Scrotal Ablation Research Articles

Surgical management of squamous cell carcinoma of the canine male external genitalia: 15 cases (1994-2020)

Fifteen male dogs with squamous cell carcinoma of the external genitalia were admitted for further investigation and surgical management between 1994 and 2020. The dogs belonged to various breeds. Thirteen dogs were intact and two were castrated with a median age of 8 years and a median weight of 28 kg. Seven dogs were white-coated and eight nonwhite coated. Scrotal ablation and orchiectomy were performed in four dogs, partial penile amputation in two, partial penile amputation plus partial preputial ablation in one, penile amputation, and scrotal urethrostomy in seven, and local preputial excision in one dog. Postoperative complications included hemorrhage in 10 dogs, bruising at the urethrostomy site in seven, and urethrostomy dehiscence in one dog. Tumor recurrence was recorded in six dogs. Dogs with poorly differentiated tumors that had tumor recurrence had shorter survival and worse prognosis compared to those with well and moderately differentiated tumors. The mean survival time was 48.132 months. After a median follow-up of 23 months (range: 8 to 72 months), eight dogs were alive, five were euthanized and two dogs died from unrelated causes. Surgical excision seems to be a treatment option for dogs with squamous cell carcinoma of the external genitalia.

Funiculitis causing sepsis-associated laminitis in a Mangalarga Marcha-dor gelding

Castration is one of the most common surgical procedures performed in equine practice, and potential complications may range from mild to life-threatening condi-tions. This paper aims to report clinical and la-boratory features, treatment, and long-term follow-up infor-mation in a case of fu-niculitis causing sepsis-associated laminitis and acute renal failure (ARF) in a Mangalarga Marchador gelding. A 5-years-old Mangalarga Marchador gelding was referred for hospital care after seven days of an open orchiectomy approach on farm-setting. Physical exami-nation revealed hypere-mic mucous mem-branes, dehydration, tachycardia, scrotal swelling with a foul-smelling serousangui-nous discharge, in-creased hoof tempera-ture and digital pulse amplitude, and lame-ness. Laboratory find-ings included leukocy-tosis by neutrophilia, hypoalbuminemia, high creatinine, and urea levels, and an increased number of bacteria, leukocytes, and hyaline cylinders on urine anal-ysis. After three days of intensive care, the horse underwent gen-eral anesthesia for scro-tal ablation and resec-tion of the infected spermatic cord stumps. Microbiological assays revealed Streptococcus spp. and a multi-resistant Escherichia coli. This report high-lights uncommon post-castration complications in a Mangalarga Marchador gelding as a consequence of septic funiculitis. Further-more, the microbiologi-cal isolation of a multi-resistant E. coli strain raises concerns about the indiscriminate use of antibiotics in equine practice.

Studi Literatur Implementasi Kastrasi pada Anjing

Castration is one of the important aspects in the management of maintain and care for animals. The purpose of this study was to determine the age of castration in small and large breed dogs, to know purpose of carrying out castration in dogs, to know the techniques of castration in dogs. This literature study is obtained from searching and collecting various library sources from Google Scholar with the help of the Mendeley application. Based on the results of the study, age is the most important risk factor for most diseases. Castration age in large breed dogs should be done at a minimum age of 15-18 months and in small breed dogs at a minimum age of 5 months because in large breed dogs castration before 1 year can cause osteosarcoma and if castration under 6 months has a significant risk factor for the emergence of a tibial plateau angle. The aim of implementing castration in dogs is to control the population, prevent aggressive behavior, roaming and congenital abnormalities, and to prevent the occurrence of diseases such as Sertoli cell tumors in dogs with cryptorchid. Dog castration techniques that can be used are open prescrotal or scrotal castration, closed prescrotal or scrotal castration, perineal castration and scrotal ablation. The open castration technique is preferred in larger dogs because the ligation can be placed directly around the vascular pedicle and provides a safer ligation. Closed castration techniques are preferred over open techniques. This method is usually performed on small or young dogs. Based on the results of open castration studies, it shows a higher complication rate than closed castration. The closed castration technique has the disadvantage that the binding is less secure because the vessel is tied while it is surrounded by the tunica and cremaster muscles attached rather than directly tied.

