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Preparation of Teaser Bulls


Gretchen Grissett
Department of Pathobiology and Population Medicine, College of Veterinary Medicine, Mississippi State University, Starkville, MS, USA

I­ ntroduction Proper bull selection is also an important aspect of teaser


bull preparation. The ideal bull needs to be of moderate size,
Historically, a key to a successful artificial insemination mild temperament, and easily handled. This bull also needs
(AI) program has been accurate detection of estrus. Even to be free of transmissible diseases. Of course, the bull also
with utilization of currently available estrus synchroniza- needs strong libido, but this can be difficult to assess in year-
tion programs and timed AI, estrus detection is important ling bulls [4]. Teaser bull surgery should be performed well
as a tool to evaluate the efficacy of the protocol, trouble- before the breeding season to allot time for healing and
shoot problems in real time, and identify outliers that can recovery from surgery. Ideally, the procedure should be
be bred outside the prescribed “AI window.” performed on bulls less than 272 kg, primarily for ease of
Several estrus detection methods exist, including tail- handling and decreased hemorrhage during surgery [4].
head paint, mount detectors, self-adhesive heat detection Teaser bull procedures can be divided into two categories:
patches, and visual observation. All these methods depend those that block semen flow and deliver sterility (vasec-
on female cattle standing for mounting during estrus. Thus tomy, epididymectomy) and those that prevent penile pen-
these methods might miss females with weak or short etration (penile–prepuce translocation, penopexy, preputial
estrus behavior [1]. By far the most efficient estrus detector pouch). Depending on the needs and expectations of the
is the bull, with the caveat that there is the benefit of male producer, any one or a combination of these procedures can
presence [2]. Therefore utilization of a teaser bull (intact be used for preparation of a teaser bull.
sterilized male) is the most reliable method of estrus detec-
tion in the utilization of an AI program.
Several factors need to be considered when choosing a teaser V
­ asectomy
bull procedure and each producer will have different needs
and expectations. Besides the obvious need to render the bull As previously mentioned, vasectomy will render a bull sterile
sterile, other considerations would include herd status (open but does not prevent normal mating and copulation behavior.
or closed herd). If an open herd, venereal disease transmission This procedure can be performed with the bull in standing
is an important factor to consider and prevention of intromis- restraint or recumbency, or a tilt chute may be used if availa-
sion during mounting will be an important factor when choos- ble. The typical surgical approach is an anterior approach on
ing a teaser bull surgical procedure. Additionally, expected the neck of the scrotum. However, if standing restraint is
longevity needs to be discussed with the producer. On average, chosen, then the approach would be the posterior aspect of
teaser bulls will last one to three years within a herd [1]. the neck of the scrotum. Figure 21.1 shows the procedure.
Decreased libido is the most common reason for culling, with The neck of the scrotum should be clipped and aseptically
excessive size and aggression being the next most common prepared for surgery. Lidocaine 2% should be infused over
culling reasons [3]. To summarize, the main goals of surgical the proposed incision site over each spermatic cord. A 3-cm
preparation of teaser bulls are to render him sterile, prevent incision should be made through the skin and tunica dartos
intromission and therefore the transmission of venereal dis- over each spermatic cord. The spermatic cord is isolated by
ease, and avoid excessive libido reduction [4, 5]. placing a hemostat underneath the entire spermatic cord.

Bovine Reproduction, Second Edition. Edited by Richard M. Hopper.


© 2021 John Wiley & Sons, Inc. Published 2021 by John Wiley & Sons, Inc.
Companion website: www.wiley.com/go/hopper/bovine
­Penile–Prepuce Translocatio  243

can be used to assist in handling and manipulation of the


epididymis. A hemostat is placed on the ductus deferens
and the body of the epididymis. Ligatures with #0 absorb-
able suture are placed proximal to the hemostats. The tail
of the epididymis is removed by transection distal to the
hemostats. Figure 21.2 shows the procedure.
The common vaginal tunic is closed using #0 absorbable
suture. The skin can be closed with non-absorbable cruci-
ate sutures or the incisions can be left open to allow ventral
drainage. Antibiotics can be administered to prevent post-
operative infections. Postoperative resting recommenda-
tions and yearly ejaculate examinations are the same as
previously stated for vasectomy aftercare.

