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Topic:Cryptorchidism
Cryptorchidism in horses refers to the condition where one or both testicles fail to descend into the scrotum. This condition is a developmental anomaly that can affect a horse's reproductive capabilities and behavior. Cryptorchidism can be unilateral, involving one undescended testicle, or bilateral, involving both. The undescended testicle(s) may be located in the abdominal cavity or the inguinal canal. Diagnosis typically involves physical examination, ultrasound imaging, and hormonal testing. Treatment often requires surgical intervention, commonly known as cryptorchidectomy, to remove the retained testicle(s). This page compiles peer-reviewed research studies and scholarly articles that explore the etiology, diagnosis, management, and implications of cryptorchidism in equine health and reproduction.
[Unsuccessful laparoscopic castration in a cryptorchid Frisian stallion]. A 2-year-old unilateral inguinal cryptorchid Frisian stallion was castrated by bilateral laparoscopic intra-abdominal spermatic cord transection. Because blood testosterone levels were still high on postoperative day 7, both testicles were removed using an open approach. Pathology revealed the presence of vital Leydig-cells in both testes. Failure of the laparoscopic castration in this horse was attributed to an alternate blood supply to the testes by vessels derived from the cremaster and/or external pudendal artery.
Laparoscopic cryptorchidectomy and ovariectomy in horses. Laparoscopic surgery has become commonplace in the field of equine urogenital surgery. As with most surgical procedures, the limiting factors in developing new surgical techniques are limited to the patient size and demeanor, the skills of the surgeon, and the available equipment. Some of the greatest benefits of laparoscopic surgery in the horse include better visualization of the important structures; tension-free amputation of the testes or ovaries,which generally leads to less postoperative pain; and the ability to evaluate the transected stump carefully to make sure there is no hemorrhage...
Laparoscopic cryptorchidectomy and ovariectomy in horses. Laparoscopic surgery has become commonplace in the field of equine urogenital surgery. As with most surgical procedures, the limiting factors in developing new surgical techniques are limited to the patient size and demeanor, the skills of the surgeon, and the available equipment. Some of the greatest benefits of laparoscopic surgery in the horse include better visualization of the important structures; tension-free amputation of the testes or ovaries,which generally leads to less postoperative pain; and the ability to evaluate the transected stump carefully to make sure there is no hemorrhage...
Use of transabdominal ultrasonography to determine the location of cryptorchid testes in the horse. Transrectal ultrasonography is a reliable technique to identify intra-abdominal testes, but can be hazardous or impractical in fractious, juvenile or small equids. The transabdominal approach therefore requires validation. Objective: To evaluate the sensitivity and specificity of transabdominal ultrasonography to localise cryptorchid testes. Methods: Thirty-eight horses admitted for cryptorchidism underwent transabdominal ultrasonography to locate errant testes. Location of the testes was confirmed during surgery (n = 37) or necropsy (n = 1). Results: Horses weighed 175-760 kg. Twenty-two test...
The presence of androgen receptors in the epididymis and prostate of the stallion and cryptorchid horse–a preliminary study. Distribution of androgen receptors (ARs) in the epididymal duct and prostate of three entire stallions and one bilaterally cryptorchid horse was studied immunohistochemically using a polyclonal rabbit antiserum against the ARs. In both the healthy stallions and the cryptorchid, the epithelial cells of the epididymides showed nuclear staining for ARs. The intensity of AR-staining in the principal cells of the epididymis was stronger than that of the basal cells. In the prostate, the glandular secretory cells were moderately stained whereas the basal cells expressed weak AR-staining. Immunostain...
The complex blood supply to the equine testis as a cause of failure in laparoscopic castration. Intra-abdominal ligation/ transection of the spermatic cord may result in necrosis of the testis; castration of abdominal cryptorchids via laparoscopy has therefore become common. Notwithstanding some adaptations of the technique, a small percentage of operations fail, prompting research into the anatomical background and clinical relevance of the procedure. Objective: That an alternate blood supply may prevent complete necrosis of the testis after spermatic cord transection. Objective: To establish the prevalence of the problem in normal and cryptorchid stallions. Methods: In a preliminary st...
