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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 />

144

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