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Basic Diagnosis of Male Infertility
Exam 2
64
Veterinary Medicine
Professional
09/28/2016

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Term
What is a breeding soundness evaluation?
Definition
-term used to describe the procedure adopted or performed to evaluate all the factors responsible for normal reproductive function
-done in both the male and female
Term
Why do we do BSE's in the male?
Definition
-primarily to ID males who could negatively impact the repro performance of the herd, flock, or individual breeding, based on their inability to meet minimal threshold standards of fertility
-pre-purchase exams
-sale requirements
-infertility
-semen freezing or extending
Term
What are the components of a male BSE?
Definition
-animal ID
-history
-purpose
-physical exam
-repro exam: internal and external
-scrotal circumference
-semen collection
-semen evaulation: motility and morphology
-classification
-culture: prepuce, penis,urethra, and semen
Term
Where do we find an animal's ID? Why do we bother with it?
Definition
-legal position: ear tag, number, tattoo, markings, etc
-reference point for any future BSE: if semen quality inc or decc over the years
Term
What are the important aspects of our history for a male BSE?
Definition
-libido
-previous BSE
-erection, intromission, and ejaculation
-infertility: individual or herd
-prior animal usage: shows, racing, hunting, field trials, etc
-prior illness
Term
What are the three types of penile deviations? Which are more common?
Definition
-cork screw, ventral deviation, "S" Shaped
-cork screw and ventral deviations more common
Term
What causes penile deviations?
Definition
-one brack of the dorsal/apical ligament is shorter
Term
When must we observe the bull in order to diagnose penile deviations?
Definition
-must watch him breed the cow
Term
How do we treat penile deviations?
Definition
-surgically
Term
What causes AV shunts? What is it? How do we treat it?
Definition
-trauma
-dorsal erectile canal cannot retain blood to stay engorged
-no treatment
Term
What are the important components to the repro hsitory of a stallion?
Definition
-breed/age
-medical history
-travel/show info
-prior illnesses
-how any mares did he breed last year/conception rate
-how are he and the mares managed reproductively
-previous BSE
-pastrue breeding or hand breeding
-is semen processed, extended, or raw
-teasing/breeding behavior
Term
Why do we perform BSE's on dogs?
Definition
-routine before breeding
-assessment of infertility/subfertility
-seminal fluid cytology and culture
-AI
-preservation fo r future AI
Term
The stallion, bull, ram, buck, and boar must be able to do what 4 things to pass a physical exam for a BSE?
Definition
-walk
-see
-smell
-hear
Term
What do we look for on external exam of the bull's scrotum?
Definition
-dermatitis: frostbite, fly, irritation
-symmetry
-shape
-trauma
-hernia
-orchitis
-epididymitis
-hydrocele
Term
What are the components of our external repro exam of the bull?
Definition
-visual exam of scrotum
-palpation of the scrotum
-testicle
-sigmoid flexure
-measure SC
-palpation of the sheath and penis
Term
How do we check for a hernia during exam of scrotum?
Definition
-check inguinal rings on rectal exam
Term
What do we look for on exam of the sheath in bulls?
Definition
-healed hematomas
-preputial abscesses: midway
-phimosis
-persistent frenulum
=fibropapilloma
-hair ring
-orf, pizzle rot = urethral process
Term
What causes preputial abscesses in the bull?
Definition
-tear of the fornix
Term
What is phimosis?
Definition
-inability to extend the penis
Term
What is paraphimosis?
Definition
-inability to retract the penis
Term
What complications do hair rings cause?
Definition
-inability to urinate
Term
Where do penile hematomas occur?
Definition
-dorsal part of sigmoid flexure
Term
What issues do we look for on the penis?
Definition
-penline hematoma
-persistent frenulum
-fibropapilloma
-frost bite
-preputial avulsion
Term
How are fibropapillomas usually attached to the penis?
Definition
-narrow stalk
Term
What commons causes an avulsion tear?
Definition
-collection with AV
Term
Where does the prepuce attach?
Definition
-at the orifice and hte glans penis
Term
What mm are a part of the ruminant prepuce? What are the exceptions?
Definition
-protractor and retractor preputial mm
-exception: Brahma/crosses
Term
What are the issues seen with the external genitalia in small rums?
Definition
-persistent frenulum
-preputial adhiesions due to trauma
-pizzle rot
-ulcerative balanoposthitis
-epididymitis
-cryptorchid
-hernia
Term
What is special about small ruminant external genitalia when compared to large ruminants?
Definition
-urethral process
Term
What are we looking for on a scrotal palpation in small rums?
Definition
-firmness
-consistency
-movable?
-symmetrical?
Term
What are we looking for on an epididymis eval on a small rum?
Definition
-swelling
-abscess
-hardening areas
-epididymitis?
