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.
Stick JA.In three horses with abdominally retained testicles, teratomas with cyst formation were found. Bone development in the head of the epididymis, near the vascular supply of the tumor, was a consistent finding. Aspiration of the cystic portion of the tumor was necessary for surgical removal in two cases. Although germinal carcinoma cells have been suggested as the cause of teratomas, evidence of malignancy was not seen in any of the three tumors.
Valdez H, Taylor TS, McLaughlin SA, Martin MT.Removal of abdominal testes was accomplished in 32 horses ranging in age from 6 to 72 months. Twenty were unilateral and 12 were bilateral abdominal cryptorchids. An incision was made over the superficial inguinal ring, and the extension of the gubernaculum testis was identified and grasped with forceps. Traction was applied to this structure until the vaginal process was everted beyond the superficial inguinal ring. The vaginal process was incised and the protruding structure, usually the epididymis, was grasped. The testis was drawn out by gentle traction on the epididymis, and castration wa...
Cox JE, Edwards GB, Neal PA.The authors analyse data collected over 23 years from 500 cryptorchid horses. They show that left- and right-sided abdominal cases occur with approximately equal frequency in ponies. Approximately half the right-sided unilateral abdominal cases have the epididymal tail descended while only 20 per cent of the left-sided cases do. These findings are briefly discussed. From their analysis of inguinal cryptorchidism the authors conclude that it is a relatively more complex phenomenon with incidence changing with age as well as breed. Right-sided retention predominates in young ponies, probably bei...
Smyth GB.An abnormal cryptorchid testicle removed from the abdominal cavity of a 4 year old Thoroughbred stallion is described. The abnormal organ conforms to the requirements of Willis (1960) for a teratoma. The difference between these tumours in man and horses is discussed.
David JS, McCullagh KG.A large anastomosis of the spermatic artery and vein is described. This was found while surgically removing an abdominal testis. Before surgery the animal wanted to rear after exercise and could not stand on 3 legs for any length of time while being shod. This unusual behaviour disappeared after removal of the mass. The performance and conformation of the horse has also greatly improved.
Stickle RL, Fessler JF.Equine cryptorchidism was examined by a review of the literature and a retrospective study of 350 horses over a 14-year period. The incidence of left vs right testis retention was nearly equal. On the left side, 75.2% of the retained testes were retained abdominally and 24.8% inguinally; on the right side, 41.8% of the retained testes were retained abdominally and 58.2% inguinally. Preoperative diagnosis by rectal palpation of the vaginal rings was considered a valuable technique, with 87.9% accuracy in 190 horses. Invasive and nonivasive surgical techniques for abdominal cryptorchidectomy and...
Foote RH.Several inherited conditions associated with testicular defects, abnormal spermatogenesis and morphologically abnormal sperm have been found. These usually are controlled by single gene pairs. A notable exception is testicular size, with heritability in young bulls ranging from .42 to .88. Testicular size directly affects sperm output potential. The major contributor to variation in semen quality is the environment. Environmental effects may be temporary or permanent. Permanent effects occurring during prenatal and prepubertal periods and temporary or permanent factors acting after spermatogen...
Dawson FL.Mares rarely ovulate in winter; ovulation is induced by increase in daylight length. Ova accumulate in the oviducts of unserved mares. During pregnancy, corpora lutea accumulate; all regress together at mid pregnancy. Plasma progesterone levels rise and oestrogen levels fall towards the end of pregnancy. Methods are available for early termination of pregnancy and for induction of parturition. Pregnancy can be diagnosed efficiently by rectal examination, and by immunological assay of pregnant mare serum gonadotrophin. Service at the foal heat is associated with an increased prevalence of early...
McIlwraith CW, Owen RA, Basrur PK.Cytogenetic and histological studies were carried out on an intersex horse which was diagnosed clinically as a cryptorchid. Surgery confirmed the horse to be a bilateral abdominal cryptorchid and histological examination revealed ovarian tissue associated with the left epididymis. Chromosome analysis of cultured cells from testicular tissue, ovarian tissue and skin revealed 64-XX and 64-XY make-up, the left gonad containing a greater preponderance of XX cells over XY cells. The external characteristics and behaviour of the horse were indistinguishable from that of a "routine" cryptorchid. Othe...
