Chapter 111 Testes, Epididymides and Scrotum Flashcards

(39 cards)

1
Q

Label the diagram

A
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2
Q

Where does the vas deferens (=ductus deferens) insert?

A

Prostatic urethra

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3
Q

What structures are contained in spermatic cord?

A
  1. Vas fererens (+ a. & v.)
  2. Testicular artery
  3. Pampiniform plexus
  4. Lymphatic vessels
  5. Nerves
  6. Cremaster muscle
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4
Q

What muscle is the cremaster muscle formed from?

Where does it insert

A

Internal abdominal oblique

Inserts on spermatic fascia and travels along external surface of parietal vaginal tunic

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5
Q

What is the arterial supply to the testicle?

And epididymis?

A

Testicular artery (from aorta at level of L4. ≈ovarian artery)

Ductus deferens artery (=branch of prostatic = branch of internal iliac. ≈vaginal artery)

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6
Q

Where do the R and L testicular veins drain into

A

R into CVC

L into L renal vein

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7
Q

List the 3 layers of the scrotum

A

Skin

Tunica dartos

Scrotal fascia

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8
Q

What is the name of the shiny white capsule covering testis?

A

Tunica albuginea

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9
Q

What is principal arterial supply to scrotum?

A

External pudendal (≈ vuvla)

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10
Q

What nerve supplies scrotum?

A

Pudendal

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11
Q

What 3 cell types form the seminiferous tubules?

A

Leydig/interstitial cells --> testosterone production. stimulated by LH (from anterior pituitary)

Sertoli cells –> support spermatozoa. Stimulated by FSH

Spermatogenic cells

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12
Q

What are the accessory sex glands in dogs?

And cats?

A

Dog = prostate

Cat = prostate + bulbourethral gland

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13
Q

Name a particular property of prostatic fluid and its function

A

Alkaline to support spermatozoa survival in acidic female reproductive tract

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14
Q

Name the fibrous connection that puls testis into scrotum

A

Gubernaculum

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15
Q

Name 5 features of scrotum that help maintain low temp:

A
  1. Thin scrotal skin
  2. Sparse hair (dogs)
  3. Abundant sweat glands
  4. Little sc fat
  5. Cremaster m. and tunica dratos can control proximity to body
  6. Pampiniform plexus -wrapped around artery–> countercurrent heat exchange
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16
Q

Compared with body temp, what should testicular temp be

17
Q

How can bilateral cryptorchid be differentiated from anorchid

A
  • Imaging
  • Ex-lap
  • Testosterone concentration (give human chorionic gonadotrophin)
  • Check for presence of penile spines in cats (they are testosterone dependent. Disappear 6 weeks after castration)
18
Q

List 2 potential secondary complications of cryptorchid testicle

A
  • Neoplasia
  • Torsion
  • (Concurrent congenital anomalies)
  • (Urine spraying in cats)
19
Q

What is incidence fo neoplasti transformation of retained testicle in dogs?

A

10%

unknown in cats

20
Q

Increased rates of which 4 concurrent abnormalities have been noted in cryptorchid dogs?

A
  1. Hip dysplasia
  2. Patella lux
  3. Penile/prepuce defects
  4. Umbilical hernia
21
Q

What is the name of the hyperechoic central linear structure seen on US of testis

A

Mediastinum testis

22
Q

Give an example of each potential cause for orchitis/epididymitis

Bacterial

Viral

Fungal

Rickettsial

A

Bacterial: Brucella, Kleb

Viral: Distemper

Fungal: Rhodotorula glutinis

Rickettsial: Rocky Mountain spotted fever

23
Q

List 3 primary tumours of testis. With what relative frequency do they occur?

How does frequency change if testicle is inguinal?

A

Leydig/interstitial cell

Sertoli (sustentacular) cell

Seminoma

Represented in near equal frequency

If inguinal testicle –> Sertoli cell and seminoma twice as likely vs abdominal cryptorchid)

24
Q

What type of testicular tumour most commonly –> feminization?

A

Sertoli cell tumour

(but feminization also reporetd with leydig/interstitial cell tumour and seminomas)

Sertoli cells can also produce excess progesterone

25
What % of dogs with sertoli cell tumour present with feminization?
15-40%
26
Name 3 potential haematological changes that result from excesss oestrogen
Anaemia, leukopaenia, thrombocytopaenia i.e. myelosuppression Guarded prognosis if present
27
What is metastitic rate of sertoli cell tumour?
2.5 - 10%
28
What is metastitic rate for seminoma? Sites?
6-11% Epididymis, tunica albuginea, lungs, LNs
29
What paraneoplastic syndrome are Leydic (/intersitial) cell tumours associated with?
increased testosterone --\> perianal adenoma (37%) --\> perianal gland adenocarcinoma (9%) --\> perineal hernia (15%)
30
Metastatic testicular tumours rare. What type has been reported? where should you look for primary?
Adenocarcinoma Primary in GI tarct
31
What hormonal change in sertoli cell tumours is thought to result in feminization?
Increase in oestradiol:testosterone ration (rather than increase in peripheral oestradiol 17β)
32
List 10 ddx for testicular tumour
1. Torsion 2. Orchitis 3. Epididymitis 4. Scrotal hernia 5. Haematoma 6. Abcess 7. Sperm granuloma 8. Spermatocoele 9. Varicoele 10. Hydrocoele
33
What is incidence of bilateral involvement in: Leyding/interstitial cell tumour Sertoli cell tumour Seminoma
Leyding/interstitial cell tumour 43% Sertoli cell tumour 11% Seminoma 18%
34
What is a hydrocoele
Fluid accumulation around testis
35
WHat may be cause ofa spermiostatic granuloma/cyst
Epididymal occlusion (congenital aplasia or aquired duct occlusion)
36
List 2 secondary scrotal neoplasms
Sertoli cell tumour Leydig (/interstitial cell) tumour
37
How do caudal castration complication rates compare to prescrotal?
Similar 4% inflammation 2% scrotal swelling
38
Delayed (36-48h) post-op breeding has been reported in what % of greyhounds undergoing neutering?
26%
39
How soon after castration do dogs become aspermic?
5d Up to 21d after vasectomy Adv o no mating for 2 weeks warn re small risk