Term
What are the major differences b/n the external and internal genitalia in the stallion when compared to rums?
Definition
-no sigmoid flexure
-no preputial opening
Term
What are you evaluating on manual and visual exam of the equine testicle?
Definition
-testicular orientation
-testicular dimensions
-scrotal skin thickness
-testicular size, orientation, consistency (firmness)
Term
When do we typically examine the penis of a stallion?
Definition
-immediated after ejaculation b/c the stallion is more calm
Term
What is the minimal scrotal width of a stallion? We also measure each testicle individualy. What is the purpose of these measurements?
Definition
->80mm
-measurements from each testicle for estimation of Daily Sperm Output
Term
What are the differentials for scrotal enlargement?
Definition
-scrotum: scrotal edema, dermatitis
-testicular origin: trauma, neoplasia
-epididymal origin: epididymitis
-spermatic cord: orchitis, varicocele
-vaginal cavity: hydrocele, hematocele, pyocele
Term
What are the typical abnormalities of the penis?
Definition
-trauma: penile hematoma
-neoplasia: sCC, melanoma, sarcoid
-phimosis
-paraphimosis
-priapism
-habronema: seasonal
-EHV3: equine coital exanthema
Term
The location of penile hematomas in a stallion differs than in a bull. Where is it?
Definition
-outside the tunica albuginea
Term
Why do we examine the preputialdiverticulum of a boar?
Definition
-could be contaminating the semen: infection, urine, whatever
Term
Why do we measure scrotal circumgerence in bulls?
Definition
-strong relationship b/n the testis wt and sperm pdn (concentration)
-easier and more repeatable than length, width, and depth
-semen quality has a high correlation with SC
-highly heritable trait
Term
In addition to sperm quality, what other important factors are associated with scrotal circumference?
Definition
-high heritability
-responds rapidly to selection pressure
-reliable predictor of onset of puberty
-male offspring mature sooner
-female offspring mature sooner
Term
What is the minimum SC accepted for yearling bulls?
Definition
-33cm
Term
How do we measure testicular dimensions in a stallion?
Definition
-calipers
-ultrasound
Term
What do we look for on US exam of testicles?
Definition
-measurements
-echogenicity
-masses
-hematomas
-inflammaiton
-fluid accumulation
-testicular degen
Term
What should be the US appearance of testicular parenchyma?
Definition
-homogenous and uniform
Term
What are testicular dimensions used to calculate?
Definition
-(h,w,l) used to determine the estimated daily sperm output by using equations
-testicular V = 0.52 X H X L X W
Term
Why do we take scrotal circumference in rams and bucks?
Definition
-positive correlation with testicular weight
-sperm production
-conception rate
-ovulation rate
-tweinning rate
Term
How does SC vary between seasons in rams and bucks?
Definition
-2-3cm smaller during off-season
Term
LOOK AT THE CHARTS ON SLIDES 43 AND 44
Definition
Term
What are the purposes behind an internal repro exam?
Definition
-eval internal genitalia
-pre-stim the bulls
-empty rectum to provide good contact for the probe
Term
What are the methods of semen collection for a bull?
Definition
-AV
-rectal massage
-electro-ejaculation
Term
What is the major method of semen collection for a stallion? How many samples do we take? Any additional steps?
Definition
-AV
-two ejaculates collected 1 hr apart
-have gel fraction so have o filter off before you can do motility
Term
What are the methods fo semen collection used for the ram and buck?
Definition
-AV
-electroejaculation
Term
What are the methods of semen collection in a dog?
Definition
-manual stimulation
-teaser bitch
Term
What are the methods of semen collection in the boar?
Definition
-AV NOT EFFECTIVE
-gloved hand: require pressure on distal 3cm of penis
-electrojac
Term
What are the methods of semen collection
Definition
-intravaginal sac or condoms
-vaginal sponges
-post coital vaginal aspiration
-electroejaculation: anesthesia
-AV
Term
What are the primary abnormalities seen in the semen of a bull?
Definition
-shape of head and mid piece
-proximal droplets
-loose heads
-etc
Term
What are the secondary abnormalities seen in the semen of a bull?
Definition
-tail defects
-droplets
coiled tails
-loose heads
-ec
Term
What percentage of cells do we need ot be normal on a semen eval of a bull?
Definition
-70%
Term
What do we use to stain semen for sperm morphology?
Definition
-Eosin-nigrosin stain
Term
What color are viable sperm with eosin-nigrosin stain?
Definition
-viable: white
Term
At what magnification do you observe sperm morphology? How many cels do you count?
Definition
-100X with oil
-count at least 100
Term
What cells can you NOT see on exam of sperm to remain viable breeder?
Definition
-NO WBC's
Term
What are the requirements for a satisfactory potential breeder in genera?
Definition
-physically sound
-30% individual motility
-70% normal cells
-no WBC's
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