Ganjam VK, Kenney RM.Total androgens, testosterone and total oestrogens were measured in twenty-one intact, nine unilaterally cryptorchid, three bilaterally cryptorchid stallions and four geldings. Total oestrogens were significantly higher (P less than 0-005) and total androgens significantly lower (P less than 0-05) in the bilateral cryptorchid compared to other groups. There was a significant (P less than 0-025) day and night variation in total androgen levels. Thyroidectomized and intact animals showed a marked decrease in total androgen as well as testosterone levels during the winter period thus showing an e...
Basrur PK, Kanagawa H, Gilman JP.Cytogenetic and histological studies have been carried out on an intersex horse which was clinically diagnosed as a cryptorchid. The horse had the general conformation of a stallion but the external genitalia included a well developed vulva and a penis. The right testis which was descended was devoid of germ cells and the left "gonad" located in the cavum vaginale contained neither testicular nor ovarian tissue. The male duct system on both sides were relatively well developed despite the absence of a testis on the left side. Chromosome analysis on cultured cells from the descended testis reve...
Serum anti-Müllerian hormone (AMH), a marker of equine cryptorchidism, is detectable in intact and cryptorchid stallions but not in geldings because it is secreted from Sertoli cells. A 4-year-old uncastrated Thoroughbred racehorse had no visible testes; therefore, the horse was considered a bilateral cryptorchidism. However, the serum AMH was undetectable (<0.08 ng/ml). Human chorionic gonadotrophin (hCG) stimulating test result indicated that the horse was a gelding. The results of sex chromosomal analysis and sequence analysis of SRY gene suggested that the horse was a genetically-intac...
Rutgers LJ, Merkens HW.A method of castration in stallions is reported on, in which primary closure of the wound caused by castration was attempted. Primary wound-healing occurred in 90 per cent of 110 stallions showing normally descended testicles, whereas this proportion was 97.4 per cent in thirty-eight unilaterally cryptorchid stallions in which the normally descended testicle was removed using the method described. It is concluded that the present method of castration will only be successful when surgery is carried out under strictly aseptic conditions.
Pratt SM, Stacy BA, Whitcomb MB, Vidal JD, De Cock HE, Wilson WD.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, ...
Constant SB, Larsen RE, Asbury AC, Buoen LC, Mayo M.A bilateral cryptorchid stallion with mild development of mammary glands was identified as an XX male by karyotyping. Necropsy revealed underdeveloped accessory sex organs and hypoplastic, inguinally located testes that were deficient of spermatogonia. Evaluation of routine hormonal profiles (without karyotyping) would have failed to diagnose this syndrome.
Palmer SE, Passmore JL.Thirty-nine unilateral cryptorchid horses were castrated, using a midline scrotal ablation technique. This approach was satisfactory to access both inguinal rings, to eliminate the need for 2 incisions, and to allow for completion of the surgery by primary closure. These horses recovered from surgery with few complications, returned to work promptly, and had excellent cosmetic results.
Hinrichs K, Gentile DG, Hurtgen JP, Richardson DW.A testicular prosthesis was removed from the scrotum of a 3-year-old Quarter Horse stallion. The prosthesis had been placed in the left side of the scrotum 10 months earlier, after an unsuccessful attempt to reposition the retained left testis. Because of a persistent draining fistula on the scrotum, first noted 5 months after placement of the prosthesis, surgery was performed to remove the prosthesis. At surgery, the left testis was found in a fibrous mass surrounding the prosthesis. The left testis had descended after placement of the prosthesis, and its involvement in the fibrous tissue sur...
Esteller-Vico A, Ball BA, Bridges JW, Hughes SE, Squires EL, Troedsson MHT.Reproductive steroids testosterone (T) and estrone sulfate (E1S) are used as diagnostic markers for cryptorchidism in horses. The human chorionic gonadotropin (hCG) stimulation test is used as a diagnostic aid because administration of this hormone results in greater incremental differences in circulating steroid concentrations. Thoughts regarding optimal sampling times following hCG administration, however, are inconsistent. Additionally, determination of half-life of these steroids is important in postsurgical samples to confirm complete removal of testicular tissue. Objectives of this study...
