Prevalencia de patología urogenital en la consulta ambulatoria de varones adolescentes. Estudio descriptivo transversal / Prevalence of urogenital disease in male adolescent outpatient visits. A descriptive, cross-sectional study

Introducción. El examen genital en varones es una evaluación clínica simple y rápida para detectar patología urogenital. Los datos sobre prevalencia de patología urogenital en varones adolescentes son limitados. Nuestro objetivo fue describir la prevalencia de patología urogenital en varones adolescentes. Población y métodos. Estudio descriptivo transversal en el Servicio de Adolescencia de un hospital público de la Ciudad de Buenos Aires. Se evaluaron retrospectivamente las historias clínicas (HC) de varones de 9 a 20 años atendidos entre 2008 y 2018; se incluyeron las que tenían examen genital. Se recabaron datos de edad, estadio puberal, orquidometría, patología urogenital antes de la adolescencia y al momento de la consulta. La prevalencia se expresó en porcentaje e intervalo de confianza del 95 % (IC95%). Se estimó necesario incluir 1167 HC como muestra poblacional. Resultados. Se evaluaron 2129 HC; se incluyeron 1429. En 686 casos no se hizo el examen genital. La población tuvo una mediana de edad de 12 años (rango intercuartílico 11-14 años). En 72 varones (5,7 %; IC95% 4,5-7,2), se halló una enfermedad genitourinaria antes de la adolescencia. Se detectó al menos una patología urogenital en 272 adolescentes (14,8 %; IC95% 13,1-16,7); las más frecuentes fueron adherencia balanoprepucial 5,3 % (IC95% 4,2-6,6), varicocele 2,7 % (IC95% 2-3,7) y fimosis 1,8 % (IC95% 1,2-2,6). Conclusiones. El examen genital permitió detectar que el 14,8 % de los varones adolescentes atendidos presentó alguna patología urogenital. Las entidades más frecuentes fueron adherencia balanoprepucial, varicocele y fimosis.

Introduction. The male genital exam is a simple and quick assessment to look for urogenital disease. Data on the prevalence of urogenital disease in male adolescents are limited. Our objective was to describe the prevalence of urogenital disease in male adolescents. Population and methods. Descriptive, cross-sectional study conducted at the Department of Adolescenceof a public hospital in the City of Buenos Aires. The medical records of male patients aged 9 to 20 years seen between 2008 and 2018 were retrospectively reviewed; all those with a genital exam were included. Data on age, pubertal stage, orchidometry, and urogenital disease before adolescence and at the time of consultation were recorded. The prevalence was described as percentage and 95% confidence interval (CI).As per estimations, 1167 medical records had to be included to establish the population sample. Results. A total of 2129 medical records were assessed and 1429 were included. No genital exam had been conducted in 686 cases. The median age of the population was 12 years (interquartile range: 11­14 years). Urogenital disease before adolescence was detected in 72 boys (5.7%; 95% CI: 4.5­7.2). Urogenital disease was found in 272 adolescents (14.8%; 95% CI: 13.1­16.7); the most common conditions were balanopreputial adhesions in 5.3% (95% CI: 4.2­6.6), varicocele in 2.7% (95% CI: 2­3.7), and phimosis in 1.8% (95% CI: 1.2­2.6). Conclusions. A genital exam allowed to detect that 14.8% of adolescent boys had a urogenital diseaseThe most common conditions were balanopreputial adhesions, varicocele, and phimosis.

Morphological and morphometric characterization of the preputial ostium, internal preputial leaflet, and free part of the penises of Aberdeen Angus and Nellore bulls / [Caracterização morfológica e morfométrica do óstio prepucial, do folheto prepucial interno e da parte livre do pênis de touros Aberdeen Angus e Nelore]

The morphological characteristics of the external genitalia of the bull may contribute to the etiopathogenesis of preputial diseases that trigger the impotence coeundi and losses in farms. The goal of this study was to establish morphometric parameters of the preputial ostium, the internal preputial leaflet (IPL), the free part and glans of the penis; describe the histological characteristics of the IPL; perform a count of the preputial sebaceous glands and compare these variables between 24-month-old Aberdeen Angus and Nellore bulls. At the slaughterhouse, 20 preputial pieces were collected from each breed. A device composed of base, rod, ring, and funnel was designed to hold each suspended and distended part. The IPL, the free part of the penis and the glans were measured. The ostium diameter was measured, and the radius, perimeter, and area of the preputial ostium were calculated. Samples were collected from the dorsal and ventral regions and from the cranial, medial, and caudal portions of the IPL. By electronic and optical microscopy, IPL characterization and sebaceous gland counts were performed. Analysis of variance was performed using the F test at 5%. It was concluded that Nellore bulls have a more extensive IPL and free part of the penis and more preputial sebaceous glands than Aberdeen Angus bulls. In both breeds, there are more glands in the ventral region of the ostium.