Recent advances in equine abdominal surgery. Laparoscopy is a minimally invasive procedure that has applications as a diagnostic, therapeutic and prognostic technique. Specialized equipment is necessary to perform equine laparoscopy, and there is a large range of instruments, both disposable and non-disposable available. Laparoscopic procedures described include ovariectomy, cryptorchidectomy, adhesiolysis and herniorrhaphy. Laparoscopy can be performed in a standing or dorsally recumbent position, depending on surgeon preference, patient status and the procedure to be performed. Stapling equipment is frequently used in gastrointestinal ...
Expression of aromatase and oestrogen receptors in reproductive tissues of the stallion and a single cryptorchid visualised by means of immunohistochemistry. Androgen metabolism may proceed to amplify the action of testosterone by its aromatisation to oestradiol. Recently, a growing body of evidence suggests a role of oestrogens in the male reproductive tract via their specific oestrogen receptors (ERs). In order to check whether androgens are converted to oestrogens in the testis, epididymis and prostate of the stallion, the expression of aromatase was visualised by means of immunohistochemistry. Moreover, to show the cellular targets for oestrogens the presence of oestrogen receptor alpha (ERalpha) and oestrogen receptor beta (ERbeta) was demonst...
Standing male equine urogenital endoscopic surgery. Standing laparoscopy in the horse was used initially as a diagnostic tool to assist in the diagnosis of a cryptorchid testicle. Now, this technique is also used for treatment of cryptorchid testicles. The focus of this article is the standing laparoscopic cryptorchidectomy, the most common laparoscopic procedure performed on the male equine urogenital tract. Advantages, disadvantages, instrumentation, and general procedure are discussed.
Amplified androstenedione enzymeimmunoassay for the diagnosis of cryptorchidism in the male horse: comparison with testosterone and estrone sulphate methods. An amplified enzymeimmunoassay (EIA) was validated for androstenedione in the serum of male horses. We will use the assay as a tool for the diagnosis of equine cryptorchidism. We will compare androstenedione EIA to the currently used methods (testosterone and estrone sulphate determinations). The study was conducted on 115 horses of pure Spanish and Arabian breeds, that included 30 geldings, 60 bilateral cryptorchids and 25 stallions. Androstenedione standard curve covered a range between 0 and 1 ng per well. Low detection limit was 1.54 pg/ml. Intra- and inter-assay coefficients of variation ...
Malignant Sertoli cell tumor in the retained abdominal testis of a unilaterally cryptorchid horse. A 13-year-old Morgan gelding was evaluated because of a mass in the caudal region of the abdomen. The horse had been presumed to be a gelding, but necropsy findings revealed a retained testis in the right retroperitoneal space. Histologically, the retained testis contained neoplastic cells; metastases were identified in the liver, spleen, lungs, and sublumbar lymph nodes. Immunohistochemical examination of the testis and metastatic tissues confirmed the diagnosis of malignant Sertoli cell tumor. Testicular neoplasms are infrequently reported in stallions. Seminomas are most commonly reported, ...
INSL3 ligand-receptor system in the equine testis. We employed molecular and immunological techniques to investigate the expression of INSL3, a member of the insulin-like superfamily, in prepubertal testis, postpubertal testes exhibiting normal and disturbed spermatogenesis, and cryptorchid testes of male horses. In addition, the partial cDNA coding sequences of the equine homologue of the human relaxin/INSL3-receptor Lgr8 were determined. Nonradioactive in-situ hybridization with a cRNA probe for equine Insl3 and immunohistochemistry with a specific rabbit INSL3 antiserum localized Insl3 transcripts and immunoreactive INSL3 ligand to Leydig c...
Laparoscopic cryptorchidectomy using electrosurgical instrumentation in standing horses. To describe a technique for laparoscopic cryptorchidectomy in standing horses using electrosurgical instrumentation. Methods: Retrospective clinical study. Methods: Ten horses, 1 to 7 years of age, with unilaterally or bilaterally retained testes. Methods: Food was withheld for a minimum of 12 to 24 hours. Horses were sedated using xylazine hydrochloride (0.5 to 1 mg/kg) and butorphanol tartrate (0.02 mg/kg) or detomidine hydrochloride (0.02 to 0.03 mg/kg) and restrained in standing stocks. Three portal sites in the paralumbar fossae were locally desensitized using 2% mepivacaine. After trocar...