Figure 21.1 Procedure for vasectomy. Source: Illustration by


­Penile–Prepuce Translocation
Mal Hoover.
Penile–prepuce translocation (“sidewinder”) is the surgical
transposition of the penis and prepuce from the ventral
The ductus deferens is then identified via palpation. The
midline to the right or left flank of a bull. This procedure
ductus deferens is a firm structure that runs medially along
allows normal protrusion and erection but does not permit
the spermatic cord and is approximately 2–3 mm in diame-
intromission. In general, “sidewinders” are preferred by
ter. Once identified, the tunica vaginalis is carefully incised,
producers due to longevity and herd retention of the teaser
utilizing extreme caution so as not to damage the cremaster
animal. Bulls with a penile–prepuce translocation maintain
muscle or pampiniform plexus resulting in excessive hemor-
better and longer libido since this procedure allows normal
rhage. After the tunica vaginalis is incised, the ductus defer-
protrusion and does not cause pain during erection. Some
ens is isolated with another hemostat.
bulls are able to compensate and learn how to breed females
Two ligatures are placed approximately 3–5 mm apart
despite the translocation of the penis and prepuce. Therefore
using #0 absorbable suture [4, 5]. The ductus deferens is
it is recommended that a vasectomy or epididymectomy is
removed between the two ligatures. The skin is closed with
performed to ensure sterility of the bull.
a cruciate pattern using nonabsorbable suture. Antibiotics
Penile–prepuce translocation is performed in lateral
can be administered to prevent any postoperative infection,
recumbency, so general anesthesia is the preferred method
especially if surgical contamination has occurred. It is rec-
of restraint. If general anesthesia is not possible, heavy seda-
ommended to wait 30 days prior to using the bull as a teaser
tion with rope restraints and local infiltration of 2% lidocaine
animal, since sperm can be present in the reproductive
can be used. Ideally, food should be withheld for 24 hours
tract up to 30 days postoperatively [4, 5]. Additionally, it is
and water for 12 hours before performing the procedure.
recommended to perform yearly evaluations of the teaser
Prior to placing the bull in recumbency, the translocation
animal’s ejaculate to ensure sterility of the animal.
site for the preputial orifice should be identified. The trans-
location site should be just outside the flank fold and lat-
eral to the original preputial orifice site [3]. An 18-gauge
E
­ pididymectomy needle can be used to abrade the epidermis so the location
is not altered after placing the animal in recumbency and
An epididymectomy is similar to a vasectomy with regard skin stretching occurs. The ventral abdomen from the
to restraint options and copulation behavior [6]. For this umbilicus to just cranial to the scrotum and the site of
procedure, the base of the scrotum is clipped and asepti- translocation of the flank should be clipped and aseptically
cally prepared. Lidocaine 2% is infused over the tail of the prepared. Flush the prepuce with dilute iodine solution.
epididymis. Once prepared, the surgeon grasps the neck of Before making the initial incision, place one simple
the scrotum and pushes the testicle ventrally. A 3-cm inci- interrupted suture at the dorsal aspect of the preputial ori-
sion is made over the tail of the epididymis through the fice to serve as a marker and prevent twisting of the pre-
skin and common vaginal tunic until the epididymis is puce during translocation. A circumferential skin incision
exteriorized. The tail of the epididymis is carefully ­dissected around the preputial orifice is made 4 cm from the orifice
from the testicle, and towel clamps or Allis tissue forceps or a total diameter of 8–10 cm (Figure 21.3) [3, 4]. Extend
244 Preparation of Teaser Bulls

1 1
2 2

Figure 21.2 Procedure for epididymectomy. Source: Illustration by Mal Hoover.

Figure 21.3 Circumferential incision 4 cm from the preputial Figure 21.4 Ventral midline incision extending caudally with
orifice is performed with an interrupted suture placed at the circumferential incision at the translocation site. Source: Photo
dorsal aspect of the preputial orifice to prevent twisting during courtesy of Tom Thompson.
translocation. Source: Photo courtesy of Tom Thompson.

the preputial orifice at the desired translocation site


the skin incision on the ventral midline from the preputial (Figure 21.4). Use a sponge forceps to create a tunnel
orifice to just cranial to the scrotum (Figure 21.4). Carefully toward the flank incision. As the forceps is retracted, open
dissect the penis and prepuce from the ventral abdomen. it slightly to help facilitate penile translocation. This tunnel
Avoid lacerating the prepuce; packing or tubing can be can also be accomplished with a cold sterilized polyvinyl
placed in the prepuce to aid with proper identification. chloride (PVC) pipe (Figure 21.5).
While dissecting the penis and prepuce, avoid incising the Place a sterile glove or sleeve over the preputial orifice to
dorsal penile vessels and control hemorrhage as it is minimize contamination of the subcutaneous tissues.
encountered. Once the penis and prepuce are dissected, Then run a sponge forceps from the flank incision to the
make a circular skin incision equivalent to the diameter of ventral midline incision and grasp the preputial orifice.
­Penopex  245

Figure 21.5 Use of a cold sterilized PVC pipe to facilitate Figure 21.6 Closure of new preputial orifice with interrupted
tunneling of penile translocation and skin incision for the sutures and ventral midline with Ford interlocking pattern.
translocation site. Source: Photo courtesy of Tom Thompson. Source: Photo courtesy of Tom Thompson.