As características morfológicas da genitália externa do touro podem contribuir para a etiopatogenia de enfermidades prepuciais que desencadeiam a impotência coeundi e prejuízos nos criatórios. O objetivo deste estudo foi estabelecer parâmetros morfométricos do óstio prepucial, do folheto prepucial interno (FPI), da parte livre e da glande do pênis; descrever as características histológicas do FPI; realizar contagem de glândulas sebáceas prepuciais; e comparar essas variáveis entre touros Aberdeen Angus e Nelore, com 24 meses de idade. No abatedouro, colheram-se 20 peças prepuciais de cada raça. Elaborou-se um dispositivo composto por base, haste, anel e funil para sustentar cada peça suspensa e distendida. Realizou-se medição do FPI, da parte livre do pênis e da glande. Aferiu-se diâmetro do óstio, e calculou-se o raio, o perímetro e a área do óstio prepucial. Colheram-se amostras nas regiões dorsal e ventral e das porções cranial, medial e caudal do FPI. Por microscopia eletrônica e óptica, fez-se a caracterização do FPI e a contagem de glândulas sebáceas. Realizou-se análise de variância pelo teste F a 5%. Concluiu-se que touros Nelore possuem o FPI e a parte livre do pênis mais extensos e mais glândulas sebáceas prepuciais que touros Aberdeen Angus. Nas duas raças, há mais glândulas na região ventral do óstio.

Reconstrução prepucial com uso de enxerto combinado em cães / Preputial reconstruction combined with graft in dogs

Background: Preputial injuries are significant in the clinical routine. Traumas, conditions, and mass excision result in extensive and full-thickness defects that lead to chronic penile exposure and consequential injuries. Severe injuries may require preputial reconstructive surgery to restore function and aesthetics. The objective is to report the use of the preputial reconstruction technique using the caudal superficial epigastric axial standard flap associated with a single-stage, full-thickness oral mucosa graft in 3 dogs where the loss of the prepuce was significant. Cases: Three dogs were admitted to the Veterinary Teaching Hospital of UFMT with preputial lesions of different etiologies. All cases were referred for preventive reconstruction using a flap in the caudal axial epigastric pattern associated with a single-stage oral mucosa graft. In the 3 reported cases, changes that compromised surgical success, such as suture dehiscence, necrosis, or infection, were not observed during hospitalization. Cutaneous stitch dehiscence, however, was observed in all 3 cases. Dog 1. A small point of dehiscence and tissue necrosis was found and treated with chemical debridement and healed by second intention, which proved to be sufficient on the 30th day. Dog 2. A half-moon rotation flap was performed, which closed the defect. Dog 3. A new procedure using the reporting theme technique was necessary in order to cover the cranial portion of the foreskin. The dehiscence present in dogs 2 and 3 was significant. Flap retraction was observed in all 3 cases. In dogs 1 and 3, the retraction was slight, and the exposure of a small portion of the penile glans were observed, showing no changes that required intervention. In dog 2, retraction was important, leading to partial stenosis of the preputial ostium. A larger ostium was obtained by suturing the mucosa to the edge of the wedge. Considering the possibility of adhesion formation, "captons" were made in sterile silicone tubes, and sutures were placed in the dorsal and ventral aspects to prevent adherence of the oral mucosa graft located on the inside of the new foreskin. The captons were removed on the tenth post-operative day, revealing a good opening of the preputial orifice and adequate penile exposure. Discussion: The absence of a foreskin caused by trauma or surgical excision leads to chronic penile exposure, dryness, and ulcerations. The simple covering of the skin with an axial-type flap of the caudal superficial epigastric region tends to fail since only the graft edges are sutured into the abdominal skin. In these circumstances, the subcutaneous region on the penis is exposed and comes in direct contact with urine and the penile mucosa, causing the flap skin to grow to exacerbated retraction. The transplantation of a free-lip mucosa graft allows the subcutaneous region of the transposed skin flap to create adhesions in the fenestrated regions of the lip tissue through the formation of granulation tissue buds, which is performed in a single stage. The permanence of the penis protects the lower urinary system from the occurrence of infections relative to what is normally observed in cases where partial or total penile amputation is practiced in combination with adjunctive scrotal urethrostomy. Given the observations of the 3 cases described here, the technique of pre-facial reconstruction with an axial skin flap of the caudal superficial epigastric region, combined with free-labial mucosa graft, was found to be feasible for the single-stage foreskin technique, but that paraphimosis remanagement may be necessary when cutaneous portions of the penile skin caudal to the glans are removed.

Why human prepuce is a valuable resource in science? Histological, ultrastructural, immunohistochemical and statistical analysis / ¿Por qué el prepucio humano es un recurso valioso en la ciencia? Análisis histológicos, ultraestructurales, inmunohistoquímicos y estadísticos

SUMMARY: This research was to examine the histological and ultrastructural characteristics of prepuce samples, as well as vimentin and S100 protein localization and statistical analysis. Urologists have long struggled with the prepuce, which is used to treat a variety of urethral problems. Skin biopsies were collected from the prepuce at the moment of circumcision and processed for light microscopy, electron microscope examination, immunohistochemical techniques, and statistical analysis in a total of six boys. Histologically, the prepuce epidermis displayed focal spiky ridges, which are saw-toothed interspersed with sulci, slight hyperpigmentation, looser connective tissue and plentiful vascular components. Immunohistochemically, the existence of melanocytes and Langerhans cells in the epidermis, as well as smooth muscles in the dermis, was stained positively for vimentin. Also, there was a positive reactivity of the Langerhans cells in the epidermis and around Meissner's corpuscles in the dermis for S100 protein staining. Ultrastructurally, the prepuce's intercellular gaps were widened, melanocytes rested on a folded basement membrane, and desmosomal content was reduced, with a prominent active euchromatic nucleus. Cytoplasmic projections were distended and elongated, and the interstitial blood vessels were surrounded by endothelial cells and rested on a basement membrane. There were also minimal collagen fibers in the interstitium. The prepuce's histological and ultrastructural features, as well as immunohistological studies using vimentin and S100 protein as intermediate filaments and statistical analysis, all demonstrated that it is a useful scientific resource.

