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Clinical Examination of Farm Animals - CYF MEDICAL DISTRIBUTION

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CHAPTER 11<br />

age to the tunica albuginea may occur if the bull or<br />

heifer moves suddenly during service. Caudal to the<br />

scrotum, parts <strong>of</strong> the sigmoid flexure may be palpable<br />

in younger bulls and older bulls who are not overweight.<br />

Very occasionally, damage to the tunica<br />

albuginea may also occur in this area. The penis is seldom<br />

palpable as it leaves the pelvis and runs down<br />

the perineum towards the sigmoid flexure.<br />

Prepuce This is situated on the ventral surface <strong>of</strong><br />

the body running forward from the neck <strong>of</strong> the scrotum<br />

to a point near the umbilicus. It is covered in a<br />

loose layer <strong>of</strong> skin and lined by a mucous membrane<br />

which is reflected onto the surface <strong>of</strong> the penis. When<br />

the penis is fully retracted, the prepuce forms a sac<br />

25 to 40 cm in length. During penile erection the sac<br />

is everted and the mucous membrane extended and<br />

exposed.<br />

The preputial orifice, which has a sphincter, is found<br />

on the anterior end <strong>of</strong> the prepuce. It is surrounded<br />

by long hairs which are usually damp. If the animal<br />

is suffering from urolithiasis the hairs may be dry with<br />

adherent uroliths. This condition is discussed under<br />

the renal system (Chapter 9). A purulent preputial<br />

discharge may indicate infection <strong>of</strong> the prepuce.<br />

In cases <strong>of</strong> balanoposthitis, some <strong>of</strong> which are associated<br />

with infectious bovine rhinotracheitis/infectious<br />

pustular vulvovaginitis/infectious pustular<br />

balanoposthitis (IBR/IPV/IPB) infection, the prepuce<br />

and penile surface may become severely inflamed<br />

and ulcerated. The area is painful to the<br />

touch, and the bull may become unwilling or unable<br />

to extrude or retract his penis. In some bulls, especially<br />

those at AI stations, the preputial mucosa may be<br />

periodically everted but retracts fully if the bull is<br />

disturbed. If the preputial mucous membrane is exposed<br />

to the air for long periods or is damaged, it<br />

readily becomes dry and infected. Withdrawal then<br />

become difficult or impossible.<br />

The prepuce should be examined and palpated<br />

from its origin near the scrotum to its orifice. S<strong>of</strong>t,<br />

fluctuant and sometimes painful swellings at its anterior<br />

end may be caused by subcutaneous abscesses.<br />

Firm caudal swellings caused by local enlargement <strong>of</strong><br />

the underlying penis just anterior to the scrotum may<br />

be caused by rupture <strong>of</strong> the tunica albuginea <strong>of</strong> the<br />

penis (‘fractured penis’). This is also discussed above<br />

under ‘Penis’. These swellings can be more fully investigated<br />

with the help <strong>of</strong> ultrasound, and in some<br />

cases by needle aspiration and identification <strong>of</strong><br />

contents.<br />

Rectal examination<br />

This is an important and essential part <strong>of</strong> the examination<br />

<strong>of</strong> the genital system <strong>of</strong> the bull. It enables the<br />

accessory sexual organs which are situated mainly<br />

on the pelvic floor to be examined and appraised<br />

(Fig. 11.8). These structures are rarely involved in disease,<br />

but may individually or together become infected<br />

with serious consequences for semen quality<br />

and fertility. They should be methodically examined<br />

in the bull, commencing with the pelvic urethra to<br />

which the other structures may be readily related.<br />

Pelvic urethra This is readily palpable in the midline<br />

<strong>of</strong> the pelvic floor as it runs backwards from the<br />

neck <strong>of</strong> the bladder to the perineum. It is firm and<br />

non-compressible. Pulsations can be felt when the<br />

animal is passing urine or attempting to pass urine,<br />

and may be induced by palpation.<br />

Ampullae <strong>of</strong> the vas deferens These are palpable as<br />

firm tubes 4 to 8 mm in width as they pass round the<br />

anterior border <strong>of</strong> the pubis and enter the dorsal wall<br />

<strong>of</strong> the urethra adjacent to the seminal vesicles. They<br />

can be moved slightly in a lateral direction and are<br />

normally non-painful to the touch.<br />

Bovine prostate gland The prostate gland has two<br />

parts. The body is a firm, smooth, elastic structure approximately<br />

1 cm long (anteroposterior size) and<br />

2 cm in width. It is a saddle-like structure which is<br />

readily palpable as a protuberance on the cranial<br />

part <strong>of</strong> the pelvic urethra. The disseminated part <strong>of</strong><br />

the prostate surrounds the pelvic urethra and is<br />

not normally identifiable. The bovine prostate is<br />

rarely involved in disease, but if inflamed the body<br />

may be painful to the touch.<br />

Bulbourethral glands These are small, paired and<br />

situated at the caudal end <strong>of</strong> the pelvic urethra just<br />

before it turns ventrally to run down the perineal<br />

area. The glands are usually covered by the bulbospongiosus<br />

muscle and are rarely palpable.<br />

148

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