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1072  Breeding Soundness Exam: Male Dog


            which may indicate degeneration, hypoplasia,   around the bulbus glandis will aid retrac-  < 6 leukocytes per high-power field in
            neoplasia (p. 962), fibrosis, or abnormal    •  Semen evaluation         ■   Abnormalities include red blood cells,
                                                  tion into the prepuce.
                                                                                       all portions of the ejaculate.
  VetBooks.ir  •  Prostate  evaluation  involves  rectal  and   ○   Color          ○   Culture
            development.
                                                                                       tumor cells, and spermatocytes.
                                                    The first and third fractions should
            abdominal palpation. For rectal palpation,
                                                  ■
            it may be necessary to simultaneously exert
                                                                                          4
                                                                                       and an inflammatory cytologic profile
            dorsal pressure on the abdomen to lift the   be colorless, and the second should   ■   >10  gram-negative organisms/mL
                                                   be slightly white to cream colored. In
            bladder and prostate higher into the pelvic   cases of prostatic disease, such as benign   indicate bacterial infection (typically
            inlet. On rectal exam, the prostate should be   prostatic hyperplasia (BPH), the third   prostatitis).
            smooth and bilobed and lie 2-3 cm caudal   fraction may be pink, red, or brown   ○   pH: between 6.3 and 6.7. Dogs with BPH
            to the brim of the pelvis. Size, texture, and   colored. A yellow color indicates urine   have an elevated pH (≈7.5).
            pain should be evaluated.              contamination; an Azostix can be used   •  Blood  should  be  collected  for  a  baseline
            ○   An ultrasound exam is warranted if any   for confirming the presence of urea.  database,  including  Brucella  canis  testing,
              abnormalities are noted. If the prostate   ○   Semen analysis        CBC,  serum  biochemistry  profile,  and
              cannot be reached by rectal exam, it may   ■   Motility is evaluated by placing a drop   thyroid function tests.
              be evaluated by transabdominal ultrasound   of semen on a warm slide and adding
              or radiography.                      a cover slip. Gross motility is evaluated   Postprocedure
           •  Examine  the  prepuce  for  discharge  or   at low power (10-20×), and individual   •  If there is a high number of morphologically
            paraphimosis.  Preputial  discharge  may  be   motility is evaluated at 40× magnifica-  abnormal sperm, the semen analysis should
            the result of posthitis  or balanoposthitis.   tion. Normal motility is > 70% with   be repeated in ≈60 days.
            The penis is best examined during semen   good forward progression.  •  Additional tests not part of a routine BSE but
            collection. If semen collection is not to be   ■   A morphology slide is prepared by   that can be performed to further investigate
            performed, the prepuce should be reflected   placing a drop of semen on a warm   an infertility problem include
            and the penis evaluated.               slide along with a drop of an eosin-  ○   Staining for intact acrosomes
           •  Semen collection                     nigrosin morphology stain. The two   ○   Computer-assisted semen analysis allows
            ○   Before starting, the collection vessels   drops are mixed together, spread evenly   objective evaluation of motility.
              should be within reach of the collector.  across the slide, and allowed to air dry.   ○   Fluorescent stains, including  evaluation
            ○   If  possible,  the  male  and  teaser  bitch   Alternatively, the slide can be prepared   for apoptosis (Annexin V assay) and DNA
              should be allowed to interact. When the   by smearing the semen drop across the   fragmentation (tunnel assay)
              male becomes sexually excited, the collec-  slide and stained using Diff-Quik. If   ○   Flow cytometry for oxidative status of
              tor should step in and begin to stimulate   this method is used, the slide should   sperm and sperm chromatin structure
              the penis through the prepuce.       remain in the purple and red stain   assay
            ○   The bulbus glandis is stimulated inside the   for 10 minutes each to ensure stain   ○   Sperm  membrane  integrity  using  the
              prepuce until an erection is established;   penetration of the sperm cells. The slide   hypoosmotic swelling test (HOST)
              then the prepuce is retracted caudal   must be evaluated under oil immersion   ○   Endocrine assays: testosterone concentra-
              to the bulbus glandis to expose the    (100×). Normal morphology should be   tions may be lower in infertile dogs. Blood
              penis.                               > 70%. Primary defects should not be   should  be collected  multiple  times and
            ○   The collector encircles both hands around   greater than 10%, and secondary defects   pooled to avoid the natural highs and lows.
              the base of the bulbus glandis. To simu-  should not be greater than 20%.  ○   Karyotype
              late the tie, the dog may want to step     ■   A concentration is obtained by creat-  ○   Testicular ultrasound supports diagnoses
              over the collector’s arm. The dorsal aspect   ing a 1 : 100 dilution, using a WBC   such as testicular neoplasia, hydrocele, and
              of the penis remains dorsal as the collector   Unopette or by manually pipetting 20   degeneration and allows precise calculation
              turns the penis 180° until it is directed   mcL of semen into 2 mL of distilled   of testicular volume. Doppler evaluation
              caudally.                            water and counting the central square   of testicular artery blood flow can be
            ○   The ejaculate should be fractionated, with   on a hemocytometer. This is the con-  correlated with fertility parameters.
              each fraction collected in a separate vessel.   centration in million cells per milliliter.  ○   Testicular biopsy
              The first fraction is the pre-sperm fraction   ■   Volume should be 1-30 mL total, with
              consisting of 1-2 mL of clear prostatic   the sperm-rich fraction comprising   SUGGESTED READING
              fluid. The second fraction is the sperm-  1-12 mL.                 Johnston J, et al: Clinical approach to infertility in
              rich fraction and consists of 1-3 mL of   ■   Total sperm/ejaculate should be 200   the male dog. In SD Johnston, et al. Canine and
              an opaque to creamy white fluid. The   million to 2 billion. This depends on   feline theriogenology, New York, 2001, Saunders,
              third fraction is clear prostatic fluid and   the body weight of the dog but should   pp 370-387.
              continues to be produced as long as the   be > 22 million/kg body weight.  AUTHOR: Bronwyn Crane, DVM, MS, DACT
              erection is maintained.           ○   Cytologic analysis           EDITORS: Leah A. Cohn, DVM, PhD, DACVIM; Mark S.
            ○   After the collection is complete, placing a   ■   Normal semen should contain     Thompson, DVM, DABVP
              small amount of water-soluble lubricant   < 2000  WBC/mcL; there should be
















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