a testis indicate?

A

Neoplasia, as neoplastic testes are often less sensitive.

140
Q

What is the significance of palpating internal lymph nodes during testicular examination?

A

To check for possible lymphadenopathy associated with neoplasia.

141
Q

How should the examiner position their hand when palpating the superficial inguinal ring?

A

The palm should face the abdomen for easier palpation.

142
Q

Why might a tranquilizer be administered before testicular palpation in a cryptorchid stallion?

A

To relax the cremaster muscles, facilitating palpation.

143
Q

What anatomical feature can be mistaken for a testis in a partial abdominal cryptorchid?

A

The epididymis within an everted vaginal process.

143
Q

What is a per rectum examination used for in diagnostic procedures?

A

To assess the vaginal rings, inguinal canal, and abdominal structures for abnormalities.

144
Q

What approach is recommended if a testis isn’t found in the inguinal canal during surgery?

A

Removal through the vaginal ring or a parainguinal incision.

145
Q

What is the likelihood of correctly palpating an abdominal testis per rectum?

A

Low, as abdominal testes are small and mobile.

146
Q

How accurate is palpation of the vaginal ring per rectum for detecting the ductus deferens?

A

88% accurate.

146
Q

What precautions are taken to avoid complications during needle biopsy?

A

The scrotum is prepared aseptically, local anesthetic is used, and a strategic site is chosen.

146
Q

What is aspiration biopsy typically used for?

A

Determining the cause of testicular enlargement.

147
Q

Why is aspiration biopsy less damaging than needle biopsy?

A

It poses minimal risk to spermatogenesis.

148
Q

Why is testicular material smeared gently after aspiration biopsy?

A

Testicular cells are fragile and can be easily damaged.

149
Q

What are some of the complications specific to testicular needle biopsy?

A

Hematoma formation, necrosis

150
Q

What fixative is used for biopsy samples before laboratory examination?

A

Bouin solution, followed by storage in ethanol.

151
Q

Why is testicular biopsy used less frequently in horses?

A

Due to concerns about complications observed in other species.

152
Q

What key information does a testicular biopsy provide?

A

It assesses spermatogenesis stages, sperm production rates, and identifies space-occupying lesions.

153
Q

What are some causes of testicular enlargement that a biopsy can help differentiate?

A

Septic orchitis, neoplasia, and trauma.

154
Q

How is an aspiration biopsy performed on a horse?

A

A 23- or 25-gauge needle is inserted into the testicular parenchyma, attached to a syringe, and material is aspirated.

155
Q

Which needle sizes are commonly used for a needle biopsy of the testis?

A

12- or 14-gauge.

155
Q

Why is the craniolateral quarter of the testis preferred for needle biopsy?

A

It has less prominent vasculature and is away from the epididymis.

156
Q

Is testicular needle biopsy associated with a reduction in semen quality in horses?

A

No, a reduction in semen quality has not been observed in horses.

157
Q

When is a hormonal assay necessary in horses?

A

When physical examination cannot confirm the presence of a retained testis.

158
Q

What can be used to differentiate geldings from horses with retained testicular tissue?

A

Concentrations of testosterone or estrogen in plasma or serum.

159
Q

How quickly does serum testosterone stabilize after castration?

A

Within about 6 hours.

160
Q

What is the general testosterone concentration in castrated horses?

A

Less than 40 pg/mL.
Entire stallions was greater than 100 pg/mL.

161
Q

What causes occasional confusion in measuring basal serum testosterone?

A

Overlapping testosterone values between geldings and stallions with testicular tissue.

162
Q

How does the testosterone level of cryptorchid stallions compare to entire stallions?

A

Slightly lower in some studies, but possibly similar or higher in others.

162
Q

What seasonal effect influences testosterone levels in entire stallions?

A

Levels are often lower in winter.

163
Q

What does a response to hCG administration indicate in a hormonal assay?

A

It increases accuracy in detecting cryptorchidism.

164
Q

How accurate was the hCG-stimulation test in predicting the presence of testicular tissue?

A

94.6% accurate.

165
Q

Why is the hCG-stimulation test less reliable in young horses and in winter?

A

Due to poor response in horses under 18 months and seasonal variations.

166
Q

How long does the testosterone increase last after hCG administration in entire stallions?

A

About 10 days.

167
Q

What hormone assay was found superior to androgens in detecting testicular tissue?

A

Total free estrogen.

168
Q

What estrone sulfate level generally indicates cryptorchidism?

A

Greater than 400 pg/mL.

169
Q

How does anti-Müllerian hormone help diagnose equine cryptorchidism?

A

It is indicative of testicular tissue presence as it is produced by the testis.

170
Q

What is the biological half-life of anti-Müllerian hormone?

A

212 days.

171
Q

When does anti-Müllerian hormone become undetectable after castration?

A

Approximately 2 weeks post-castration.

172
Q

entire stallions was greater than 100 pg/mL.

A

entire stallions was greater than 100 pg/mL.

173
Q

How much do you administer of hCG and how much time do you verify the testosterone?

A

30 and 120 minutes after intravenous administration of 6000 or 12,000 units of hCG

174
Q

which animals do not consistently produce estrogen?

A

donkeys
crypto less than 3 years

175
Q

what are the estrogen values indicatve of cryptorchidism or gelding?

A

Horses with a concentration of estrone sulfate less than 50 pg/mL in plasma or serum were determined to be geldings.
A concentration in excess of 400 pg/mL indicated cryptorchidism

176
Q

which US transducer is used for transabdominal scan?

A

longitudinally placed 3.5-MHz convex probe or a 5-MHz transrectal transducer

177
Q

describe the US of a normal testicle

A

round, homogeneous structure, surrounded by a more echogenic tunica albuginea, with an anechoic line inside, representing the central vein of the testis.

178
Q

The sensitivity of transabdominal ultrasonography in detecting an undescended testis is

A

98%

179
Q

what can you perform to increase the changes of finding an abdominal testis?

A

Withold feed from 24 to 36 hours

180
Q

Transrectal US can also be performed if the testis is not found transabdominal. What is the sucess rate %?

A

100% accordingly with one report