RESUMEN: El presente trabajo de investigación se realizó para examinar las características histológicas y ultraestructurales de las muestras de prepucio, así como la localización y el análisis estadístico de la vimentina y la proteína S100. Los urólogos han intentado trabajar durante mucho tiempo con el prepucio, que se usa para tratar una variedad de problemas uretrales. Se recolectaron biopsias de piel del prepucio de seis niños en el momento de la circuncisión y se procesaron para microscopía óptica, examen con microscopio electrónico, técnicas inmunohistoquímicas y análisis estadístico. Histológicamente, la epidermis del prepucio mostraba crestas puntiagudas focales, intercaladas con surcos, hiperpigmentación leve, tejido conectivo más laxo y abundantes componentes vasculares. Inmunohistoquímicamente, la existencia de melanocitos y células dendríticas epidérmicas (células de Langerhans), así como músculo liso en la dermis, se tiñeron positivamente para vimentina. Además, hubo una reactividad positiva de las células dendríticas epidérmicas en la epidermis y alrededor de los corpúsculos del tacto (de Meissner) en la dermis para la tinción de la proteína S100. Ultraestructuralmente, los espacios intercelulares del prepucio se ensancharon, los melanocitos descansaban sobre una membrana basal plegada y el contenido desmosómico se redujo, con un núcleo eucromático activo prominente. Las proyecciones citoplasmáticas estaban distendidas y alargadas, y los vasos sanguíneos intersticiales estaban rodeados por células endoteliales y descansaban sobre una membrana basal. También había fibras de colágeno mínimas en el intersticio. Las características histológicas y ultraestructurales del prepucio, así como los estudios inmunohistológicos utilizando vimentina y proteína S100 como filamentos intermedios y el análisis estadístico, demostraron que es un recurso científico útil.

Parafimose canina recidivante: abordagem cirúrgica modificada / Recurrent canine paraphimosis: modified surgical approach

Background: Paraphimosis is characterized by persistent penile exposure, due to the inability to retract the penis into the prepuce. This persistent exposure of a non-erect penis might result from traumas, infections, neoplasia, anatomic or neurological alterations, or even occur in its idiopathic form. Surgical treatment is indicated when it is not possible to keep the penis covered by the foreskin by trying it manually. The surgical techniques described are efficient in small exposures, however, when these are over 1.5 cm, surgical success might become a challenge. The objective of this study is to report a modified surgical approach to solve a 5 cm recurrent paraphimosis in a dog. Case: A 1-year-old male unneutered mixed-breed dog, weighing 26 kg, was presented for examination with a history persistent paraphimosis background for around 2 months without apparent cause. The animal's tutor reported that it had been submitted to 2 unsuccessful surgical procedures. When the reproductive system was examined, the animal showed a flaccid penis with 5 cm exposure outside the foreskin. A conservative treatment was used, which was also unsuccessful. The next step was a surgical procedure that used the combination of techniques, namely, phallopexy, preputial advancement and reconstruction preputial opening with suture along with orchiectomy. After 10 days, dehiscence of the ostium stitches occurred, which required debridement and new suture. However, it was not efficient and recurrence of the paraphimosis was observed. After 1 month, a new surgery was performed by adapting the phallopexy technique, which was carried out bilaterally and associated to the reconstruction preputial opening with captonated suture, which presented a successful outcome. After 8 months as of the last procedure, the patient is healthy and has no signs of paraphimosis recurrence. Discussion: No consensus has been achieved regarding the paraphimosis treatment, and the resolution of such disorder remains a challenge. For this reason, some parameters should be considered to minimize failure when choosing the surgical technique and, consequently, the recurrence of such condition. Tissue viability, morphological alterations, time of exposure, previous surgeries, and the length of the penis exposure are some of the criteria that must be taken into consideration when choosing the surgical technique. In this case, the first choice was the association of techniques that included preputial advancement, phallopexy and suture preputial opening due to the fact that the exposure was over 1.5 cm and for the existence of a preputial ostium defect, which justified its suture. Despite these associations, paraphimosis recurrence was observed and some of the probable causes include the inadequate position of the penis inside the foreskin flap during the phallopexy and lack of preputial integrity in its ventral aspect. The preputial advancement performed was not sufficient to prevent the exposure or reduce it in the recurrence of the condition, showing that the shortening of preputial muscles and the skin tension might loosen up with time. The second surgery employed bilateral phallopexy without penis exposure to guarantee its correct position, more caudal within the foreskin at the moment of the fixation. The ostium captonated suture also had a relevant role in the tension distribution up to the full tissue healing. New surgical approaches might be needed to achieve success in the paraphimosis treatment. In this report, the length of the penis exposure and the ostium defect were complicating factors. However, the association of the modified surgical techniques resulted in a successful resolution of the condition.

