Scrotal Testes Research Articles

Analysis of transcript and methylation levels of INSL3 and RXFP2 in undescended and descended dog testes suggested promising biomarkers associated with cryptorchidism

Cryptorchidism is the most common disorder of sex development (DSD) in dogs. This malformation is associated with reduced fertility and with a higher risk of gonadal cancer. Testicular descent is a complex process, and the functions of many environmental and genetic factors are crucial for the proper migration of fetal gonads into the scrotum. Among these, the hormone INSL3 (insulin-like peptide 3) and its receptor RXFP2 (relaxin family peptide receptor 2) play crucial roles in the transabdominal migration of the testes. The genetic background of canine cryptorchidism is poorly elucidated. The aim of this study was to compare the transcript and methylation levels of INSL3 and RXFP2 genes in undescended and descended testes of isolated unilateral cryptorchids, and in gonads of control male dogs with scrotal testes. Next, we searched for polymorphic variants in the 5′-regulatory regions of both genes associated with predispositions to cryptorchidism. The INSL3 transcript level was significantly higher in the undescended testes than in the descended testes of both the affected and control dogs. On the other hand, the mRNA level of RXFP2 was significantly lower in the retained gonads of cryptorchids than in the scrotal testes. The methylation level of a single CpG site located 15 bp upstream of the translation start codon in INSL3 was significantly higher in the testes of the control dogs than in both gonads of cryptorchids. The methylation level of 14 CpG sites in the coding region of INSL3 was significantly higher in undescended testes than in the scrotal testes, which may be associated with the higher mRNA levels of INSL3 observed in these samples. The methylation pattern of two CpG sites in the 5′-flanking region of RXFP2 was similar in both descended and undescended testes. We detected three and seven single nucleotide polymorphisms (SNPs) in the 5′-regulatory regions of INSL3 and RXFP2, respectively. Among these, the frequency of A > C substitution (ss7093349755) located 495 bp upstream of the transcription start site of RXFP2 differed significantly between cryptorchids and control dogs. Our study showed two possible genetic biomarkers associated with canine cryptorchidism: a hypomethylation of a single CpG site in the 5′-flanking region of INSL3, and the ss7093349755 SNP in the 5′-flanking region of RXFP2.

Abnormal histology in testis from prepubertal boys with monorchidism

BackgroundLittle is known about the histology of contralateral descended testes in boys with unilaterally absent testis. We investigated whether absence of one testis is associated with abnormal tissue architecture of the solitary contralaterally descended testis.Design, setting, and patientsFor this retrospective study, we examined the results of biopsies of the contralateral descended testis in 43 boys with monorchidism. Data from 26 control testes from boys of matching ages were selected from results published in 1977 and 2009. During surgery, any nubbins were removed. In each case, the scrotal testis was biopsied, and the testis fixed by subdartos pouch or suture.ResultsOf the 43 affected boys, 23 had normal testicular histology in the contralateral descended testis, whereas 20 (46%) had abnormal histology. Eight of the abnormal biopsies matched the criteria for high infertility risk. Samples from three boys in this latter group revealed a Sertoli-cell-only phenotype. Immunohistochemical assays were positive for steroidogenic acute regulatory (STAR) protein in Leydig cells and spermatogonia. STAR expression was stronger in the monorchid group with normal testicular histology.ConclusionsAlmost half of the patients with unilateral absent testis were at risk for subfertility or infertility. Our results emphasize the need for testicular biopsy of the solitary testis in boys with monorchidism to appropriately assess infertility risk.

Altered expression of CYP17A1 and CYP19A1 in undescended testes of dogs with unilateral cryptorchidism.

Cryptorchidism is the most common disorder of sex development in dogs and testosterone plays a crucial role in the inguinal phase of the testes descending into the scrotum. The molecular background of impaired testosterone synthesis in the testes of cryptorchid dogs is poorly elucidated. In this study, we analyzed the expression of four genes involved in testicular steroidogenesis (CYP17A1, CYP19A1, HSD3B2 and HSD17B3) in undescended and contralateral scrotal testes from inguinal unilateral cryptorchid dogs (n=13) and from the scrotal gonads of normal males (n=15). We found that transcript level of CYP17A1 was significantly increased in inguinal gonads, while the level of CYP19A1 was decreased. For these two genes, we analyzed the methylation level of single CpG sites in the promoter region localized within putative target sites for testicular transcription factors (NUR77, CREB, CAR and HSF2). A correlation between decreased methylation in the promoter of CYP17A1 and its increased transcript level in undescended gonads was observed, but the change in protein level was not significant. We also resequenced the 5'-flanking region of both genes and two known polymorphic sites, SNP in CYP17A1 and an indel in CYP19A1, were found. However, the distribution of the variants in affected (n=80) and control (n=75) dogs was not associated with cryptorchidism. We tentatively conclude that the altered expression of CYP17A1 and CYP19A1 in undescended testes could be caused by their exposure to increased temperature in the body. Furthermore, we showed that the identified polymorphisms cannot be considered markers associated with a predisposition to cryptorchidism.