Manipulate the preputial orifice to the flank incision, tak- with sedation and local infiltration of 2% lidocaine. Tilt
ing care not to twist the prepuce (use a stay suture to ensure chute restraint or general anesthesia can also be utilized.
proper alignment). Suture the skin around the preputial Lateral recumbency is the preferred positioning.
orifice using #3 non-absorbable sutures with a cruciate or The bull’s ventral abdomen is clipped and surgically pre-
horizontal mattress pattern (Figure 21.6) [1]. Close the pared from the preputial orifice to the scrotum. A skin inci-
subcutaneous layer of the ventral midline incision with #3 sion is made 2–3 cm lateral of the midline and half the
absorbable suture, closing as much dead space as possible distance between the preputial orifice and scrotum approxi-
to prevent seroma formation. Close the skin with #3 non- mately 10 cm in length. Carefully dissect the subcutaneous
absorbable suture in a Ford interlocking pattern. Place a tissues until the penis is identified and exteriorized
cruciate suture at the cranial aspect of the incision to be (Figure 21.7). Once the penis is exteriorized through the
removed for drainage if a seroma does occur. incision, identify the caudal reflection of the penis (fornix)
The teaser bull should be monitored closely for 24 hours and dissect the subcutaneous tissues on the dorsal aspect of
postoperatively to ensure he is able to urinate properly. the penis until the tunica albuginea is exposed for approxi-
Antibiotics should be administered for three to five days mately 10 cm caudal to the fornix [4, 5]. Remove the subcu-
postoperatively to prevent infection. Allow four to six weeks taneous tissue on the linea alba in conjunction with the
of recovery time before using the teaser bull [3–5]. Penile– dorsal aspect of the penis. The tunica albuginea and corre-
prepuce translocation is not a technically difficult proce- sponding linea alba are scarified to promote strong adhesion
dure, but it is more invasive and can result in more formation. After preparation of both sites, the urethral
postoperative complications. The most common complica- groove is identified on the ventral aspect of the penis.
tions are obviously seroma and abscess formation from the Beginning 6–8 cm caudal to the fornix of the penis, pre-place
excessive dead space created. Another complication would four to six simple interrupted sutures approximately 2 cm
be not translocating the preputial orifice high enough on apart using a heavy non-absorbable suture [4, 5]. The suture
the flank and thus the bull would still be capable of breed- is placed through the dorsal third of the penis using care to
ing a female animal. There is also one case report of a not enter the urethra. The suture is then placed through a
teaser bull developing paraphimosis with a penile–prepuce corresponding area of the linea alba (Figure 21.8) [4, 5].
translocation [7]. Once all the sutures are pre-placed, return the penis to the
normal anatomical position and ensure it is not protruding
from the preputial orifice prior to securing all the sutures
P
­ enopexy (Figure 21.9). Close the subcutaneous tissue with absorbable
sutures and the skin with #3 non-absorbable suture in a
Penopexy is the iatrogenic creation of phimosis by surgi- Ford interlocking pattern. A vasectomy or epididymectomy
cally creating an adhesion of the penis to the ventral body is usually performed in conjunction with a penopexy to
wall. This procedure prevents protrusion of the penis, thus ensure sterility of the bull in case of procedure failure.
preventing normal intromission or copulation. Penopexy is Allow three to four weeks of recovery to ensure proper
a relatively quick procedure and can typically be performed formation of adhesions. The drawback of penopexy is the
246 Preparation of Teaser Bulls

Figure 21.7 Exteriorization of the penis through the incision


and identification of the caudal reflection of the penis.

Figure 21.9 Securing the stay sutures for penopexy. Source:


Illustration by Mal Hoover.

approach is over the distal loop of the sigmoid flexure [4].


A 4- to 5-cm incision is made through the skin and the
tunica albuginea is exposed as mentioned previously.
However, the stay sutures are placed on the lateral aspects
of the penis and secured to the fibrous connective tissue in
the perineal region of the bull [4, 5].

