Repro Treatment Flashcards
(108 cards)
Absence of oestrus (+ abnormal anoestrus) to induce oestrus (companion animal)
- PMSG (pregnant mare serum) daily admin for 10 d + chorionic gonadotropin (hCG) injection
- Cabergoline - daily admin until d 2 after onset of pro-oestrus, stops prolactin (maintains end of CL as luteotrophic agent), gets bitch to start cycling again (off-license, but better results)
Prolonged oestrus - follicular cysts (companion animal)
- GnRH/hCG (chorionic gonadotropin) (ovulation)
- P4 (regression)
- Manual rupture via coeliotomy or laproscopy
- Ovariohysterectomy/ovariectomy
Luteal cysts (companion animal)
- Prostaglandins -> luteolysis -> regression -> restarts cycle
- Prolactin inhibitors (cabergoline), interrupts CL + stops P4 production
- Manual rupture via coeliotomy or laparoscopy
- OVE/OVH
Granulosa cell tumours (sex cord stroma tumours) (companion animal)
- Ovariohysterectomy (OVH)
Shorten the oestrous cycle (companion animal)
- hCG/PMSG
Vaginal neoplasia - leiomyomas, fibroleiomyoma, fibroma, lipoma, polyps, adenocarcinoma, SCC, leiomyosarcoma, TVT (companion animal)
- Surgical resection +/- ovariohysterectomy
Vaginal hyperplasia (companion animal)
- Conservative, will regress as oestrogens decline, prevent self-trauma by maintaining lubrication w/ KY jelly, preventing bitch from licking
Cryptorchidism (companion animal)
- Surgery - inguinal (ideal), paramedian (abdo - along length of penis + open up muscles), laparoscopic
Orchitis/epididymitis (companion animal)
- Castrate
- NSAIDs
- AB
Testicular neoplasia (sertoli cell tumour, seminoma tumour, leydig tumour) (companion animal)
- Castrate
Spermatic cord torsion (companion animal)
- Castrate
Scrotal hernia (companion animal)
- FNA
- Surgical excision - scrotal ablation + orchiectomy
Balanoposthitis (companion animal)
- Sedate, flush prepuce, anti-inflam, AB, manage underlying cause
Paraphimosis (companion animal)
- Lubricate + attempt replacement
- Cool wraps/hyperosmolar wraps
- Sedate/GA
- Replace
Phimosis (tight foreskin of penis) (companion animal)
- Surgical correction - open tip up more of prepuce
Priapism (companion animal)
- Non-ischaemic + no underlying cause identified - gabapentin, ephedrine, terbutaline (beta-2 adrenergic agonist)
- Severe ischaemia/unsuccessful medical management - perineal urethrostomy + penile amputation
Urethral prolapse (companion animal)
- Conservative (replacement) - usually not curative
- Often requires surgical amputation of prolapse + castration
Penile neoplasia (MCT, SCC, fibromas, lymphomas, papillomas, TVT; os penis: osteosarcomas, chondrosarcomas) (companion animal)
- Surgery (penile amputation)
- Chemo
- Radiotherapy
Penile neoplasia - transmissible venereal tumour (TVT) (companion animal)
- Castrate
- Chemo - Vincristine (0.025 mg/kg IV once weekly)
Benign prostatic hyperplasia (BPH) (companion animal)
- Castration
- Off-licence - osaterone, delmadinone acetate (Tardak), finasteride, deslorelin (castration suprelorin implant, blocks production of FSH + LH -> shrinking of testicles -> less testosterone -> smaller prostate)
Prostatic cysts (companion animal)
- Medical, same as BPH - off-licence - osaterone, delmadinone acetate (Tardak), finasteride, deslorelin (castration suprelorin implant, blocks production of FSH + LH -> shrinking of testicles -> less testosterone -> smaller prostate)
- FNA
- Surgical excision
- Marsupialisation (tapping of fluid from cysts)
Prostatitis (companion animal)
- Pain relief
- AB based on culture/rational
- Tx of underlying diseases e.g. BPH
Prostatic neoplasia (companion animal)
- Surgery if no mets (complicated, refer)
- Radiation
- Chemo (does not inc survival times significantly)
- Intra-arterial chemo
- COX-2 inhibitors e.g. Parecoxib, carprofen
- Bisphosphates
Perineal hernia (companion animal)
- Address underlying disease (e.g. enlarged prostate)
- Stool softeners
- Surgical correction