Serum concentrations and testicular expressions of insulin-like peptide 3 and Anti-Müllerian hormone in normal and cryptorchid male horses

Insulin-like peptide 3 (INSL3) is an important hormone for testicular descent during embryonic development and a factor for assessing functional status of Leydig cells of testes, but there is limited number of equine studies. Anti-Müllerian hormone (AMH) is a useful diagnostic marker for cryptorchidism in horses. This study aimed to compare serum concentrations and testicular expression intensity of INSL3 and AMH in intact and cryptorchid male horses. Serum INSL3 concentrations in intact (n = 9; mean ± SEM, 19.9 ± 5.9 ng/mL) and noncastrated unilateral cryptorchid (UC) male horses (n = 16; mean ± SEM, 16.8 ± 4.1 ng/mL) were higher compared with hemicastrated unilateral cryptorchid (HCUC) male horses (n = 9; mean ± SEM, 3.8 ± 0.7 ng/mL) (P < 0.05). And serum INSL3 in bilateral cryptorchid (BC) male horses (n = 4; 1.9 ± 0.4; mean ± SEM, ng/mL) were lower compared with intact male horses (P < 0.05). Serum AMH concentrations in BC male horses (n = 3; mean ± SEM, 30.6 ± 4.8 ng/mL) were higher compared with intact male horses (n = 5; mean ± SEM, 12.2 ± 3.9 ng/mL) (P < 0.05). Immunostaining of scrotal and cryptorchid testis showed that Sertoli cells were positive for AMH, and Leydig cells were positive for INSL3. Staining intensity of AMH was higher in cryptorchid testis than in scrotal testis (P < 0.05). Furthermore, AMH expression intensity was higher in abdominal testis than in inguinal testis (P < 0.05). Immunostaining intensity of INSL3 in the testis was positively correlated with serum INSL3 (r, 0.7; P < 0.01), seminiferous tubule area (r, 0.727; P < 0.01), and Johnsen score for spermatogenesis (r, 0.604; P < 0.05), whereas immunostaining intensity of AMH in the testis was negatively correlated with seminiferous tubule area (r, −0.814; P < 0.01) and Johnsen score for spermatogenesis (r, −0.807; P < 0.01). Our findings suggested that AMH is a good biomarker for diagnosing cryptorchidism in male horses, in addition to INSL3 values to assess the testis of intact and cryptorchid male horses.

Plasma level of laminin 5 and collagen IV in cryptorchidism

PurposeLaminin 5 and collagen IV are the main compounds of the extracellular matrix of the germinal epithelium. The purpose of this study was to evaluate the concentration of these two markers of fibrosis in the plasma of boys with congenital unilateral cryptorchidism. Materials and methodsThe study group comprised 43 boys aged 1–3 years with congenital unilateral cryptorchidism. The control group included 54 healthy, age matched boys, admitted for planned hernioplasty. To assess laminin 5 and collagen IV in the plasma of boys with unilateral cryptorchidism, we used a new biosensor with Surface Plasmon Resonance Imaging technique detection. ResultsThe median concentration of laminin 5 and collagen IV in the serum of boys with congenital, unilateral cryptorchidism was higher than in boys with normal scrotal testis. The difference was statistically significant (p < 0.0001). We did not notice a correlation between a higher position of the testicles in the inguinal and/or their condition and levels of laminin 5 and collagen IV in the plasma. ConclusionLaminin 5 and collagen IV concentrations in the plasma were higher in patients with congenital unilateral cryptorchidism. We believe that in the future, our results could be compared with fertility level in adulthood.

Variation of Gonadal Dysgenesis and Tumor Risk in Patients With 45,X/46,XY Mosaicism

