Pathology of the Male Reproductive System Flashcards
- Infertility is difficult to _______ unless the cause can be readily _____ and __________
- Determining the cause is where knowledge of disease ________, ________ to injury, and __________ are so important
- Production ($$$) and companion animal ($$) species
reverse, found, corrected, processes, responses, prognoses
Cryptorchidism
* ____________ descent of the testis and _________ structures into the ________
* Complete testicular descent usually occurs ______ to birth in most species, except in ____ (by ___ months of age)
* _________/genetic
* Retained testes can be anywhere from ______ to the kidney to the ______ inguinal
ring/subcutis
* Due to ______ intra-abdominal temperature > ______ and also degeneration/atrophy > lack
of _________
* _________ or _______ (infertility)
* Prone to develop ______ and ______
- Dogs: _____ cell tumor and _____
- Stallions: ______ and _________
Incomplete, associated, scrotum, prior, dogs, 3, Congenital, caudal, external, higher, Hypoplasia, spermatogenesis, Unilateral, bilateral, neoplasia, torsion, Sertoli, Seminoma, Seminoma, Teratoma
Bilateral cryptorchidism with unilateral Sertoli cell tumor
Cryptorchidism
Sertoli cell tumor with testicular torsion
Hypoplasia
* Defined as testes that have failed to grow to _______ size, detected right _____ puberty
* ________, low incidence in ?
* Is a ________ and/or ______ condition
* ____lateral or ____lateral
* Causes: ___________, ______ and _________ disorders (reduced production of ____
and ___).
* The best known example is __________ Syndrome (____) in ?
normal, after, Sporadic, bulls, rams, horses, boars, congenital, genetic, Uni, bi, Cryptorchidism, genetic, endocrine, LH, FSH, Klinefelter’s , XXY, tricolor male cat
Testicular hypoplasia
* ______ testes and __________ from this yearling ram are very ____ compared with normal age-matched controls
* The seminiferous tubules are lined only by ______ cells, and there is no _________
Both, epididymides, small, Sertoli, spermatogenesis
Testicular hypoplasia
Normal testicular tissue
Testicular Hypoplasia
Testicles/epididymis small but movable in the scrotum. Not apparent until puberty.
Testicular Degeneration and Atrophy
* Testes that reduce in ____ ____ puberty
* Most common cause of ________
* Secondary to a variety of insults: _______, _______ loss of blood flow, advancing ___,
_______therapy, ________ and _______ diseases (_____ important), _________, ________.
* Testes is small and firm (________), may be attached to scrotal ___. Epididymis more _________ in size or even ________.
*In young growing males, the distinction between testicular degeneration
and hypoplasia is often difficult. Both lesions are often present _______ because _________ testes are prone to degeneration.
size, after, infertility, Trauma, partial, age, chemo, epididymitis, scrotal, most, hormones, neoplasia
fibrosis, wall, normal, enlarged, together, hypoplastic
Testicular degeneration and atrophy
The affected testis (right) is small, and testicular veins are
not visible on the capsule of the testis because of fibrosis
and contraction of the connective tissue. The other testis
(left) is bulbous, indicating hypertrophy
Testicular degeneration and atrophy
Interstitial fibrosis that separates the seminiferous tubules, spermatogenic arrest, multinucleated spermatids
- Hypoplasia - testicle _____ and _____ movable _____ scrotum. ________ also
small and poorly developed. _________ condition.
small, freely, within, Epididymis, Irreversible
- Degeneration/Atrophy - testicle ____, _____ and may be attached to scrotal ____.
Epididymis more ______ in size or even ______. __________ is possible.
small, firm, wall, normal, enlarged, Regeneration
What can be seen in the image below?
testicular hypoplasia (top) vs. degeneration/atrophy (bottom)
Orchitis
* True orchitis is _____. Usually associated with __________.
* Portals of entry:
rare, epididymitis
1. Hematogenous route: Brucella abortus in bulls, C. pseudotuberculosis and B.
ovis in rams, B. suis in boars, B. canis and Blastomyces dermatitidis in dogs.
2. Direct penetration (bite wound, foreign body)
3. Ascending infection - genito-urinary tract – most common: E.coli, Proteus sp.,
Staph/Strep, Histophilus sp., Actinobacillus seminis in rams
4. Peritoneal spread (Periorchitis): FIP in cats, any peritonitis
What condition can be seen below?
Causative agent?
Orchitis
Causative agent: Brucellosis - B. suis
Brucellosis - B. abortus
Necrotizing orchitis
B. suis
Orchitis
B. canis
Porcine - Glasser’s disease
Peritoneal spread - Periorchitis
Chronic Periorchitis and testicle degeneration/atrophy
Epididymal disorders
* Developmental: ________/________ and spermatic ________
* Inflammatory: Infectious (similar to _______) and non-infectious ( _________ granuloma)
Aplasia, hypoplasia, granuloma, orchitis, spermatic
Efferent ductules (Testicle – Epididymis)
Epididymal disorders: Segmental Aplasia/Hypoplasia
- Most common in _____ and involves ____ and _____ of epididymis
- Usually _________
- Can lead to ____ pressure and secondary testicular _________
- Sperm ________ secondary to obstruction
- Can lead to sperm impaction due to obstruction, _______ (spermatocele) and/or ______
(Sperm granuloma)
bull, body, tail, unilateral, back, degeneration, impaction, dilatation, rupture
What can be seen in the images below?
Spermatocele (right)
Sperm granuloma (left)
Spermatic granuloma
* Epididymal _______ with __________ of spermatozoa to the interstitium > ________ response
- Congenital defect: Always in the epididymal _____ due to ____-ended ________
ductules
- _________ trauma
- Secondary to ________
^last two are ________ along the length of epididymis
rupture, extravasation, granulomatous, head, blind, efferent, Mechanical, epididimytis, anywhere
What condition can be seen below?
Spermatic granuloma
Spermatic granuloma
The mass of spermatozoa (right) in the interstitial connective tissue of the epididymis is surrounded by
macrophages and multinucleated giant cells (arrow)