Clinical Examination of Farm Animals - CYF MEDICAL DISTRIBUTION
Clinical Examination of Farm Animals - CYF MEDICAL DISTRIBUTION
Clinical Examination of Farm Animals - CYF MEDICAL DISTRIBUTION
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CHAPTER 11<br />
urethral rupture occurring near the scrotal neck,<br />
urine may leak into the scrotum. As a result, damage<br />
to scrotal tissues, especially the skin, may occur. In<br />
animals which have been vasectomised, vertical<br />
scars are seen on the skin <strong>of</strong> the scrotal neck, usually<br />
on its anterior surface.<br />
Testes These should be mobile within the scrotum.<br />
Enclosed by the tunica vaginalis, their movement is<br />
aided by the lubricating action <strong>of</strong> small amounts <strong>of</strong><br />
peritoneal fluid. The greatest testicular movement is<br />
within the dorsoventral plane. Lateral movements<br />
are restricted by the scrotal septum formed by layers<br />
<strong>of</strong> the tunica dartos. The testes are most effectively<br />
examined by gently moving them ventrally in the<br />
scrotum using pressure from the clinician’s fingers<br />
and thumbs (Fig. 11.2). The surface <strong>of</strong> the testes<br />
should be smooth and firm, and their consistency<br />
that <strong>of</strong> a ripe tomato. Occasionally, defects in the<br />
tunica albuginea which covers each testis may be<br />
palpated. The testicular contents may bulge through<br />
such defects in the form <strong>of</strong> a spermatocoele or sperm<br />
granuloma. Such lesions may develop as a result <strong>of</strong><br />
obstruction <strong>of</strong> semen outflow following vasectomy<br />
or injury.<br />
The two testes should be approximately the same<br />
size and consistency. In the uncommon condition <strong>of</strong><br />
testicular hypoplasia both testes are much smaller and<br />
s<strong>of</strong>ter than usual. In this hereditary condition sperm<br />
output is absent or severely decreased. Testicular<br />
degeneration can also result in a reduction <strong>of</strong> testicular<br />
size and is <strong>of</strong>ten caused by an earlier infection. Sperm<br />
output is again reduced and large numbers <strong>of</strong> abnormal<br />
sperm may also be seen. Cryptorchid animals<br />
have only one scrotal testis and should not be used<br />
for breeding. The other organ may be retained within<br />
the abdomen, be partially descended or palpable<br />
near the external inguinal ring.<br />
Disparity in testicular size may be seen in cases <strong>of</strong><br />
orchitis affecting one testis. The affected organ may<br />
be enlarged, giving the scrotum an asymmetrical appearance.<br />
The affected testis may be painful to the<br />
touch, firmer than the normal testis and also less<br />
mobile within the scrotum.<br />
Overall testicular size and volume are approximate<br />
measures <strong>of</strong> sperm output and can be equated<br />
with the scrotal circumference measured with a tapemeasure<br />
at its largest point (Fig. 11.3). Scrotal circumference<br />
increases with age and is normally within the<br />
range 28 to 35 cm.<br />
The testes can be evaluated by ultrasound either<br />
directly or using a stand-<strong>of</strong>f technique. Both testes<br />
normally have a similar echodensity and have<br />
a number <strong>of</strong> horizontal bands <strong>of</strong> greater echodensity.<br />
In cases <strong>of</strong> chronic inflammatory disease the<br />
affected testis may have scattered areas <strong>of</strong> increased<br />
echodensity.<br />
A testicular biopsy may be collected by direct removal<br />
<strong>of</strong> a small portion <strong>of</strong> testis or using a needle<br />
biopsy technique. The biopsy can provide useful his-<br />
Figure 11.2 Palpation <strong>of</strong> the testes – see text for details.<br />
Figure 11.3 Measurement <strong>of</strong> the scrotal circumference.<br />
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