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 />
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 />
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