Ultrasound appearance of an equine testicular seminoma. A 16-year-old thoroughbred stallion developed sudden swelling of the left testicle. The stallion had previously been regarded as a unilateral cryptorchid. Ultrasound examination of the left testicle revealed a diffusely heterogeneous parenchyma. The testicle was diffusely hypoechoic with ill defined regions of hyperechogenicity giving the appearance of hypoechoic nodules throughout the testicular parenchyma. No normal testicular tissue was identifiable. An echogenic band, representing a pseudocapsule could be seen surrounding the testicle. Histopathologic diagnosis a seminoma.
Testicular concentration of meiosis-activating sterol is associated with normal testicular descent. In the cryptorchid stallion, spermatogenesis is arrested at various levels before the completion of meiosis. In men, infantile cryptorchidism is also often associated with oligo- and azoospermia during adulthood. An impairment of spermatogenesis might be reflected in the level of locally produced factors. Formerly, a meiosis-activating sterol (T-MAS) has been isolated in murine and bovine testes. This sterol possesses the potential to trigger resumption of meiosis in cultured mouse oocytes, indicating that it might play an important role in the regulation of the meiotic process in the female g...
Comparison of four drug combinations for total intravenous anesthesia of horses undergoing surgical removal of an abdominal testis. To evaluate anesthetic effects of 4 drug combinations used for total intravenous anesthesia of horses undergoing surgical removal of an abdominal testis. Methods: Clinical trial. Methods: 32 healthy cryptorchid horses. Methods: Horses were sedated with xylazine and butorphanol and were randomly assigned to 1 of 4 groups: induction of anesthesia with ketamine and diazepam and maintenance with bolus administration of ketamine and xylazine (KD/KX); induction and maintenance of anesthesia with bolus administration of tiletamine-zolazepam, ketamine, and detomidine (TKD); induction and maintenance o...
Equine castration: review of anatomy, approaches, techniques and complications in normal, cryptorchid and monorchid horses. Complications associated with equine castration are the most common cause of malpractice claims against equine practitioners in North America. An understanding of the embryological development and surgical anatomy is essential to differentiate abnormal from normal structures and to minimise complications. Castration of the normal horse can be performed using sedation and regional anaesthesia while the horse is standing, or under general anaesthesia when it is recumbent. Castration of cryptorchid horses is best performed under general anaesthesia at a surgical facility. Techniques for castratio...
Neoplasia of the male reproductive tract. Genital neoplasms in the male horse are relatively uncommon. Squamous cell carcinomas and squamous papillomas are the most commonly diagnosed neoplasms of the penis and prepuce. Geldings appear to be overrepresented for these types of neoplasms, and accumulation of smegma may be a contributing factor. Early diagnosis and treatment are essential for salvaging these organs before lesions become excessively large and invasive or are allowed to metastasize. Newer treatment modalities such as 5-fluorouracil appear to be promising alternatives to surgical excision. Although generally considered to b...
Viability of an inguinal testis after laparoscopic cauterization and transection of its blood supply. A 25-month-old castrated horse was admitted for evaluation of stallion-like behavior. Twelve months earlier, bilateral cryptorchidism had been diagnosed, and the horse underwent a laparoscopic castration. At that time, the left testis was removed from the abdominal cavity, but the right testis, which was located in the inguinal ring, was left in place to undergo avascular necrosis after laparoscopic cauterization and transection of the testicular vasculature. On physical examination, an apparently clinically normal right testis was palpated within the scrotum. Administration of human chorionic...
Complications associated with administration of detomidine into the caudal epidural space in a horse. A 364-kg (800-lb) 15-month-old sexually intact cryptorchid male Quarter Horse was admitted to the veterinary teaching hospital for castration. The horse was placed in standing stocks, and a caudal epidural injection of 18 mg of detomidine hydrochloride (50 micrograms/kg [23 micrograms/lb] of body weight) was administered. Fifteen minutes after injection, the horse unexpectedly collapsed to the floor, first into sternal, and then into lateral, recumbency. Because the horse would not get up, the decision was made to perform the surgery with the horse under general anesthesia. The horse required ...
Laparoscopic intra-abdominal ligation and removal of cryptorchid testes in horses. Laparoscopic intra-abdominal ligation and removal of cryptorchid testes in horses was evaluated retrospectively in 50 horses that underwent the procedure between 1991 and 1996. Sixty-one cryptorchid testes were removed by one of the following methods; the use of 1) an endoscoping stapling and transection device, 2) an endoscopic clipping device, 3) an endoscopic ligating loop. Monopolar electrosurgery was combined with these methods to facilitate coagulation and cutting of tissue. In 8 horses, 9 testes were retained between the internal and external inguinal rings. The inguinal testes were rem...
