Testes, epididymis, and scrotum Flashcards

1
Q

What is the name of the attachment of the testes and epididymis to the vaginal tunic and spermatic fascia?

A

Ligament of the tail of the epididymis.

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2
Q

Does the vas deferens cross ventral or dorsal to the ureters at the level of the lateral ligament of the bladder?

A

Ventral.

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3
Q

What structures does the spermatic cord contain?

A

Ductus deferens and its associated artery and vein, testicular artery, pampiniform plexus, lymphatic vessels, nerves and cremaster muscle.

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4
Q

From which muscle is the cremaster muscle formed?

A

The internal abdominal oblique.

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5
Q

What is the vascular supply of the testis and epididymis?

A

Testicles: Testicular arteries from the aorta, venous drainage to the vena cava (right) or left renal vein (left).

Epididymis: Ductus deferens arteries from the prostatic artery (branch of the internal iliac artery).

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6
Q

What is the lymphatic drainage of the testicles?

A

Lumbar lymph nodes.

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7
Q

What are the three layers of the scrotum?

A

Skin, tunica dartos, scrotal fascia.

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8
Q

What is the vascular supply to the scrotum?

A

The external pudendal artery. Scrotal veins correspond to arterial supply.

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9
Q

What is the lymphatic drainage of the scrotum?

A

The superficial inguinal lymph nodes.

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10
Q

What are the three cells of the testes?

A
  1. Spermatogenic
  2. Sertoli: support the development and maturation of sperm. Stimulated by FSH.
  3. Leydig (interstitial cells): produce testosterone, controlled by LH in the anterior pituitary gland.
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11
Q

What are the accessory sex glands of the dog and cat?

A

Dog: prostate.
Cat: prostate and bulbourethral glands.

The prostate secretes thin, milky, alkaline seminal fluid that aids survival of spermatozoa.

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12
Q

How can a bilateral cryptorchid dog be differentiated from a bilateral anorchid or castrated dog?

A

After administration of hCG (which has a similar function as LH) should see a rapid rise in plasma testosterone levels if a testicle is present.

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13
Q

How long after castration should the penile spines on a cat disappear?

A

6-weeks

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14
Q

At what age can diagnosis of cryptorchidism be definitively made?

A

6 months.

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15
Q

Why is surgical descensus and orchiopexy not recommended for treatment of cryptorchidism?

A

Likely heritable component, therefore castration is recommended.

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16
Q

What is the rate of neoplastic transformation of a canine cryptorchid testicle?

A

9-14%

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17
Q

What concurrent congenital abnormalities have been reported in dogs and cats with cryptorchidism?

A

Dogs: Hip dysplasia, patellar luxation, defects of the penis and prepuce, and umbilical hernia.

Cats: Patellar luxation, shortened or kinked tail, tetralogy of Fallot, tarsal deformities, microphthalmia, and upper eyelid agenesis.

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18
Q

What are some causes of orchitis?

A

Bacterial (Brucella canis, Klebsiella), viral (canine distemper), fungal (Rhodotorula glutinis), or rickettsial (Rocky Mountain spotted fever).

19
Q

How can orchitis be differentiated from testicular neoplasia or torsion?

A

History, clinical findings, blood work indices, testicular ultrasonography, fine needle aspiration (FNA), testicular biopsy, and orchiectomy.

20
Q

What diagnostics can be useful for the diagnosis of testicular torsion?

A

Generally intraabdominal cryptorchid testicle. Can be identified by abdominal radiographs, ultrasound +/- Doppler, abdominal exploratory surgery.

21
Q

What are the most common canine testicular cell tumours?

A

Interstitial (Leydig) cell tumours, Sertoli cell tumours, seminomas (equal frequency).

22
Q

How much is the risk of testicular neoplasia increased in dogs with concurrent inguinal hernia?

A

4.7 times.

23
Q

What percentage of dogs with Sertoli cell tumours present with feminization syndrome?