To describe the gonadal features of patients with 45,X/46,XY mosaicism, and to evaluate the prevalence of gonadal tumor in different phenotypes. The medical records of consecutive patients with 45,X/46,XY karyotype or its variants who had undergone gonadal biopsy or gonadectomy at a single institute between 1996 and 2017 were retrospectively reviewed. Of 34 patients with 45,X/46,XY mosaicism, a unilateral dysgenetic testis and a contralateral streak gonad was detected in 20 patients (59%), bilateral streak gonads in 9 (26%), and bilateral dysgenetic testes in 5 (15%). A gonad composed of both streak and dysgenetic testicular portions was observed in 7 gonads of 6 patients. All streak gonads were removed, and bilateral gonadectomy was performed in 15 patients raised as girls. Pathologic examination revealed gonadal tumors in 6 of the 34 (18%) patients, including a gonadoblastoma in 7 gonads among 5 patients and an association of dysgerminoma with gonadoblastoma in 1 gonad. All 6 patients who developed gonadal tumor had female genitalia. Postoperative course was uneventful except 1 boy. A seminoma was developed in his soritaly scrotal testis at the age of 16 years. The prevalence of gonadal tumor in patients with 45,X/46,XY mosaicism may vary according to the phenotype, and high in patients with female phenotype. Considering the increased risk of gonadal tumors in such patients, early investigation and individual management, including prophylactic gonadectomy, are recommended. In male patients, a close follow-up of the preserved testes is mandatory until adulthood.

Testicular Morphological and Ultrasonographic Characterization of Male Gray Brocket Deers (Mazama gouazoubira) in Different Reproductive Status

Background: Gray brocket deer (Mazama gouazoubira) populations have been declining due to human intervention. Yet, only a few studies have assessed ultrasonographic testicular characteristics in cervids. Considering the relevance of monitoring testicular size, blood flow, and parenchyma, the present study aims to establish baseline information on scrotal circumference, testicular volume, and spectral Doppler parameters, to describe differences among adult male gray brocket deer in different reproductive status, and to correlate ultrasound parameters with testes size measurements.Materials, Methods &amp; Results: Six adult male gray brocket deers were used in the study. Scrotal circumference and testicular volume were measured. B mode ultrasound images of testes (longitudinal and cross-sectional views) and epididymes were subjected to computer-assisted analysis, obtaining the numerical pixel values (NPV) and pixel standard deviation (PSD). Using spectral Doppler, supratesticular artery blood flow velocities (peak systolic velocity - PSV, end diastolic velocity - EDV, time-average maximum velocity - TAMAX, resistivity - RI and pulsatility indices - PI) were obtained. Semen was analyzed through total motility, vigor, and concentration tests. Three animals were normospermic (F+ group) and three were oligo/azoospermic (F- group). Groups were compared using were compared using a one-way ANOVA or Kruskal-Wallis followed by Student-Newman-Keuls (SNK) test. Ultrasound parameters were correlated to testes size parameters using Pearson’s correlation for parametric variables and Spearman’s correlation for non-parametric variables. F+ group presented significantly higher scrotal circumference (14.57 ± 1.19 cm), testicular volume (26.18 ± 4.94 cm3), and testes cross-sectional NPV (69.88 ± 24.00) and PSD (10.78 ± 3.42) than group F- (NPV: 28.26 ± 13.75, PSD: 6.70 ± 1.84). No significant differences were observed between the groups regarding the spectral Doppler ultrasound parameters. Significant correlations were observed between scrotal circumference and longitudinal (r = 0.76) and cross-sectional testes NPV (r = 0.89), and testicular volume was correlated with longitudinal (r = 0.78) and cross-sectional testes NPV (r = 0.91) and with cross-sectional testes PSD (ρ = 0.82).Discussion: Increased testicular echogenicity (higher NPV) has been positively associated with improved testicular growth, cell population expansion, inner and outer seminiferous tubules diameter, spermatids percentages and testis weight. In addition, more heterogenous testes (higher PSD) were associated with higher sperm output. It was suggested that the animals in group F- had compromised testicular development and spermatogenesis. The correlation observed between testes NPV and scrotal circumference was proposed to be associated with seminiferous tubules impairment. The F- group showed lower testicular volume, NPVs and PSDs in cross-sectional testicular images, suggesting higher protein levels and lower lipid contents were present in their parenchyma, influencing in testicular echogenicity and echotexture. No differences in spectral Doppler parameters were observed between the two groups. Also observed in stallions. However, PSV, EDV, TAMAX could be potential infertility indicators in other mammalians. These different results may be due to different locations of the evaluated vessel, species and techniques, age, ambient temperature, pathological conditions, and anaesthesia. Thus, it is suggested that scrotal circumference, testicular volume, and testes NPV are good indicators of male reproductive health in gray brocket deer and may help with better male selection in the species.

Bat Folivory in Numbers: How Many, How Much, and How Long?

