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Clinical Examination of Farm Animals - CYF MEDICAL DISTRIBUTION

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CHAPTER 11<br />

cally. The efferent ducts <strong>of</strong> the head and the ductus<br />

epididymis <strong>of</strong> the tail are readily demonstrable as<br />

fluid filled channels which are less echodense than<br />

the surrounding tissues.<br />

Spermatic cords These are readily palpable as they<br />

run dorsally from each testis towards the inguinal<br />

canal. The cords should be approximately equal in<br />

size, consistency and compressibility. The cords may<br />

become thickened, less mobile and painful to the<br />

touch when inflamed. They contain the spermatic<br />

artery, veins (including the pampiniform plexus),<br />

lymphatics, nerves and the vas deferens. The contents<br />

<strong>of</strong> the cord can be gently compressed, allowing<br />

them to be identified and compared. The vas<br />

deferens is readily identified as it runs dorsally in<br />

the medial part <strong>of</strong> the spermatic cord. It is approximately<br />

3 mm in diameter and less compressible<br />

than surrounding tissues. In fat animals, deposits <strong>of</strong><br />

adipose tissue may surround the lower part <strong>of</strong> the<br />

cord within the tunica vaginalis. Inguinal hernia is a<br />

rare condition in cattle. If present, a loop <strong>of</strong> bowel or<br />

mesentery may be palpable and in many cases is<br />

readily pushed back up into the peritoneal cavity.<br />

Penis This runs from the caudal part <strong>of</strong> the pelvic<br />

urethra to the glans penis, which in its non-erect,<br />

fully retracted state lies within the caudal part <strong>of</strong> the<br />

prepuce. The pointed anterior tip <strong>of</strong> the penis can be<br />

palpated through the preputial skin 10 cm or more<br />

caudal to the preputial orifice. The penis is covered<br />

by the thick, smooth and flexible tunica albuginea<br />

which encloses the two main erectile channels – the<br />

corpora cavernosae penis. A smaller erectile channel<br />

– the corpus cavernosum urethrae – surrounds the<br />

urethra . Penile erection is a reflex act which is induced<br />

by neurohormonal stimulation. The arterial<br />

blood supply to the penis is increased whilst venous<br />

drainage is decreased. Relaxation <strong>of</strong> the retractor<br />

penis muscle allows the sigmoid flexure to straighten<br />

and the penis to be extruded from the prepuce. Occasionally<br />

abnormal vessels or anastomoses between the<br />

arterial and venous circulations prevent penile erection<br />

from occurring. Affected animals are described<br />

as being impotent and unable to serve.<br />

Glans penis This can only be inspected after it is exposed<br />

by passing through the preputial orifice. Abnormalities<br />

such as a persistent frenulum deviating the<br />

penis downwards when erect and spiral deviation <strong>of</strong><br />

the penis (‘corkscrew penis’) may be observed at this<br />

stage (Fig. 11.5). In prepubertal calves the glans penis<br />

is adherent to the prepuce and cannot be extruded. A<br />

brief inspection <strong>of</strong> the glans penis can be carried out<br />

at the time <strong>of</strong> service or when the bull is sexually<br />

aroused. A more detailed examination requires<br />

either a general anaesthetic or a pudendal nerve<br />

block to allow relaxation <strong>of</strong> the retractor penis muscle.<br />

Massage <strong>of</strong> the accessory glands per rectum may<br />

result in penile extrusion, but is unreliable. The glans<br />

Glans penis<br />

Figure 11.5 Spiral deviation <strong>of</strong> the penis.<br />

146

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