Carcinoma de células escamosas em prepúcio e glande de um bovino

O carcinoma de células escamosas é uma neoplasia maligna que se origina na camada epidérmica da pele a partir da diferenciação de queratinócitos. Apresenta alta incidência em cães, gatos, equinos e bovinos. Descreve-se o caso de um touro da raça Nelore, mocho, com idade superior a 36 meses e peso médio 850 kg, localizado no município de São Felipe do Oeste RO na propriedade Sempre Seguros pecuária. Foi relatado baixo rendimento de cobertura. Ao exame clínico foi observada uma lesão na glande e prepúcio, iniciando tratamento anti-inflamatório e antimicrobiano sem observar melhor alguma. Foi indicado biópsia para exame histopatológico sendo diagnosticado como tumor de células escamosas. O animal foi descartado para reprodução.(AU)

Carcinoma de células escamosas em prepúcio e glande de um bovino

O carcinoma de células escamosas é uma neoplasia maligna que se origina na camada epidérmica da pele a partir da diferenciação de queratinócitos. Apresenta alta incidência em cães, gatos, equinos e bovinos. Descreve-se o caso de um touro da raça Nelore, mocho, com idade superior a 36 meses e peso médio 850 kg, localizado no município de São Felipe do Oeste RO na propriedade Sempre Seguros pecuária. Foi relatado baixo rendimento de cobertura. Ao exame clínico foi observada uma lesão na glande e prepúcio, iniciando tratamento anti-inflamatório e antimicrobiano sem observar melhor alguma. Foi indicado biópsia para exame histopatológico sendo diagnosticado como tumor de células escamosas. O animal foi descartado para reprodução.

Novas perspectivas no diagnóstico e tratamento da acropostite-fimose em touros / New perspectives in the diagnosis and treatment of acropostitis-phimosis of bulls

A acropostite-fimose é um processo inflamatório da extremidade do prepúcio, diagnosticada com frequência em touros. O presente estudo objetivou avaliar o exame ultrassonográfico na definição da viabilidade do folheto prepucial interno (FPI) e na evolução clínica do pós-operatório, após o emprego de fios de categute ou poliglactina na hemostasia e de algodão ou poliglactina na confecção de sutura padrão Donatti empregada para fixar o FPI à pele prepucial no transoperatório da acropostite-fimose em touros. A sutura utilizada foi captonada ou não captonada, e os animais submetidos ao procedimento cirúrgico apresentavam no mínimo dois terços do FPI viável. Os touros foram alocados, aleatoriamente, em quatro grupos contendo nove animais cada, de acordo com o fio empregado na hemostasia e na confecção da sutura padrão Donatti. O exame ultrassonográfico mostrou-se importante na indicação ou não do tratamento cirúrgico da acropostite-fimose e possibilitou localizar lesões, mensurar a área de reação tecidual e identificar lesões profundas e pontos de estreitamento do FPI. Os animais de GII apresentaram edema mais discreto, observando-se diferença significativa (P<0,05) entre GII e os grupos GI, GIII e GIV. A ocorrência de hiperemia no sétimo dia de pós-operatório também foi menor nos touros do grupo GII, ocorrendo diferença significativa (P<0,05) entre GII e os grupos GI e GIII. A sutura empregando o dispositivo de látex (cápton) e o emprego do fio de poliglactina apresentaram-se como medidas benéficas, resultando em menor número de complicações pós-operatórias.(AU)

Acropostitis-Phimosis is an inflammatory process of the extremity of the prepuce, frequently diagnosed in bulls. The present study aimed to evaluate ultrassound exams in the definition of viability of the internal layer of prepuce and the postoperative clinical evolution. This evaluation is after the employment of catgut or poliglactin threads in homeostasis, and cloth or polyglactin threads in confection of the standard suture, Donatti, used to fix the internal layer of prepuce to the preputial in the postoperative of acropostitis-phimosis in bulls. The suture was captonated and non-captonated and the animals conducted to the surgical procedure showed at least 2/3 of viability of the internal layer of prepuce. The bulls were randomly allocated in four groups, each one containing nine animals, according to the thread used in homeostasis and confection of the Donatti standard suture. Ultrassound was shown to be important in the indication or not of the surgical treatment of acropostitis-phimosis and allowed the identification of lesions, measurement of areas of tissue reaction and locate deep lesions and narrowing points of internal layer of prepuce. The employment of latex device (capton) in suture and the employment of polyglactin thread 910 were shown as beneficial measures, resulting in a lower number of postoperative complications.(AU)

Novas perspectivas no diagnóstico e tratamento da acropostite-fimose em touros / New perspectives in the diagnosis and treatment of acropostitis-phimosis of bulls

A acropostite-fimose é um processo inflamatório da extremidade do prepúcio, diagnosticada com frequência em touros. O presente estudo objetivou avaliar o exame ultrassonográfico na definição da viabilidade do folheto prepucial interno (FPI) e na evolução clínica do pós-operatório, após o emprego de fios de categute ou poliglactina na hemostasia e de algodão ou poliglactina na confecção de sutura padrão Donatti empregada para fixar o FPI à pele prepucial no transoperatório da acropostite-fimose em touros. A sutura utilizada foi captonada ou não captonada, e os animais submetidos ao procedimento cirúrgico apresentavam no mínimo dois terços do FPI viável. Os touros foram alocados, aleatoriamente, em quatro grupos contendo nove animais cada, de acordo com o fio empregado na hemostasia e na confecção da sutura padrão Donatti. O exame ultrassonográfico mostrou-se importante na indicação ou não do tratamento cirúrgico da acropostite-fimose e possibilitou localizar lesões, mensurar a área de reação tecidual e identificar lesões profundas e pontos de estreitamento do FPI. Os animais de GII apresentaram edema mais discreto, observando-se diferença significativa (P<0,05) entre GII e os grupos GI, GIII e GIV. A ocorrência de hiperemia no sétimo dia de pós-operatório também foi menor nos touros do grupo GII, ocorrendo diferença significativa (P<0,05) entre GII e os grupos GI e GIII. A sutura empregando o dispositivo de látex (cápton) e o emprego do fio de poliglactina apresentaram-se como medidas benéficas, resultando em menor número de complicações pós-operatórias.(AU)