Urethral cutaneous fistula correction using an autologous tunica vaginalis pedicle flap in a four-year-old intact male German shepherd dog.

Urethral cutaneous fistulas are rarely reported in dogs. Several techniques have been described to treat urethrocutaneous fistulas with different degrees of success. This case report is on a four-year-old male intact German shepherd diagnosed with urethrocutaneous fistulas after two weeks of dysuria. The urethra was repaired using an autologous tunica vaginalis pedicle flap after open castration and scrotal ablation. The dog was catheterised for two weeks after which a positive contrast urethrogram revealed a healed urethra with no stricture or leakage into surrounding tissue. The dog was discharged the following day after normal urination. Follow-up examination with the referring veterinarian at five months confirmed that the dog was clinically healthy and urinating normally. Literature about urethrocutaneous fistulas is lacking in the small animal field. To our knowledge there are no reports in the literature describing the use of an autologous tunica vaginalis pedicle flap for the repair of a urethral defect in dogs. This case report describes a novel technique to treat urethrocutaneous fistulas in an intact male dog.

Unilateral orchitis‐epididymitis and diffuse periorchitis in a dog due to β‐haemolytic streptococcal infection

AbstractEpididymitis can be associated with orchitis and periorchitis, and can be classified as acute or chronic, and of an infectious or non‐infectious aetiology. This study aims to describe a case of orchitis‐epididymitis and diffuse periorchitis due to β‐haemolytic streptococcal infection. The dog presented at the veterinary service with an enlarged, hyperaemic scrotum with regional acute pain, lethargy and hyporexia. In the ultrasound exam, an abnormal amount of peritesticular anechoic fluid and enlargement of the left epididymis was observed. Treatment consisted of a bilateral orchiectomy and scrotal ablation. The histopathological exam indicated left orchitis‐epididymitis and diffuse periorchitis, with neutrophilic inflammatory cell infiltrate and the presence of coccoid bacteria. The microbiological exam isolated β‐haemolytic streptococci. Bilateral orchiectomy and the use of a specific antimicrobial was effective in treating the condition.

Surgical management of orchitis in Gir bullock by scrotal ablation technique

Surgical management of orchitis in Gir bullock by scrotal ablation technique

Urethral stenting in a dog due to compression and invasion by a liposarcoma

AbstractAn approximately 10‐year‐old, mixed breed, entire male dog was referred for acute onset of urethral obstruction. Abdominal ultrasound was unremarkable, complete blood count, serum biochemical analysis and urine analysis were all unremarkable. A retrograde urethrogram demonstrated narrowing of the urethral lumen caudal to the ischiadic arc. Urethral stenting with a self‐expanding nitinol stent was performed and the patient was without symptoms over a 6‐month period. After that time, ingrowth of tissue into the stent lumen could be seen via a new retrograde urethrogram; therefore, a covered stent was placed into the previously placed uncovered stent. Clinical signs resolved immediately. Another contrast study 4 months later demonstrated almost complete obstruction at the distal end of the stent. Scrotal ablation with perineal urethrostomy was performed and tissue samples submitted for histopathology. Liposarcoma was diagnosed. The patient was urinating without problems, but suddenly died at home 1 week after the last surgery.

