Professional Documents
Culture Documents
21
1 1
2 2
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.
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
Other Procedures
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.