Acropostitis-Phimosis is an inflammatory process of the extremity of the prepuce, frequently diagnosed in bulls. The present study aimed to evaluate ultrassound exams in the definition of viability of the internal layer of prepuce and the postoperative clinical evolution. This evaluation is after the employment of catgut or poliglactin threads in homeostasis, and cloth or polyglactin threads in confection of the standard suture, Donatti, used to fix the internal layer of prepuce to the preputial in the postoperative of acropostitis-phimosis in bulls. The suture was captonated and non-captonated and the animals conducted to the surgical procedure showed at least 2/3 of viability of the internal layer of prepuce. The bulls were randomly allocated in four groups, each one containing nine animals, according to the thread used in homeostasis and confection of the Donatti standard suture. Ultrassound was shown to be important in the indication or not of the surgical treatment of acropostitis-phimosis and allowed the identification of lesions, measurement of areas of tissue reaction and locate deep lesions and narrowing points of internal layer of prepuce. The employment of latex device (capton) in suture and the employment of polyglactin thread 910 were shown as beneficial measures, resulting in a lower number of postoperative complications.(AU)

Canine perineal hypospadias / Hipospadia perineal canina

Background: Hypospadias is a congenital malformation, rarely reported in dogs, caused by a failure of the urogenital folds to fuse during fetal development resulting in incomplete formation of the penile urethra. The inadequate production of fetal androgens is believed to be the etiology of this condition. It is characterized by urethra and corpus spongiosum deficiency, often accompanied by penile underdevelopment, and cryptorchidism. Classification is based on anatomical location of the urethral meatus opening as glandular, penile, perineal, anal, and scrotal. The aim of this paper is to report a case of perineal hypospadias in a male, six-month old French bulldog, describing the therapeutic approach. Case: A six month old male French bulldog, weighing 14.3 kg, was presented for a veterinarian appointment at the Department of Veterinary Medicine (Federal University of Sergipe, Brazil) due to a prolapsed nictitans gland and abnormalities of its genitalia. The medical records included recurrent urinary infection, presence of ectoparasites (thick) and ehrlichiosis, previously treated with doxycycline for 28 days (5 mg/kg/BID). During physical examination, the patient was bright and alert showing a good overall body condition. Temperature, pulse, respiration, thoracic auscultation and lymph nodes were within normal limits. Abdominal palpation was unremarkable. Inspection of the [...]

Reparação cirúrgica de hipospadia escrotal canina relato de caso / Surgical repair of canine scrotal hypospadias case report / Corrección quirúrgica de la hipospadia escrotal canina relato de un caso

O presente relato tem como objetivo descrever um caso de hipospadia escrotal em um cão da raça boxer de quatro meses de idade. Essa anomalia foi observada durante exame físico do sistema reprodutor que revelou abertura ectópica do óstio uretral em região escrotal, subdesenvolvimento e atrofia peniana, má-formação do prepúcio, além de dermatite em região peri-uretral. Após a realização de exames complementares, o paciente foi encaminhado para cirurgia, realizando-se a amputação do pênis, orquiectomia e uretrostomia. No período pós-operatório o paciente apresentou excelente recuperação. A conduta cirúrgica escolhida demonstrou sucesso diante do quadro clínico apresentado, e também minimizou complicações decorrentes da hipospadia, garantindo melhor qualidade de vida ao paciente.(AU)

The present report aims to describe a case of scrotal hypospadias in a four-month old boxer. This anomaly was observed during physical examination of the reproductive system, which evinced an ectopic opening of the urethral ostium in the scrotal region, as well as penile underdevelopment and atrophy, malformation of the foreskin and dermatitis in the periurethral region. After additional tests, the patient was referred for surgery, during which amputation of the penis, orchiectomy and ureth-rostomy were performed. The patient presented excellent post-surgical recovery. The chosen surgical conduct was successful with respect to the clinical picture, and minimized complications due to hypospadias, ensuring a better quality of life to the patient.(AU)

Este relato tiene como objetivo describir un caso de hipospadia escrotal en un perro Boxer de cuatro meses. Esta anomalía se observó durante el examen físico del sistema reproductor, donde se constató que existía una abertura ectópica del orificio uretral en la zona del escroto, con subdesarrollo y atrofia del pene, malformación prepucial, además de una dermatitis en la región peri uretral. Una vez realizados los exámenes complementares, el paciente fue derivado a cirugía, donde se le realizó la amputación del pene, la orquiectomía y una uretrostomia. Durante el postoperatorio hubo una excelente recuperación. La conducta quirúrgica elegida fue exitosa frente al cuadro presentado por el animal, minimizando las complicaciones de la hipospadia, y garantizándole una calidad de vida mejor al paciente.(AU)