Surgical management and long‐term outcome of complete penoscrotal transposition in a dog

AbstractA 1.66 kg, approximately 4‐week‐old, intact male canine mixed breed was evaluated for 'urinating backward'. Genitourinary evaluation revealed that the preputial opening was not patent, and his penis traversed in a caudal direction, exiting in the perineum caudal to the scrotum. Testicles were not palpated at this time. Over an 8‐week period as the dog continued to undergo musculoskeletal maturation, the scrotum would become intermittently infected, and the dermal exit site of the penis constricted the penis resulting in marked paraphimosis. En bloc preputial resection, phallectomy, scrotal ablation, castration and perineal urethrostomy (PU) were performed to correct this abnormality. Histopathology confirmed only a left testicle within the scrotum. Abdominal imaging and anti‐Mullerian hormone assay confirmed right testicular cryptorchidism. Two months after the initial surgery, successful removal of the retained right testicle was performed, and the dog was reported to be urinating through the PU stoma normally. This is the first reported case of penoscrotal transposition in a dog.

Unusual case of splenic haemangiosarcoma with suspected scrotal metastasis in a 13-year-old English Pointer

Visceral haemangiosarcoma is an aggressive neoplasm, often associated with a high metastatic potential. The most common sites for metastases are the liver, lungs, peritoneum, muscle and lymph nodes. This report...

Acute Canine Monocytic Ehrlichiosis and Sertoli Cell Tumour in an Eleven-‎Year-Old Dachshund Cross-Bred Dog

An eleven-year-old Dachshund cross-bred dog was presented to the Small Animal Clinic of Ahmadu Bello University Veterinary Teaching Hospital, Zaria, with complaints of reduced appetite noticed 2 days earlier, and an enlarged testis was noticed three months prior to presentation. Clinical diagnosis was based on history of reduced appetite and enlarged testis; physical findings such as pyrexia, tick infestation, congested ocular mucous membranes, generalized enlarged superficial lymph nodes, enlargement of the mammary glands, alopecia, atrophy of the right testis and discoloration of the scrotum with large, firm palpable mass; complete blood count revealed slight anaemia (PCV 34 %, neutrophilia (12.88 x 109/L) and presence of band cells (0.32 x 109/L); buffy coat smear showed the presence of intracytoplasmic morulae in just one monocyte in the peripheral blood smear; Ehrlichia canis antibodies was detected in serum using Ehrlichia test kit (immunochromatography); serum oestradiol-17β (42.05 pg/mL) and anti- Müllerian hormone (AMH; 25.50 μg/mL) were employed as serum tumour markers; transverse and longitudinal scrotal sonographs revealed diffuse non-homogenous tissues with increase in the echogenicity of the testicles; radiographic findings of thoraco-abdomino-pelvic regions revealed normal organ opacity indicating absence of metastases. Tissue samples were taken from the tumor following surgical excision and submitted for histopathology. The findings were large cytoplasmic vacuoles with slightly irregular nucleoli. It was confirmed to be sertoli cell tumor. The conditions were managed medically, and by surgical excision of the tumour and scrotal ablation. Outcome was successful, and patient started feeding 24 hours after the surgery.

Scrotal stalk ablation and orchiectomy using electrosurgery in the male sugar glider (Petaurus breviceps) and histologic anatomy of the testes and associated scrotal structures

This report describes an alternative surgical technique for performing scrotal ablation and orchiectomy in the adult male sugar glider (Petaurus breviceps) using electrosurgery. Eight animals from a local small mammal shelter group that presented for routine surgical castration for population control measures were included in this study. Mean surgical time was 4.37 ± 2.13 seconds. Mean anesthesia time was 12.32 ± 5.63 minutes. Mean recovery time was 8.37 ± 3.68 minutes. Mean total procedure time was 22.24 ± 5.69 minutes. No perioperative complications were reported. All animals appeared to have sufficient pain management with an analgesia and anti-inflammatory protocol using butorphanol and meloxicam. No over grooming and or self-injurious behaviors were reported by the local shelter during both the 24-hour and 14-day recheck examinations. Electrosurgery scrotal ablation and orchiectomy therefore offers an alternate route for the practicing veterinarian to perform safe and efficient castrations in male sugar gliders. Histologically, in the epididymis, 3 of the 8 sugar gliders had evidence of a well-defined region in the head, between the efferent ducts and the remaining epididymis. The lining cells differed morphologically from those constituting the remaining epithelial lining. The presence of eosinophilic vacuoles in the cytoplasm of the cells in this region suggests a secretory activity.