Folivory in bats has been described as chewing bits of leaves to extract the liquids, and then discarding the remaining fibers in form of oral pellets. At least eight species of Neotropical fruit-eating bats have been reported to use folivory as a strategy potentially to provide bats with vitamins, micronutrients and proteins usually scarce in fruits, as well as secondary metabolites that stimulate or inhibit reproductive processes, or even as a supply of water. All reported cases of folivory in bats consist of short, descriptive natural history notes with few supporting details. In depth understanding of leaf consumption by bats is lacking. To bridge this gap, we studied two colonies of Artibeus living under different conditions in the Venezuelan Andes: an urban colony (A. lituratus) and a forest colony (A. amplus) whose individuals exhibited folivorous habits. We hypothesized that bats: (1) feed on leaves from many plant species, and more frequently eat certain plant species over others, (2) show monthly variation in leaf consumption, (3) eat specific parts of each leaf and discard the rest, and (4) within a plant species, eat the same part of each leaf. We collected leaves found below the roosting site of the colonies of both species and analyzed digital images of each leaf to quantify the consumed area. All leaves (n = 1,188) were classified and quantified in terms of the pattern of observed consumption (apical, basal, other). We found that both species of bats fed on leaves from certain plant species over others, showed monthly variation in leaf consumption, and on average consumed less than 50% of the leaf, equivalent to an area of 5–7 cm2 (n = 655). Maximum consumption of leaves was observed in both species in the weeks immediately prior to males exhibiting scrotal testes and females becoming palpably pregnant. Results from our study provide the first systematic and detailed assessment of folivory in bats, showing the use of leaves all year long by two bat species. Future research should investigate whether males and females consume leaves to the same extent, and on the chemical properties of consumed plant species.

Disorders of Sexual Development in Proximal Hypospadias in Children

Background: Hypospadias is seen in around one in 300 live births, making it the most prevalent congenital penile abnormality. Objective: to evaluate of the incidence and diagnosis of disorders of sexual development in proximal hypospadias. Patients and Methods: This prospective study was conducted on 44 children attending the Pediatric Surgery Department, Al-Azhar University Hospitals during the period from Dec 2018 to Nov 2019. Detailed history taking; including complete physical examination, examination with special focus on external genitalia and gonads; routine and specific laboratory investigation as genetic karyotyping, serum testosterone (T), dihydrotestosterone, dehydroandrostenedione,17 OH progesterone, HCG stimulation test, serum levels of luteinizing hormone (LH) and follicle-stimulating hormone (FSH), Adrenal hormones “serum cortisol & plasma adrenocorticotropic hormone (ACTH) “to exclude congenital adrenal hyperplasia. Ultrasound abdomen and pelvis was routinely done to assess the internal genital organs uterus, fallopian tubes and gonads testis, ovaries . Results: there are (5) patients diagnosed as DSD: Three cases (6.8 %) have Karyotyping (46, XX), diagnosed as CAH. One case (2.2%) has Karyotyping (46XY (70%)/45X (30) sex chromosome DSD (45, X/46, XY PGD) or “mixed gonadal dysgenesis”. One case (2.2%) has Karyotyping (46, xy), diagnosed as complete Androgen insensitivity syndrome. Conclusion: Patients presenting with proximal hypospadias and one or more of the co-existing anomalies of micro penis, undescended/impalpable testes, and penoscrotal transposition/bifid scrotum should warrant DSD evaluation. Presence of bilaterally descended testes in scrotum does not preclude the possibility of DSD.

Effect of kisspeptin injection on reproductive performance of Ossimi rams in subtropics

This study aimed to investigate the influence of the Kisspeptin (KP) injection on semen quality, testosterone concentration, reaction time, testes and accessory genital glands measurements of Ossimi rams. Fourteen healthy Ossimi rams were randomly divided into control group (CG) and KP treated group (KPG) (7 per each). Rams of the KPG were treated once weekly with KP (5 μg/kg body weight) for one month. Semen volume, concentration, mass motility, percentage of live and dead sperm and total abnormal sperm were recorded twice weekly after treatment for five weeks. Testes measurements including scrotal circumference (SC), testis breadth (TB) and length (TL) using measuring tape and caliper were recorded. Blood samples were collected, and ultrasound examination of the accessory genital glands was measured. Semen characteristics were significantly (p < 0.05) affected by KP injection. The KP increased the volume (59% higher), sperm concentration (89% higher), total sperm concentration (200% higher, and percentages of live sperm (25% higher) compared with CG. Moreover, KP injection decreased (p < 0.05) sperm abnormalities (50% lower) and decreased (p < 0.05) reaction time for the first mount (68% lower) compared to CG. Furthermore, KPG showed higher (p < 0.05) testosterone concentration (66% higher) in comparison with the CG. In addition, KPG had higher (p < 0.05) SC, TB, TL than the CG. In conclusion, injections of the KP enhanced the semen properties and the reproduction of Ossimi rams during the breeding season in subtropics.

Relationships between personality traits and the physiological stress response in a wild mammal.