Canine perineal hypospadias / Hipospadia perineal canina

Background: Hypospadias is a congenital malformation, rarely reported in dogs, caused by a failure of the urogenital folds to fuse during fetal development resulting in incomplete formation of the penile urethra. The inadequate production of fetal androgens is believed to be the etiology of this condition. It is characterized by urethra and corpus spongiosum deficiency, often accompanied by penile underdevelopment, and cryptorchidism. Classification is based on anatomical location of the urethral meatus opening as glandular, penile, perineal, anal, and scrotal. The aim of this paper is to report a case of perineal hypospadias in a male, six-month old French bulldog, describing the therapeutic approach. Case: A six month old male French bulldog, weighing 14.3 kg, was presented for a veterinarian appointment at the Department of Veterinary Medicine (Federal University of Sergipe, Brazil) due to a prolapsed nictitans gland and abnormalities of its genitalia. The medical records included recurrent urinary infection, presence of ectoparasites (thick) and ehrlichiosis, previously treated with doxycycline for 28 days (5 mg/kg/BID). During physical examination, the patient was bright and alert showing a good overall body condition. Temperature, pulse, respiration, thoracic auscultation and lymph nodes were within normal limits. Abdominal palpation was unremarkable. Inspection of the [...](AU)

Reparação cirúrgica de hipospadia escrotal canina – relato de caso / Surgical repair of canine scrotal hypospadias – case report / Corrección quirúrgica de la hipospadia escrotal canina – relato de un caso

O presente relato tem como objetivo descrever um caso de hipospadia escrotal em um cão da raça boxer de quatro meses de idade. Essa anomalia foi observada durante exame físico do sistema reprodutor que revelou abertura ectópica do óstio uretral em região escrotal, subdesenvolvimento e atrofia peniana, má-formação do prepúcio, além de dermatite em região peri-uretral. Após a realização de exames complementares, o paciente foi encaminhado para cirurgia, realizando-se a amputação do pênis, orquiectomia e uretrostomia. No período pós-operatório o paciente apresentou excelente recuperação. A conduta cirúrgica escolhida demonstrou sucesso diante do quadro clínico apresentado, e também minimizou complicações decorrentes da hipospadia, garantindo melhor qualidade de vida ao paciente.

The present report aims to describe a case of scrotal hypospadias in a four-month old boxer. This anomaly was observed during physical examination of the reproductive system, which evinced an ectopic opening of the urethral ostium in the scrotal region, as well as penile underdevelopment and atrophy, malformation of the foreskin and dermatitis in the periurethral region. After additional tests, the patient was referred for surgery, during which amputation of the penis, orchiectomy and ureth-rostomy were performed. The patient presented excellent post-surgical recovery. The chosen surgical conduct was successful with respect to the clinical picture, and minimized complications due to hypospadias, ensuring a better quality of life to the patient.

Este relato tiene como objetivo describir un caso de hipospadia escrotal en un perro Boxer de cuatro meses. Esta anomalía se observó durante el examen físico del sistema reproductor, donde se constató que existía una abertura ectópica del orificio uretral en la zona del escroto, con subdesarrollo y atrofia del pene, malformación prepucial, además de una dermatitis en la región peri uretral. Una vez realizados los exámenes complementares, el paciente fue derivado a cirugía, donde se le realizó la amputación del pene, la orquiectomía y una uretrostomia. Durante el postoperatorio hubo una excelente recuperación. La conducta quirúrgica elegida fue exitosa frente al cuadro presentado por el animal, minimizando las complicaciones de la hipospadia, y garantizándole una calidad de vida mejor al paciente.

Squamous cell carcinoma in equine prepuce with vertebral invasion / Carcinoma das células escamosas no prepúcio com invasão vertebral em equino

The squamous cell carcinoma is a malignant tumor that originates in the epidermal layer skin from the differentiation of keratinocytes. It has high incidence in dogs, cats, horses and cattle. Horses often occur in mucocutaneous junctions, areas like penis and foreskin are the most affected. The incidence is higher in castrated equines with more than 16 years old. This case describes a castrated crossbred horse, actually with 7 years old. The animal presented a mass in foreskin region with evolution of three months. Diagnosed as squamous cell carcinoma by aspirative cytology and biopsy. Surgical tumor mass excision was chosen as treatment. Two months after surgery there was local recurrence of tumor. Euthanasia was performed and a necropsy later in which was found the tumor invaded the adjacent musculature extending from the spine in sacral region between vertebres S1 and S2.(AU)

O carcinoma de células escamosas é uma neoplasia maligna que se origina na camada epidérmica da pele a partir da diferenciação de queratinócitos. Apresenta alta incidência em cães, gatos, equinos e bovinos. Nos equinos ocorre com frequência em junções muco-cutâneas, sendo a região do pênis e prepúcio a mais acometida. A incidência é maior em equinos machos, não castrados, com idade superior a 16 anos. Descreve-se o caso de um equino mestiço castrado, com idade atual de sete anos. O animal apresentava aumento de volume na região do prepúcio com evolução de três meses, diagnosticado como carcinoma de células escamosas por meio de exame citológico e histopatológico. A excisão cirúrgica da massa tumoral foi preconizada como tratamento. Dois meses após o procedimento cirúrgico, houve recidiva local da neoplasia. Foi realizada a eutanásia do animal e posterior necropsia, na qual foi constatada que a neoplasia invadia a musculatura abdominal, estendendo-se, até a coluna vertebral na região sacral entre as vértebras S1 e S2.(AU)

Detection of Leishmania infantum in the smegma of infected dogs / Detecção de Leishmania infantum no esmegma de cães infectados

