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 />
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 />
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