Testicular and scrotal trauma
Synonym(s): testicle, scrotum, haematoma, hematoma
Introduction
- Cause: trauma maybe occur from kick during mating, fighting between bulls and jumping over fences.
- Signs: scrotal edema and hemorrhage, orchitis, secondary bacterial infection.
- Diagnosis: history and clinical signs. FNA with cytology may be utilized.
- Treatment: surgical closure of wounds or irrigation and management of contaminated or infected sites.
- Prognosis: temporary or permanent effect on fertility.
Pathogenesis
Etiology
- Kicks during mating.
- Fighting (particularly when bulls are introduced to a new bull herd).
- Jumping over fences.
- Trauma may occur following ‘mis-service’ (eg, slipping off of a female mid-mount or attempting to serve a cow through a hazard such as a barbed wire fence).
- Iatrogenic presentations include dramatic testicular swelling following castration using the Burdizzo method or the inappropriate use of elastrator rings Castration: methods.
Predisposing factors
- Anatomical location of the pendulous testicles in the scrotum.
Pathophysiology
- Trauma to scrotum results in pain, scrotal and preputial edema, scrotal hemorrhage, elevated scrotal temperature, pain, hematocoele formation or rupture of the tunica albuginea (often leads to testicular Hematoma Hematoma Penile hematoma).
- If hematocele occurs this may lead to adhesions within the scrotum (particularly between the visceral and parietal tunics).
- Testicular/scrotal trauma may be associated with unilateral or bilateral enlargement of testicles and Orchitis Orchitis.
- Severe trauma to the scrotum may result in epididymal duct blockage which can lead to sperm-free seminal fluid ejaculate.
- Puncture wounds or lacerations of the scrotum can result in additional problems such as secondarily bacterial infection.
- Intrascrotal hemorrhage and/or edema often becomes organized if left untreated to form fibrous tissue; also cicatricial (healed) scar formation that obstructs the epididymis may interfere with thermoregulation of Spermatogenesis Spermatogenesis leading to degeneration of seminiferous tubules and progressive testicular atrophy.
Diagnosis
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Treatment
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Prevention
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Outcomes
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Further Reading
Publications
Refereed Papers
- Recent references from PubMed and VetMedResource.
- Migbaru K, Sisay G & Kasa T (2014) Study on Gross Testicular Disorders of Bulls Slaughtered at Addis Ababa Abattoirs Enterprise. J Reprod Infertility 5 (2), 45-49.
- Statham J M E (2010) Differential diagnosis of scrotal enlargement in bulls. In Practice 32, 2-9.
- Penny C (2009) The development of a UK bull breeding soundness evaluation certificate. Cattle Practice 17, 64-70.
- Eppink E (2006) A survey of bull breeding soundness evaluations in the south east of Scotland. Cattle Practice 13, 205-209.
- Penny C (2005) Practical semen collection and examination techniques for breeding soundness evaluation of bulls. Cattle Practice 13, 199-204.
- McGowan M (2004) Approach to conducting bull breeding soundness evaluations. In Practice 26, 485-491.
- Entwistle K & Fordyce G (2003) Evaluating and reporting bull fertility. Aust Assoc Cattle Vet.
Other sources of information
- Smith B P (1996). Large animal internal medicine. pp 140.