Carcinoma in situ and seminoma in equine testis. The presence of atypical germ cells resembling carcinoma in situ of human testis is reported for the first time in an unilaterally cryptorchid stallion. These cells were found in association with developing intratubular seminoma indicating they represented carcinoma in situ.
Ventral abdominal approach for laparoscopic cryptorchidectomy in horses. To report a ventral abdominal approach and a ligating loop technique for laparoscopic cryptorchidectomy in horses. Methods: Prospective. Methods: Six horses, aged 1 to 5 years, with retained testes. Methods: One laparoscopic portal and three to four instrument portals were used for ventral abdominal laparoscopic cryptorchidectomy. Laparoscopic instruments were used to maneuver and secure the testis through a ligating loop (modified Roeder knot) that was secured from outside the abdominal cavity. Only minimal enlargement of one instrument portal was used to remove the testicle. Results: Three h...
Injury to abdominal wall vessels during laparoscopy in three horses. Epigastric vessels were inadvertently injured during placement of instrument portals in 3 horses undergoing laparoscopy for bilateral cryptorchidectomy, bilateral ovariectomy, and removal of electrode wires surgically implanted in the large colon. The resulting hemorrhage increased surgery time, caused hematoma formation or hemoperitoneum, and obscured the surgical field. Hemostasis was achieved by direct pressure or vessel ligation. This complication can be attributed to the high degree of vascularity of the ventral aspect of the abdominal wall.
Influence of preoperative complete blood cell counts on surgical outcomes in healthy horses: 102 cases (1986-1996). To assess the value of CBC as a preoperative test in healthy horses undergoing cryptorchidectomy. Methods: Retrospective study. Methods: 117 horses. Methods: Medical records were reviewed to identify horses that had had cryptorchidectomy. Of the 117 horses identified, 102 were found that did not have a known medical condition believed to adversely affect surgery. Preoperative CBC was assessed in terms of abnormalities detected and effects of these abnormalities on development of complications during and after surgery and patient management. Results: Of 102 CBC performed, 55 contained abnormali...
Laparoscopic cryptorchid castration in standing horses. This article describes a new technique for laparoscopic cryptorchid castration in standing horses. Methods: Prospective study. Methods: Eight horses aged 11 months to 3 years and weighing between 300 and 643 kg. Methods: Food was withheld for 24 to 36 hours, and then horses were sedated with detomidine HCl (0.02 to 0.03 mg/kg) and butorphanol tartrate (0.02 mg/kg). The paralumbar fossa region was desensitized with 2% mepivacaine in an inverted "L" pattern and caudal epidural anesthesia was administered with either xylazine (0.18 mg/kg diluted to 10 to 15 mL with 0.9% sodium chloride) or a comb...
Laparoscopic cryptorchidectomy in standing horses. The purpose of this study was to determine the feasibility of using laparoscopy to remove cryptorchid testes from standing horses. Methods: Prospective clinical study. Methods: Eleven client-owned horses ranging in age from 4 months to 2 years. Methods: Abdominal insufflation was initiated and maintained using a 20 F insufflation tube, attached via a stopcock, to the low pressure regulator on a standard carbon dioxide pressure tank. After trocar and laparoscope placement in the ipsilateral flank the testes were identified. Local anesthesia of the structures to be manipulated was administered t...
Intra-abdominal testicular torsion in a horse without signs of colic. A 5-year-old Quarter Horse stallion was admitted for cryptorchidectomy. Abnormalities were not found on physical examination, except for an undescended left testis. Cryptorchidectomy was performed, using an inguinal approach. The tail of the epididymis was in the inguinal canal, and the testis was adjacent to the internal inguinal ring. The testis was dark reddish purple to black, resulting from torsion at the level of the body of the epididymis. On histologic examination, the left testis was necrotic, except for the tunica albuginea and tunica vaginalis visceralis covering the testis. Intra-a...
[Strangulation ileus of the jejunum combined with intersexuality in a horse]. An apparently unilateral cryptorchid stallion was referred to the clinic with a history of colic. In the course of laparotomy an ileus caused by strangulation of the small intestine was found and the horse was euthanized because of poor prognosis. During autopsy strictures and ectasia of the jejunum were found as well as hermaphroditism along with male phenotype. The frequency of cryptorchidism in the case of intersexuality is discussed.