Cox JE.Testes were collected from normal and cryptorchid horses of a variety of breeds and ages and weighed after dissection from the epididymis. Scrotal testes grow little until the second winter of life and little thereafter, although a nearly mature body weight is reached by the end of the first winter. Scrotal testes in unilateral cryptorchids tend to be larger than those of normal stallions, sometimes exceedingly so, although occasional small scrotal testes are recorded. Inguinal testes show some tendency to grow during the second winter but the data are difficult to analyse beyond that age beca...
McClure JJ, Koch C, Powell M, McClure JR.Associations were sought between ELA A1-A10 and W11 antigens and the presence of laryngeal hemiplegia, arytenoid chondritis, umbilical hernias and cryptorchidism in Thoroughbreds and/or Quarter Horses. No significant associations were detected between laryngeal hemiplegia and any ELA antigen in Thoroughbreds. The association between arytenoid chondritis and A9 was significant with a relative risk (RR) of 15.6 and aetiologic fraction (EF) of 0.80 in Thoroughbreds. There were apparent associations based on RR between A4 and A5 in Quarter Horses with umbilical hernias (RR = 7.5 and 6.1 respective...
Kamalov AA, Gukhikh GT, Kirpatovskiĭ VI, Zaraĭskiĭ EI, Poltavtseva RA, Plotnikov EIu, Kudriavtsev IuV, Efremov EA, Obokhotov DA.The study of cell cultures enriched with stem and progenitor cells in the treatment of experimental hypergonadotropic hypogonadism was made on 30 white non-inbred rats with experimental cryptorchism who have undergone xenotransplantation of human fetal enriched cell cultures. Spermatogenic epithelium on histological sections was studied on day 14 and 28 after xenotransplantation with calculation of the spermatogenesis index. The fertility index was estimated for each of the groups. Transplantation of enriched cell cultures enhances efficacy of restoration of adequate germinogenic and spermatog...
Smith BL, Morton LD, Watkins JP, Taylor TS, Storts RW.A 16-year-old cryptorchid Quarter House with colic had a large, lobulated soft-tissue mass to the left of the pelvic inlet. At surgery, 2 large multilobulated pedunculated masses were removed. A large blood vessel enveloped by one of the masses was damaged, and the horse exsanguinated. Postmortem examination of the abdomen revealed the masses to be malignant seminoma, with multiple sites of metastasis.
Haider W, Brehm W, Keller H.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.
Nieman RT, Lamim LI, Del Fava C.Fetal loss in mares can result from a range of causes, including infectious agents or noninfectious conditions such as neoplasia, which may originate from either the fetus or the dam. Among neoplastic conditions, teratomas are rarely reported and, to date, have not been described in the equine fetal testis. Teratomas arise from the partial differentiation of pluripotent germ cells and may occur in young and adult horses, typically in cryptorchid testes. Their gross and histopathological features vary widely between cases. This report describes a rare case of bilateral fetal testicular teratoma...
Tucker ML, Wilson DG, Barber SM.To document marked hemorrhage as a complication of inguinal cryptorchidectomy and its successful treatment with a novel chitosan-based hemostatic agent. Methods: Case report. Methods: One healthy 5-year old quarter horse cryptorchid. Methods: The horse was presented for routine unilateral cryptorchidectomy after prior hemicastration. An inguinal approach was made to the abdomen, and the right external pudendal artery was lacerated at the level of the internal inguinal ring, requiring multiple anesthetic events over a 2-week period in attempts to control hemorrhage. A chitosan-based hemostatic ...
Arighi M, Singh A, Bosu WT, Horney FD.Abdominal, inguinal and scrotal testes of horses were examined grossly and by light microscopy. An average of 1.5, 2.3 and 4.6 layers of spermatogenic cells, and mean seminiferous tubule diameters of approximately 66.2, 83.6 and 146.6 micron in the abdominal, inguinal and scrotal testes, respectively, were recorded. The interstitial spaces and the number of interstitial cells (of Leydig) seemed to be increased while spermatogenesis appeared to be arrested in the retained testes. Early spermatocytes were the most mature stages of the spermatogenic cells in the retained testes. An extensive vacu...