Scrotal ablation and orchiectomy in the domestic laboratory goat (Capra hircus)

Domestic goats (Capra hircus) have been used as animal models in biomedical research, and for numerous years for agricultural research and models for human diseases. This column describes an improved surgical technique, for castration of male goats, similar to companion animal techniques for use in the laboratory setting. The technique discussed supports a more in-depth perioperative protocol for performing scrotal ablation and orchiectomy in the male goat.

Squamous Cell Carcinoma of the Penis with Pulmonary Metastasis and Paraneoplastic Hypertrophic Osteopathy in a Dog

Squamous cell carcinoma of the penis was diagnosed by incisional biopsy of a penile mass in a 12 yr old intact male beagle dog presenting with hemorrhagic discharge from the prepuce. Penile amputation, orchiectomy with scrotal ablation, and scrotal urethrostomy were performed. Hypertrophic osteopathy secondary to pulmonary metastatic disease occurred 10 mo after the surgery. Palliative treatment with piroxicam was administered and led to complete resolution of the clinical signs of the pain. Sixteen months following surgery, the dog presented with significant dyspnea and anorexia and was euthanized due to poor prognosis. This case report describes a rare penile tumor, squamous cell carcinoma. Consequent paraneoplastic hypertrophic osteopathy and its palliative treatment are also reviewed.

Surgical Management of Hydrocele in Two German Shepherd Dogs

Two German shepherd dog aging six and eight years were presented to Department of Veterinary Surgery, Tirupati with the history of scrotal swelling. Physical examination revealed enlarged and pendulous scrotum. Ultrasonography and percutaneous drainage of fluids were performed. It revealed the presence of serous fluid in the intrascrotal structures, suggestive of hydrocele. Under general anaesthesia, scrotal ablation was performed. The animals were premedicated with atropine sulphate and xylazine hydrochloride. The animal was induced and maintained using propofol intravenously. Curvilinear incision was made on both sides at the base of scrotum and both the testes were separated and ligated using Chromic Catgut no.1. Both the testicles were removed along with the scrotal skin and scrotal septum. Subcuticular and skin sutures were placed. Regular post operative care was given and both the animals had an uneventful recovery.

Bull castration by method of total scrotal ablation

In this work, a 2 years and 10 months old bull, with 14 days history of wound on the right side of scrotum was presented. A painful swelling coated by grayish pseudo membranes of necrotic epithelium and fibrin was observed in right lateroventral portion of the scrotum. The presented data enabled us to make decision of performing the total scrotal ablation. The intention was to prevent the influence of probable resorbed necrotic tissue on the vital status of the patient.

Surgical Affections of Scrotum in Bulls - A Report of Three Cases

Two bullocks and a bull of different ages were presented to clinic with chronic orchitis, pyocele and hydrocele respectively. As the medical treatment failed, scrotal ablation was carried out under sedation with xylaxine along with local analgesia by lignocaine. Maintaining good postoperative measures rewarded proper recovery.

Necrosuppurative Orchitis and Scrotal Necrotizing Dermatitis Following Intratesticular Administration of Zinc Gluconate Neutralized With Arginine (EsterilSol) in 2 Mixed-Breed Dogs

Intratesticular injection of EsterilSol (zinc gluconate neutralized with arginine) is a chemical sterilant for male dogs sometimes used in population control campaigns. Adverse reactions have been reported in 1% to 4% of treated dogs, but detailed histomorphologic descriptions are lacking. During a behavioral study conducted in the Chilean Patagonia in 2012, severe necrosuppurative orchitis and ulcerative dermatitis were observed in 2 of 36 (6%) dogs sterilized with EsterilSol according to the manufacturer's instructions. Reactions were noted on days 8 and 7 postinjection and required scrotal ablation on days 8 and 13, respectively; neither reaction was associated with the injection site. Although self-trauma following administration may have contributed, the cause of the adverse reactions is uncertain. EsterilSol is a relatively uncomplicated method to sterilize male dogs, but the occurrence of severe adverse reactions several days after administration emphasizes the need for the provision of long-term monitoring and veterinary care during sterilization campaigns using this product.