Glucocorticoids (GCs) are involved in the regulation of an animal’s energetic state. Under stressful situations, they are part of the neuroendocrine response to cope with environmental challenges. Animals react to aversive stimuli also through behavioral responses, defined as coping styles. Both in captive and wild populations, individuals differ in their behavior along a proactive–reactive continuum. Proactive animals exhibit a bold, active-explorative and social personality, whereas reactive ones are shy, less active-explorative and less social. Here, we test the hypothesis that personality traits and physiological responses to stressors covary, with more proactive individuals having a less pronounced GC stress response. In wild populations of invasive gray squirrels Sciurus carolinensis, we measured fecal glucocorticoid metabolites (FGMs), an integrated measure of circulating GCs, and 3 personality traits (activity, sociability, and exploration) derived from open field test (OFT) and mirror image stimulation (MIS) test. Gray squirrels had higher FGMs in Autumn than in Winter and males with scrotal testes had higher FGMs than nonbreeding males. Personality varied with body mass and population density. Squirrels expressed more activity-exploration at higher than at lower density and heavier squirrels had higher scores for activity-exploration than animals that weighed less. Variation in FGM concentrations was not correlated with the expression of the 3 personality traits. Hence, our results do not support a strong association between the behavioral and physiological stress responses but show that in wild populations, where animals experience varying environmental conditions, the GC endocrine response and the expression of personality are uncorrelated traits among individuals.

Sertolioma in a Canadian Husky: Relationship between Tumor, Hormones, Neurons and Skin

Background: Sertolioma is a slow-growing, non-invasive, firm and nodular tumor, malignant in 10% to 22% of cases and with low metastatic potential. Old age and cryptorchidism increase up to 26 times its chances of development and associates it with malignancy. Paraneoplastic syndrome, shown in 20% to 30% of the animals, is due to the aromatization of testosterone or the direct production of estrogen by tumor cells, leading to signs of feminization and bone marrow aplasia. The objective of this article is to report a case of sertolioma in a dog with dermatological characteristic symptoms, but presenting an unusual aggressive behavior, both completely reverted after castration.Case: A 9-year-old, uncastrated, aggressive and uncontrollable Canadian Husky dog was treated at the Institutional Veterinary Hospital with parapenial volume increase and generalized alopecia. A scrotal testis of reduced size and flaccid consistency and a mass in a parapenial region of 11 x 7.5 x 8 cm in diameter, with a cystic contour, adhered to the abdominal musculature and painless to palpation were detected. Cytology of the parapenial mass presented an image compatible with seminoma or sertolioma, and the preputial smear revealed a predominance of superficial cells. Ultrasound examination showed a heterogeneous inguinal mass, with expansive cystic area, compatible with mass in retained inguinal testis. Therapeutic course consisted of bilateral orchiectomy. Ectopic testis was firm to the cut, had whitish to yellowish coloration and was surrounded by a tunica containing 200 mL of serosanguinolent liquid. The histology of the mass revealed sertolioma-compatible cell characteristics, with cell proliferation circumvented by fibrous connective tissue forming poorly delimited lobes, moderate polymorphism with elongated cells, arranged in a palisade at the periphery of the lobes, vacuolated eosinophilic cytoplasm and vesiculous round nuclei. The unretained testicle revealed signs of atrophy. After surgery the patient showed a progressive improvement of the dermatological symptoms. However, what most caught the attention was the change in aggressive behavior, and fifteen days after surgery the animal was extremely docile and easily restrained during the clinical examination.Discussion: Hyperesthyrogenism due to sertolioma results from: 1) direct synthesis of estrogen by neoplastic tumor cells 2) increase in metabolism by central conversion (testicular cells) or peripheral hepatocytes, myocytes, adipocytes, hair follicles and neural tissue) androgens into estrogen through the aromatization of testosterone and 3) androgen and estrogen rate imbalance. Testosterone is considered responsible for the aggressive behavior in males, evidenced by the decrease of this behavior when the testicles are removed, and by the reinstallation of this behavior when the hormonal replacement is done. However, research on mice showed that estrogen-sensitive regulatory pathways also play a role in promoting this behavior. Although practically undetectable in male circulation, its presence stems from in vivo synthesis from the aromatization of testosterone, and it is this local estrogen, peripherally synthesized in the brain, that would be responsible for the control of dimorphic behaviors in males. The importance of the estrogen signaling pathway in aggression has also been reported in a study in knockout mice for estrogen receptors, in which males rarely exhibited aggressiveness. Such information is sufficient to support the hypothesis that the disappearance of the aggressiveness of the reported animal was obtained due to castration and correction of hyperestrogenism, showing the importance of including it as an important cause of aggressive behavior in uncastrated male dogs.