Gelberg HB, McEntee K.Interstitial cell tumors from nine stallions were described. In all but one horse the tumors were found in undescended testes. Five animals had bilateral tumors. Two animals showed increased aggression. Tumors contained two cell types. The first type were large distinctly bordered eosinophilic cells interpreted to be hyperplastic and hypertrophic interstitial cells. They blended with pleomorphic often spindloid neoplastic cells which had fibrillar, vacuolated cytoplasm and indistinct cell borders. This latter cell population was arranged in nodules or broad sheets as endocrine-like packets or ...
Bugno-Poniewierska M, Dardzińska A, Pawlina K, Słota E.A normal course of meiosis and the associated course of spermatogenesis in males are very significant from the viewpoint of animal breeding, in particular animal reproduction. This takes on special significance when studying late-maturing animals such as horses. The aim of the study was to analyse meiotic cells, with particular consideration of synaptonemal complexes obtained from the testes of young stallions and cryptorchids, based on observations of the X-Y bivalent. The analysis was performed in successive stages of meiotic division using the FISH technique. The greatest diversity and most...
Ortved KF, Stewart AW, Fubini SL, Hackett RP.To report surgical management of 4 horses with cryptorchidism caused by failure of regression of the cranial suspensory ligament (CSL). Methods: Retrospective case series. Methods: Cryptorchid horses (n = 4). Methods: Horses with unilateral or bilateral cryptorchidism caused by failure of regression of the CSL were treated by removing the retained testes through a standing laparoscopic approach (2), flank laparotomy (1), or paramedian celiotomy (1). After identification of the retained testis attached to the caudal pole of the kidney by the CSL, the vascular pedicle and ductus deferens were li...
van der Velden MA.Three different forms of cryptorchidism are differentiated in stallions: inguinal, incomplete and complete abdominal cryptorchidism. Following a description of the anatomy of these various conditions, the diagnostic procedure and subsequent surgical treatment are discussed in detail. Both examination and castration of the cryptorchid stallion should be carried out carefully at all times.
al-Bagdadi F, Hoyt P, Karns P, Martin G, Memon M, McClure R, McCoy D, Shoemaker S.Eleven unilateral cryptorchid stallions, two to three years old, were castrated at Louisiana State University Veterinary Teaching Hospital. Five of these cryptorchid cases were abdominal and the rest were inguinal. This study was initiated to document the differences between the abdominal and inguinal equine cryptorchid testes. Specimens were obtained from the abepididymal side of each cryptorchid testes and processed for light and electron microscopic study. The cryptorchid testes were smaller than the scrotal testes, with the abdominal testes being one-fourth the size of the scrotal testes. ...
Stumpf G, Fietz D, Ezer J, Litzke LF, Bergmann M.Surgically removed testicular tissue in cryptorchid stallions is sometimes difficult to identify because of morphological and histological malformation. Therefore, a sure method to characterise the removed tissue is required. A 2-year-old Haflinger stallion was castrated after diagnosis of cryptorchidism to remove the left intra-abdomnial testis. Intra-operative exploration of the abdominal cavity revealed a firm, dysmorphic structure, which could not be identified as testis based on macroscopic anatomy. The removed tissue was Bouin-fixed and paraffin-embedded for histological examination. We ...
Shakeel M, Choi Y, Yoon M.Cryptorchidism affects spermatogenesis and testis development, often resulting in stallion subfertility/infertility. This study aims to identify the specific germ cells impacted by cryptorchism in stallions. In a previous study, we found that PGP9.5 and VASA are molecular markers expressed in different germ cells within stallions. Herein, we assessed the heat stress-induced response of spermatogonial stem cells (SSCs) in the seminiferous tubules (ST) of cryptorchid stallion testes (CST) and normal stallion testes (NST). This goal was accomplished by comparing PGP9.5 and VASA expression pattern...
Giorgio SD, Monti S, Palmieri V, Marino G, Napoli E, Vullo C, Catone G.A 3-year-old Quarter horse stallion with unilateral left cryptorchidism was referred for the absence of the left testis in the scrotal bursa and an enlarged right testis. The ultrasonographic examination revealed the presence of the left testis at the abdominal level. Two small hyperechogenic lines were observed running parallel and resembling a cylindrical cavitary foreign body, within a non-homogeneous area with blurred margins. The testis was removed by laparoscopy and macroscopically, the testis's cut section revealed the presence of two live adult nematodes emerging from 2 mm blood-filled...