­ reputial Pouch Technique (Ventral


P
Slot with Preputial Orifice
Obliteration)

The preputial pouch technique creates a fistula on the ven-


tral prepuce and closes the normal preputial orifice. This
technique prevents penile extension but allows for passage
of urine through the ventral fistula. Teaser bulls with a pre-
Figure 21.8 Preplacement of sutures through the dorsal third putial pouch are typically retained in the herd longer
of the penis and linea alba. Source: Illustration by Mal Hoover. because libido is maintained for longer due to the lack of
pain during attempted breeding [5]. This procedure is per-
risk of entering the urethra and decreased longevity in the formed in lateral recumbency and can be accomplished
herd since the bull will experience pain during attempted with tilt chute restraint or sedation with local infiltration of
erection, thus decreasing libido. A follow-up study of 37 2% lidocaine. The ventral abdomen is clipped and prepared
bulls found that 15% of bulls maintained good libido for from the umbilicus to the midsheath region of the bull.
one breeding, 30% for 1–1.5 years, and 42% for more than Prior to initiating surgery, the penis is extended and a
1.5 years [5, 8]. Penrose drain is sutured around the glans penis with 2–0
A standing perineal penopexy approach has been polydioxanone (PDS). An approximately 1-cm-diameter
described using light sedation and a caudal epidural. The elliptical incision is made through the skin 7 cm caudal to
­Other Procedure  247

the preputial orifice (Figure 21.10). The skin incision is


extended through the preputial mucosa. The excised skin
and mucosa are discarded. Then the internal mucosa of the
prepuce is sutured to the skin of the sheath to create the
fistula. An interrupted non-absorbable suture pattern is
recommended (Figure 21.11a and b) [5]. Once suturing is
complete, the free end of the Penrose drain is placed
through the fistula. The Penrose drain will facilitate urine
divergence while the primary incision sites heal.
The preputial orifice obliteration is accomplished by
removing approximately 5 mm of the sheath skin and Figure 21.12 Excision of 5 mm of the preputial epithelium and
prepuce mucosal junction around the entire preputial sheath skin junction. Source: Illustration by Mal Hoover.
orifice (Figure 21.12). This incision is closed in three layers:
preputial epithelium, subcutaneous layer, and skin. The flow is obstructed. If the fistula is too large, penile extension
Penrose drain and sutures can be removed in two weeks. can occur with potential breeding. Therefore it is recom-
Allow three weeks of postoperative recovery time prior to mended to perform a vasectomy or epididymectomy to
utilizing the teaser bull [5]. ensure sterility of the bull. Some bulls may pool urine in
The critical step in the preputial pouch technique is the their preputial pouch and require postoperative flushing of
size of the fistula. If the fistula is too small, proper urine the pouch. Thus this technique is not recommended for
Bos indicus breeds since their pendulous sheath would pre-
dispose them to urine pooling and calculi formation [5].

­Other Procedures

Other teaser bull procedures include iatrogenic preputial


stenosis, artificial corpus cavernosal thrombosis, transection
of the apical ligament, and penectomy. These procedures are
Figure 21.10 Site for incision for ventral fistula. Source: briefly discussed, since their use has fallen out of favor due
Illustration by Mal Hoover.
to high risk of failure, complication rates, and diminished
libido.
(a) Iatrogenic preputial stenosis involves a ventral mid-
sheath approach to the prepuce and penis. The prepuce is
identified and a stainless-steel rod or Steinmann pin is
secured and tightened around the prepuce. Care must be
taken to tighten the ring sufficiently to prevent penile
extension, but loose enough to prevent urine pooling and
balanoposthitis [5, 9]. Mixed success rates accompany this
procedure. Complications associated with this procedure
include excessive ring closure resulting in urine retention
and balanoposthitis, complete stenosis resulting in subcu-
taneous urine accumulation, lack of stenosis resulting in
penile extension and intromission, and excessive tissue
(b) reaction to the stainless-steel ring.
Corpus cavernosal thrombosis involves injection of an
acrylic material into the corpus cavernosum of the
penis [10]. The acrylic material results in thrombus forma-
tion that prevents erection. This method is performed with
standing restraint under a caudal epidural. A midline inci-
sion is made over the penis. The distal sigmoid flexure is
Figure 21.11 (a and b) Suturing of preputial mucosa to the identified by locating the retractor penis muscle, with the
sheath skin. Source: Illustration by Mal Hoover. proximal sigmoid flexure being approximately 15 cm proxi-
248 Preparation of Teaser Bulls