Effects of body temperature on the expression and localization of meiosis-related proteins STRA8 and SCP3 in boar testes

Body temperature could lead to interruption of spermatogenesis, but the molecular mechanism was still unclear. Cryptorchidism was defined as the failure of testes to enter the scrotum, which exposed the testes to body temperature. Meiosis was a unique feature of germ cell development. Whether cryptorchidism damage the initiation of meiosis in boars had not been reported. The aim of this study was to determine whether spermatogonia in the cryptorchid testes entered into meiosis by detecting meiosis-related markers stimulated by retinoic acid gene 8 (STRA8) and synaptonemal complex protein 3 (SCP3). Three boars with spontaneous unilateral abdominal cryptorchidism were used. The testis located in the abdomen was cryptorchidism group, the scrotal testis of the same animal was used as control. HE results showed that only Sertoli cells, and a few spermatogonia remained in the seminiferous tubules, and no spermatids were seen compared with the control. Immunohistochemistry results showed that in both control and cryptorchidism group, STRA8 was mainly expressed in the nucleus of spermatogonia and spermatocytes. In control group, SCP3 was expressed in the nucleus of spermatocytes. In cryptorchidism group, SCP3 immunopositive cells were also observed. qRT-PCR and Western Blot results showed that the mRNA and protein levels of STRA8 and SCP3 were significantly decreased in cryptorchid boars. The expression of STRA8 and SCP3 in cryptorchidism suggested that spermatogonia could still enter meiosis in cryptorchid boars.

SUN-211 Male Pseudohermaphroditism Due to 5α-Reductase-2 Deficiency

BACKGROUND: In Salinas (mine salt) Dominican Republic we find a large population of Pseudo hermaphroditism due to 5α-reductase-2 deficiency. We present a case of a Transgender patient who was referred to us by a urologist surgeon for endocrine evaluation, since the patient wants to be a real male.CASE: Patient born on January 5, 1992 in Salinas (mine salt) Dominican Republic. Family history with same condition of ambiguous genitalia. When the little baby was born, the mother, knowing all the family cases, declared the baby a male but all the appearances were as female. CLINICAL FEATURES: Otherwise healthy patient 67", 188 lbs., temperature 36:1°C, BP 130/80, CR72 p.m., BR16 p.m., scrotal right testis 25 c.c. left testis 20 c.c. in the left inguinal channel. Clitoris enlargement as a micropenis and a dehiscence along with the meatus. No breast enlargement. No sexual intercourse (img 1-7). TESTS: basal ACTH 25.61 (NV: 4.7-48.8 pg/mL), basal cortisol 9.06 (NV: 6.0-18.4 µg/dL), Androstenedione 2.1 (NV:0.5-3.5 pg/mL), oestradiol 89.86 (NV:11.8-39.8 pg/mL), oestrogen 272 (NV: 40-115 pg/mL), FSH 9.17 (NV: 1.5-12.4 mIU/mL), LH 13.9 (NV: 1.7-8.6 mIU/mL), PRL 24.3 (NV: 5.3-22.2 ng/mL), testosterone 28.461 (NV: 12-32.2 nmol/L), dihydrotestosterone 0.7 (NV: 1.04-2.6 mmol/L), T/DHT 40.66 (NV: 12.3 +- 3.1) free testosterone 23.63 (NV: 4.25-30.37 pg/mL), DHEA-SO4: 365.1 (NV: 160/449 µg/dL), 17OH-Progesterone 2.37 (NV: 0.5-2.1 ng/mL), TSH 1.34 (NV: 0.27-4.2 µIU/mL), FT4 1.42 (NV: 0.93-1.71 ng/dL). Sonography: right scrotal testis 4.8 x 1.8 cm, left cryptorchids testis 4.0 x 1.3 cm (img 8), 46XY karyotype (img 9).CONCLUSIONS: This is a 46XY male with ambiguous genitalia, masculinization at puberty, normal total and free plasma testosterone, decreased plasma DHT, abnormal elevated testosterone/dihydrotestosterone ratio with some kindred affected family on a very know region in Salinas, Dominican Republic, with a diagnosis of male pseudo hermaphroditism due to 5α-reductase-2 deficiency who wants to be a true male with reconstructive surgery. To make crucial decisions over the proper diagnosis and specific therapy for pseudo-hermaphroditic transgender patients, a study of karyotype and complete evaluation of sexual hormones (reproductive/endocrine system) facilitates an adequate diagnosis and analysis. REFERENCES: Imperato-Mcginley, J., Peterson, R. E., Gautier, T., & Sturla, E. (1979). Male pseudohermaphroditism secondary to 5α-reductase deficiency—A model for the role of androgens in both the development of the male phenotype and the evolution of a male gender identity. Journal of Steroid Biochemistry, 11(1), 637-645. doi:10.1016/0022-4731(79)90093-1

Surgery for no palpable testis before the age of one year: a risk for the testis?