Considering the venereal transmission of visceral leishmaniasis from dogs to bitches, the aim of this study was to verify if the penile surface and smegma from infected dogs can be the source of parasites in bitches. Twelve Leishmania infantum infected dogs had semen and smegma samples collected for submission to PCR identification of the DNA of the parasite. Semen (41.7 percent) and smegma (50.0 percent) have similar positive incidence (P>0.05; Fisher's exact test), with 58.3 percent of the dogs positive for semen and/or smegma samples. The proportion of positivity for both semen and smegma was 33.3 percent, but 8.3 percent was positive only for semen, and 16.7 percent only for smegma, revealing a moderate agreement between tests (K=0.5; Kappa index). It was concluded that Leishmania infantum is present in the smegma of contaminated dogs and it can be a source of parasites for the semen and the bitch.(AU)

Tendo em vista a transmissão venérea da leishmaniose visceral do cão para a cadela, o objetivo deste estudo foi verificar se a superfície peniana e o esmegma de cães infectados poderiam ser a fonte de parasitas para a fêmea. Amostras de sêmen e esmegma de 12 cães infectados com Leishmania infantum foram submetidas à identificação do DNA do parasita por PCR. As incidências de positividade no sêmen (41,7 por cento) e no esmegma (50,0 por cento) foram semelhantes (P>0,05; teste exato de Fisher), sendo 58,3 por cento dos cães positivos para sêmen e/ou esmegma. A positividade para sêmen e esmegma juntos ocorreu em 33,3 por cento, mas em 8,3 por cento dos casos apenas no sêmen, e em 16,7 por cento apenas no esmegma, o que revela uma concordância moderada entre os testes (K=0,5; índice Kappa). Conclui-se que a Leishmania infantum está presente no esmegma de cães contaminados, podendo ser a fonte de parasitas para o sêmen e a cadela.(AU)

Detection of Leishmania infantum in the smegma of infected dogs / Detecção de Leishmania infantum no esmegma de cães infectados

Considering the venereal transmission of visceral leishmaniasis from dogs to bitches, the aim of this study was to verify if the penile surface and smegma from infected dogs can be the source of parasites in bitches. Twelve Leishmania infantum infected dogs had semen and smegma samples collected for submission to PCR identification of the DNA of the parasite. Semen (41.7 percent) and smegma (50.0 percent) have similar positive incidence (P>0.05; Fisher's exact test), with 58.3 percent of the dogs positive for semen and/or smegma samples. The proportion of positivity for both semen and smegma was 33.3 percent, but 8.3 percent was positive only for semen, and 16.7 percent only for smegma, revealing a moderate agreement between tests (K=0.5; Kappa index). It was concluded that Leishmania infantum is present in the smegma of contaminated dogs and it can be a source of parasites for the semen and the bitch...

Tendo em vista a transmissão venérea da leishmaniose visceral do cão para a cadela, o objetivo deste estudo foi verificar se a superfície peniana e o esmegma de cães infectados poderiam ser a fonte de parasitas para a fêmea. Amostras de sêmen e esmegma de 12 cães infectados com Leishmania infantum foram submetidas à identificação do DNA do parasita por PCR. As incidências de positividade no sêmen (41,7 por cento) e no esmegma (50,0 por cento) foram semelhantes (P>0,05; teste exato de Fisher), sendo 58,3 por cento dos cães positivos para sêmen e/ou esmegma. A positividade para sêmen e esmegma juntos ocorreu em 33,3 por cento, mas em 8,3 por cento dos casos apenas no sêmen, e em 16,7 por cento apenas no esmegma, o que revela uma concordância moderada entre os testes (K=0,5; índice Kappa). Conclui-se que a Leishmania infantum está presente no esmegma de cães contaminados, podendo ser a fonte de parasitas para o sêmen e a cadela...

Distribution of immune response cells in the pelvic urethra and the prepuce of rams / Distribuição de células da resposta imune na uretra pélvica e em prepúcio de carneiros

The pathogens of the reproductive system in the male can penetrate and establish by ascending route, from to the prepuce to the urethra, accessory glands, epididymis and testicles. The aim of this paper is determine the distribution and number of cells involved in the immune response in prepuce and pelvic urethra of rams, without apparent clinical alterations in testicle, epididymis and prepuce. [...] Significant differences were found in the total number of CD4, CD45RO, and WC1 lymphocytes, in CD14 macrophages, and CD1b dendritic cells, with mean values being greater in the fornix than in the urethra (p<0.05) in all cases. Only dendritic cells were found in the prepuce. No differences were found in the number of CD8 lymphocytes between both organs. The ratio between each cell type in the connective and the intraepithelial tissues and between organs was 10/1 for CD4 in the fornix (p<0.05), against 7/1 in the urethra (p<0.05), while CD8 had a 1/1 distribution in both mucosae. The WC1 ratio was 5/1 in both mucosae (p<0.05). CD45RO labeling was 19/1 in the prepuce (p<0.05) and 1/1 in the urethra. IgA-containing cells did not show differences in the total number of cells in both tissues. In the urethra, no IgG-containing cells were observed and IgM-containing cells were scarce; in contrast, both cell types were present in the prepuce, in amounts greater than in the urethra (p<0.05). IgA-, IgG-, and IgM-containing cells were located in both organs in the mucosal connective tissue. The presence of antigen-presenting cells, macrophages, and dendritic cells, as well as of lymphocytes CD4, CD8 TCR γδ (WC1), IgA-, IgG and IgM positive cells, and CD45RO cells suggests that both mucosae may behave as inductive and effector sites for the mucosal immune response.(AU)