A

16-39%. Can cause fatal myelotoxicosis (anemia, leukopenia, thrombocytopenia).

24
Q

What is the metastatic rate for Sertoli cell tumours in dogs?

A

2-10% (regional lymph nodes, lungs, kidneys, spleen, pancreas, liver).

25
What is the metastatic rate for seminomas in dogs?
6-11%. If metastasis is absent orchiectomy is often curative.
26
What other disease processes often occur in conjunction with Leydig cell tumours?
Perineal hernia (15%), perianal adenoma (37%), perianal adenocarcinoma (9%) suspected secondary to increased testosterone production.
27
Do Leydig cell tumours metastasize frequently?
No, orchiectomy normally associated with an excellent prognosis.
28
What hormonal changes are frequently seen in conjunction with Sertoli cell tumours?
Increased inhibin, decreased LH, FSH, and testosterone. Estradiol concentrations remain relatively constant and therefore feminization is thought to occur secondary to changes in the estradiol/testosterone ratio.
29
What are some differential diagnoses for testicular tumours?
Scrotal hernia, orchitis, epididymitis, testicular torsion, spermatocele, varicocele, hydrocele, hematoma, abscess, and sperm granuloma.
30
How frequent is bilateral involvement of testicular tumours?
Interstitial (Leydig) tumours 43%, 18% seminomas, 11% Sertoli cell tumours.
31
What are some potential complications associated with testicular FNA or biopsy?
Induction of immune intolerance (disruption of the blood testes barrier), local spread of infection or neoplastic cells, temporary decrease in fertility, hemorrhage, adhesions, sperm granuloma.
32
What can scrotal varicosities cause?
Hemorrhage and ulceration.
33
What are some disadvantages of neutering in male dogs?
1. Increased risk of bladder and prostate cancer. 2. Increased risk of OSA in Rottweilers neutered before 1 year of age. 3. Increase in prevalence of joint disease (2 x the incidence when neutered before 6 months) and lymphosarcoma in Golden Retrievers.
34
What are some nonsurgical sterilization techniques?
Injections with testosterone and luteinizing hormone releasing hormone agonist, chlorhexidine digluconate, GnRH, glycerol, or zinc gluconate.
35
What are some potential complications associated with scrotal castration in dogs?
Incisional inflammation (4%) and scrotal swelling (2%). May be faster and result in less postoperative trauma than prescrotal castration.
36
What are some techniques for cord ligation with feline orchiectomy?
Overhand hemostat technique, figure of eight hemostat technique, suture or hemoclip attentuation, square knot open technique.
37
How is vasectomy performed?
Either via an inguinal, open caudal midline abdominal, abdominal laparoscopic assisted approach, prescrotal or scrotal incision. Each ductus deferens is double ligated with hemoclips or suture and transected.
38
What are some surgical approaches for unilateral abdominal cryptorchid removal?
Standard caudal parapreputial midline approach, caudal paramedian (peripreputial) incision, or laparoscopy.
39
Which vessels are encountered during a caudal parapreputial midline approach to the abdomen?
The preputial branches of the external pudendal arteries/veins.
40
What is the benefit of a caudal paramedian (peripreputial) approach to the abdomen for unilateral cryptorchid removal?
Allows concurrent examination of the ipsilateral inguinal ring. Disadvantage is higher muscle morbidity and hemorrhage.
41
What are some complications associated with canine castration?
Dogs. Infection, scrotal bruising, incisional hemorrhage, scrotal or incisional swelling, scrotal hematoma. Cats: funiculitis, scrotal hematoma, scrotal abscess, priaprism (may require PU if persistent).
42
In what percentage of Greyhounds is delayed postoperative bleeding following OVH or neuter observed?
26%, suspected secondary to enhanced fibrinolysis.
43
How long after neutering or vasectomy should males be separated from estrous females?
10-14 days. Varied reports of time taken to aspermia following castration in dogs (5-21 days), and cats (49 days).