Surgery for undescended testisis now commonly recommended before the age of one year. However, the risk of testicular atrophy or miss location after surgery at a young age has not been clearly evaluated. The objective of this study is to evaluate the rate of testicular atrophy after surgery for non-palpable testis before the age of one year. Fifty-five patients operated between 2005 and 2014 for non-palpable testes were reviewed for clinical and ultrasound (US) evaluation. Median follow-up after surgery was of 68.5 months (range 26-130 months). The median age at surgery was ofmonths (5-12 months). Eight patients (14.5%) had bilateral non-palpable testis; thus, 63 testes were evaluated. At surgery, 38 (60%) testes were located in the high inguinal canal; 25 (40%), in the abdominal cavity. Orchiopexy was performed with preservation of the testicular vessels for 58 testes. Fowler-Stephens (FS) procedure was performed for 5 testes. Testicular location was clinically evaluated, and testicular volume was measured using a standard sonogram technique in our pediatric radiology department. Ratio comparing the volume of the descended testis to the spontaneously scrotal located testis was calculated in unilateral forms. After surgery, testes had scrotal location in 62 cases and inguinal location in one case. Seven cases of atrophy were confirmed after US control (11%), more frequently (odds ratio, OR 11.68 [1.9-72.5]) in abdominal testis (24%) than in inguinal testis (2.6%). Atrophy testicular was more frequent with FS technique (OR 7.1 [1.3-40.1]), but the population was weak (N=5). Median volume ratio for unilateral form was 0.88 [0-1.8]; 14 patients presented a ratio greater than 1. The influence of the young age at surgery and the risk of post operative testicular atrophy had not been clearly evaluated. The term of 'no palpable testis' supports an heterogeneous group mixing abdominal and extra-abdominal testis sharing a uniform clinical presentation. Our rate of atrophy in the group of abdominal testes (24%) and inguinal testes (2.6%) is similar to the literature, which concerns older patients. The long-term sonogram assessment demonstrated a good development of the testis after surgery, especially in inguinal cases. Surgery for no palpable testis before the age of one year does not lead to a superior risk of testicular atrophy compared with surgery at an older age and allows a good development of the testis.

Effect of scrotal bifurcation on breeding soundness traits in Beetal bucks during summer season.

Relationship of scrotal bifurcation or splitness with breeding soundness traits was investigated in 15 Beetal bucks (17-20months of age and 48.72 ± 1.57kg mean BW). Breeding soundness traits of conjoined/unsplit (n = 6) scrotal bucks was compared with split (n = 9) scrotal bucks having lengthwise > 1in. bifurcation. Two consecutive semen ejaculations per buck were collected at monthly interval during summer season (April to June 2018) using intact buck as teaser and sexual behavior was simultaneously recorded. Scrotal morphometry parameters, i.e., scrotal circumference, scrotal volume, scrotal skin thickness, testis length, width, and thickness were also recorded. Bucks with split scrotum had relatively more scrotal dimensions (scrotal circumference (P < 0.01), scrotal volume (P < 0.01), testis length (P < 0.01)) than conjoined scrotal bucks. Among various semen attributes, semen volume of first ejaculate (P < 0.01), second ejaculate (P < 0.05), mean semen volume (P < 0.01), total sperm count of first ejaculate, and mean sperm count of both ejaculates were more (P < 0.01) in split scrotal bucks. However, scrotal bifurcation had no influence on sexual behavior of bucks. It is concluded that Beetal bucks with split scrotum had relatively better breeding efficiency traits than conjoined scrotal bucks.

Use of roof as roost of Eumops perotis (Molossidae: Chiroptera) in southeast Brazil

ABSTRACT The bat Eumops perotis (Schinz, 1821) is broadly distributed in the Americas. Studies on its biology are still scarce and the few studies available are relatively outdated. In the present study, we describe the biology of Eumops perotis in an artificial roost in the municipality of Pindorama, State of São Paulo, southeastern Brazil, which was monitored for 12 months. We captured 50 individuals; 43 adults (34 males and 9 females) and seven juveniles (three males and four females). Nineteen adults were recaptured throughout the year (15 males and four females) during samplings. Males were ~33% heavier than females. Males remained in the roost throughout the year, while females were absent in June, July, and August. The presence of males with scrotal testes and pregnant females from July to November and the presence of pregnant females and pups from February to April suggest monoestry for this colony. Inside the roost, the behavior of E. perotis was similar to other molossid bats (e.g. contact posture, formation of groups, and presence of isolated males). During winter, the individuals of this colony consumed mostly coleopterans, but their diet also included orthopterans and lepidopterans, mainly in the summer. Therefore, this study contributes to increase the knowledge of the natural history of this species in the Neotropical region.