Inguinal-Scrotal Urinary Bladder Hernia in an Intact Male Domestic Rabbit (Oryctolagus cuniculus)

An 8-year-old intact male dwarf rabbit (Oryctolagus cuniculus) was presented with a 2-month history of unilateral scrotal swelling. The external physical examination of the rabbit patient confirmed the severe, unilateral, fluid-filled scrotal distention. Radiographic images of the effected scrotum revealed a soft tissue swelling in the area of the left testicle, and the absence of the urinary bladder in the caudal abdomen. Ultrasonography verified the presence of a fluid-filled mass in the scrotum, enveloping the left testicle. A fine-needle aspiration of the scrotal mass yielded urine, thus a diagnosis of a nonreducible herniation of the urinary bladder into the scrotum was made. An inguinal herniorrhaphy was performed, and the bladder was successfully reduced into the abdominal cavity. A bilateral routine castration and left scrotal ablation were also performed. Two months after surgery no recurrence was noted, and the patient had normal urinary function. Inguino-scrotal bladder herniation is rare in both humans and animals. Male rabbits are predisposed to inguinal and scrotal hernias because their inguinal rings remain open throughout life. Herniation of the urinary bladder should be considered as a differential diagnosis when intact male rabbits are presented with unilateral scrotal swelling.

Unilateral periorchitis with a secondary peritonitis in a Standardbred stallion

SummaryA 6‐year‐old Standardbred stallion presented for evaluation of progressive diffuse scrotal swelling of 5 days' duration. Physical examination was within normal limits apart from pitting ventral oedema and severely enlarged fluid filled scrotum. Rectal examination did not reveal any abnormalities in the palpable intestinal tract, spleen, kidneys or internal inguinal rings. Testicular ultrasound examination showed evidence of abnormal right testicular parenchyma that was displaced proximally by a heteroechoic region of possible abscessation. The left testis was surrounded by a large amount of hypoechoic fluid. Abdominocentesis was performed and was indicative of peritonitis. Broad‐spectrum antimicrobials and analgesics were administered preoperatively and a bilateral open orchidectomy with closure of the external inguinal ring in addition to scrotal ablation was performed. Post operative peritoneal lavage was performed once a day for 3 days. There were no complications associated with recovery or within the immediate post operative period. The horse was released to the care of his owners 5 days following surgery and has returned to his previous racing performance level.

A Novel Technique for Orchiectomy and Scrotal Ablation in the Sugar Glider (Petaurus breviceps)

In this report, we describe a simple, safe, and efficacious technique for orchiectomy and scrotal ablation with the use of a carbon dioxide light amplification by stimulated emission of radiation (laser) in sugar gliders (Petaurus breviceps). The study population included nine sugar gliders, ages 2-24 mo, presented for orchiectomy. After induction of general anesthesia, orchiectomy and scrotal ablation were performed by severing the scrotal stalk with the laser. All sugar gliders were discharged the same day. Mean anesthesia time was 6.09 +/- 0.94 min. Mean surgery time was 15.11 +/- 8.39 sec, and mean recovery time was 4.11 +/- 3.60 min. With an outlier removed, mean recovery time was 2.95 +/- 1.03 min. No serious postoperative surgical complications were observed. The technique described is a simple procedure with rapid surgical and recovery times that has the potential to become the standard procedure for orchiectomy and scrotal ablation in sugar gliders.