mally. A 14-gauge needle is inserted at the dorsolateral tomy or epididymectomy is recommended in conjunction
aspect of the penis at the proximal sigmoid flexure and the with this procedure.
acrylic is injected. Non-absorbable stay sutures are placed Penectomy involves amputation of the penis. This can be
at the lateral aspect of the penis at the level of the retractor performed by amputation of the glans penis at the fornix
penis muscle to prevent penile prolapse. Potential compli- and suturing of the prepuce to the urethral mucosa [11];
cations of this procedure include inadequate injection of alternatively this can be performed at the perineal region,
acrylic into the corpus cavernosum resulting in procedure suturing urethral mucosa to the skin [5, 11]. Amputation
failure, or accidental injection into the corpus spongiosum of the glans penis at the fornix results in teaser bulls that
or urethra resulting in urethral obstruction [5]. experience pain during breeding attempts, thus decreasing
Transection of the apical ligament involves intentional libido and herd retention time [5]. With penectomy via the
transection of the apical ligament of the penis creating a ven- perineal approach, bulls often lose interest and experience
tral penile deviation and preventing intromission. The bull is decreased libido due to the lack of coitus [11]. With either
restrained in lateral recumbency, either with heavy sedation approach, urethral stricture is a risk factor.
and rope restraint or utilization of a tilt table. The penis is
extended and a towel clamp is placed around the apical liga-
ment of the penis to maintain penile extension. Prepare the S
­ ummary
penis and prepuce aseptically. Just proximal to the clamp, 2%
lidocaine is infused subcutaneously under the epidermis of Accurate heat detection is essential to any AI or embryo
the penis. An approximately 2-cm skin incision is made lon- transfer program and teaser bulls are the best at detecting
gitudinally along the dorsum of the penis. Once the apical heat. There are multiple procedures for creating a teaser
ligament of the penis is isolated, the ligament is transected bull, with no single procedure being perfect. Each proce-
extending to the tunica albuginea. The skin incision is closed dure has its advantages and disadvantages. Ultimately, the
with interrupted absorbable suture. Possible complications decision of which procedure to perform depends on the
of this procedure include excessive hemorrhage with second- needs and expectations of the client (longevity of bull,
ary seroma or abscess formation. Additionally, inadequate postoperative complications, assured sterility). Additional
transection of the apical ligament could occur or healing of factors that may impact procedural choice include facili-
the ligament could allow breeding occurrence, so a vasec- ties, veterinarian preference, cost, and herd status.

R
­ eferences

1 Holmann, F. (1987). Economic evaluation of 7 Baird, A., Wolfe, D., and Angel, K. (1992). Paraphimosis
fourteen methods of estrous detection. J. Dairy Sci. 70: in a teaser bull with penile translocation. J. Am. Vet. Med.
186–194. Assoc. 201: 325.
2 Hornbuckle, T., Ott, R., Ohl, M. et al. (1995). Effects of bull 8 Hoffsis G, Maurer L. (1972). Preparation of detector bulls
exposure on the cyclic activity of beef cows. Theriogenology by penile retraction and fixation. Proceedings of the
43: 411–418. Annual Convention of the American Association of
3 Noordsy, J. and Ames, N. (2006). Food Animal Surgery, 4e, Bovine Practitioners, pp. 114–116.
229–239. Princeton, NJ: Veterinary Learning Systems. 9 Aanes, W. and Rupp, G. (1984). Iatrogenic preputial
4 Morgan, G. and Dawson, L. (2008). Development of teaser stenosis for preparation of teaser bulls. J. Am. Vet. Med.
bulls under field conditions. Vet. Clin. North Am. Food Assoc. 184: 1474–1476.
Anim. Pract. 24: 443–453. 10 Wolfe, D. (1986). Surgical procedures of the reproductive
5 Gill, M. (1995). Surgical techniques for preparation of system of the bull. In: Current Therapy in
teaser bulls. Vet. Clin. North Am. Food Anim. Pract. 11: Theriogenology, 2e (ed. D.A. Morrow), 353–380.
123–136. Philadelphia: WB Saunders.
6 McCaughey, W. and Martin, J. (1980). Preparation and use 11 Straub, O. and Kendrick, J. (1965). Preparation of teaser
of teaser bulls. Vet. Rec. 106: 119–121. bulls by penectomy. J. Am. Vet. Med. Assoc. 147: 373–376.

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