Linking plasma sex steroid hormone levels to the condition of external genitalia in European badgers (Meles meles): A critical evaluation of traditional field methodology

Field biologists often rely on examination of external genitalia as a proxy for mammalian reproductive condition. In seasonally breeding European badgers, scrotal testes are used as an indicator of spermatogenesis, while a pink and swollen vulva with mucosal secretion is assumed to indicate oestrus. Systematic validation of these assumptions is lacking. Here we analysed sex steroid hormones from plasma samples collected from sexually mature adults during the winter mating season, the spring post-weaning period, the summer minor mating peak, and autumn reproductive quiescence, to compare circulating testosterone levels in males (n = 216), and oestrone (n = 143) and oestradiol (n = 36) levels in females with concurrent external genitalia condition (males: descended, intermediate, ascended testes, as well as testes volume; females: swollen, intermediate, normal vulva). Sex-steroid levels exhibited seasonal patterns, broadly reflecting the seasonal variation in genital condition. Nevertheless, on an individual level, male testosterone levels correlated significantly with testes condition and testes volume only during the mating season in spring, and neither oestrone nor oestradiol differed between female EGM categories. We thus conclude that, in males, EGM is a reliable indicator of reproductive activity during the mating season, but can provide only a tentative indication of physiological reproductive status outside this period, while in females EGM is generally less precise for assessing female reproductive status.

Relationships of nutritional plane and feed efficiency with sexual development and fertility related measures in young beef bulls

Sexual development in beef bulls appears to be influenced by nutritional plane and feed efficiency. Yearling bulls fed high (GRAIN = 49) and moderate (ROUGHAGE = 109) nutritional planes, were submitted to a performance test where scrotal circumference (SC), scrotum and testis ultrasonograms and hormones were monitored throughout. Scrotal thermographs, blood cell counts and semen were evaluated at the end of the test. Residual feed intake (RFI) was the measure of feed efficiency, and bulls within each population were characterized as efficient and inefficient. During the test period, the GRAIN group had greater triiodothyronine (T3), leptin and scrotal skin thickness (SST) while having greater T3, leptin, % motile sperm, % normal sperm, scrotal temperature and values for red blood cell variables at the end of the test when compared to the ROUGHAGE group. During the test, the efficient GRAIN group had lesser testis pixel intensity while at the end of the performance test the bulls of this group had greater % normal sperm and lower testis pixel intensity compared to bulls in inefficient GRAIN group. In comparison, the efficient ROUGHAGE group had less T3, SC and SST while at the end of the test these bulls had less T3, leptin, SC, SST and scrotal temperature compared to bulls in the inefficient ROUGHAGE group. Complete blood cell variables, semen quality, scrotal biometry and thermography explained most of the variation in RFI. Results of the present study support the hypothesis that there is an antagonistic relationship between feed efficiency and sexual development in young bulls, which seems partially offset when there is a greater plane of nutrition. Thus, feed efficiency should be factored in the reproductive evaluation of sires.

Incidence and diagnoses of disorders of sex development in proximal hypospadias

BackgroundEvidence-based guidelines on evaluation of boys with proximal hypospadias for the possibility of a disorder of sex development (DSD) have yet to be developed. We aimed to investigate the incidence and diagnoses of DSD in patients with proximal hypospadias. MethodsWe retrospectively reviewed the records of consecutive boys who underwent proximal hypospadias repairs from 2006 to Sept 2017. Data collected included scrotal anomaly, testes position/palpability, micropenis, DSD investigations, and surgical techniques. Results165 patients were eligible for the study. 14 (8.5%) were diagnosed to have DSD. The diagnoses were 46,XX testicular DSD [n = 1], 46,XY DSD [n = 7; partial gonadal dysgenesis (PGD) = 3; 5α-reductase type 2 deficiency = 3; 17α-hydroxylase deficiency = 1], Sex Chromosome DSD [n = 6; 45,X/46,XY PGD = 4; Klinefelter = 2]. 3/7 (43%) patients with PGD had gonadal germ cell neoplasms. Of the DSD patients, 6/14 (43%), 11/14 (79%) and 11/14 (79%) had undescended/impalpable testes, micropenis and penoscrotal transposition/bifid scrotum, respectively, significantly higher prevalence rates than those without DSD diagnosis (p-values <0.05). 10/14 (71.4%) DSD patients underwent 2-stage repair compared with 57/151 (37.7%) of others without DSD diagnosis (p = 0.01). ConclusionsPatients presenting with proximal hypospadias and one or more of the coexisting anomalies of micropenis, undescended/impalpable testes, and penoscrotal transposition/bifid scrotum should warrant DSD evaluation. Presence of bilaterally descended testes in scrotum does not preclude the possibility of DSD. Level of evidenceIV.