Os patógenos do aparelho reprodutor do macho podem penetrar e se estabelecer por via ascendente, a partir do prepúcio à uretra, glándulas anexas, epidídimo e testículos. Neste trabalho foi quantificada a distribuição de algumas das células envolvidas na resposta imune, em nível de prepúcio e uretra pélvica, em quatro carneiros de um ano de idade, sem lesões aparentes no testículo, no epidídimo e no prepúcio.[...] Não foram encontradas diferenças significativas no número de linfocitos CD8 entre ambos os orgãos. A relação entre cada tipo celular no tecido conectivo e intra-epitelial e entre os diferentes órgãos, resultou para CD4 10/1 no prepúcio (p<0.05), contra 7/1 na uretra (p<0.05), entretanto os CD8 se distribuíram 1/1 em ambas as mucosas, não sendo significativa as diferenças. Os WC1 foram observados na relação 5/1 em ambas as mucosas (p<0.05). A célula CD45RO, no prepucio, foi observada de 19/1(p<0.05) e na uretra de 1/1, não sendo um resultado significativo. As CC-IgA não mostraram diferença significativa no total de células em ambos os tecidos. Na uretra não foram observadas as CC-IgG, e as CC-IgM foram escassas; em contrapartida, ambos os tipos celulares foram observadas no prepucio, em quantidades menores que na uretra (p<0.05). As CC-IgA, IgG e IgM foram observadas em ambos os tecidos conectivos da mucosa. A presença de células apresentadoras de antígenos, macrófagoss e células dendríticas, assim como de linfócitos CD4, CD8. TCR γδ (WC1), CC-IgA, IgG e IgM e células CD45RO, determinam que ambas as mucosas podem se comportar como locais de indução e promoção da resposta imune das mucosas.(AU)

Distribution of immune response cells in the pelvic urethra and the prepuce of rams / Distribuição de células da resposta imune na uretra pélvica e em prepúcio de carneiros

The pathogens of the reproductive system in the male can penetrate and establish by ascending route, from to the prepuce to the urethra, accessory glands, epididymis and testicles. The aim of this paper is determine the distribution and number of cells involved in the immune response in prepuce and pelvic urethra of rams, without apparent clinical alterations in testicle, epididymis and prepuce. [...] Significant differences were found in the total number of CD4, CD45RO, and WC1 lymphocytes, in CD14 macrophages, and CD1b dendritic cells, with mean values being greater in the fornix than in the urethra (p<0.05) in all cases. Only dendritic cells were found in the prepuce. No differences were found in the number of CD8 lymphocytes between both organs. The ratio between each cell type in the connective and the intraepithelial tissues and between organs was 10/1 for CD4 in the fornix (p<0.05), against 7/1 in the urethra (p<0.05), while CD8 had a 1/1 distribution in both mucosae. The WC1 ratio was 5/1 in both mucosae (p<0.05). CD45RO labeling was 19/1 in the prepuce (p<0.05) and 1/1 in the urethra. IgA-containing cells did not show differences in the total number of cells in both tissues. In the urethra, no IgG-containing cells were observed and IgM-containing cells were scarce; in contrast, both cell types were present in the prepuce, in amounts greater than in the urethra (p<0.05). IgA-, IgG-, and IgM-containing cells were located in both organs in the mucosal connective tissue. The presence of antigen-presenting cells, macrophages, and dendritic cells, as well as of lymphocytes CD4, CD8 TCR γδ (WC1), IgA-, IgG and IgM positive cells, and CD45RO cells suggests that both mucosae may behave as inductive and effector sites for the mucosal immune response.

Os patógenos do aparelho reprodutor do macho podem penetrar e se estabelecer por via ascendente, a partir do prepúcio à uretra, glándulas anexas, epidídimo e testículos. Neste trabalho foi quantificada a distribuição de algumas das células envolvidas na resposta imune, em nível de prepúcio e uretra pélvica, em quatro carneiros de um ano de idade, sem lesões aparentes no testículo, no epidídimo e no prepúcio.[...] Não foram encontradas diferenças significativas no número de linfocitos CD8 entre ambos os orgãos. A relação entre cada tipo celular no tecido conectivo e intra-epitelial e entre os diferentes órgãos, resultou para CD4 10/1 no prepúcio (p<0.05), contra 7/1 na uretra (p<0.05), entretanto os CD8 se distribuíram 1/1 em ambas as mucosas, não sendo significativa as diferenças. Os WC1 foram observados na relação 5/1 em ambas as mucosas (p<0.05). A célula CD45RO, no prepucio, foi observada de 19/1(p<0.05) e na uretra de 1/1, não sendo um resultado significativo. As CC-IgA não mostraram diferença significativa no total de células em ambos os tecidos. Na uretra não foram observadas as CC-IgG, e as CC-IgM foram escassas; em contrapartida, ambos os tipos celulares foram observadas no prepucio, em quantidades menores que na uretra (p<0.05). As CC-IgA, IgG e IgM foram observadas em ambos os tecidos conectivos da mucosa. A presença de células apresentadoras de antígenos, macrófagoss e células dendríticas, assim como de linfócitos CD4, CD8. TCR γδ (WC1), CC-IgA, IgG e IgM e células CD45RO, determinam que ambas as mucosas podem se comportar como locais de indução e promoção da resposta imune das mucosas.

Postectomia e falectomia para exérese de tecido de granulação exuberante em jumento (Equus asinus)

O tecido de granulação exuberante é o mais comum dos tumores não neoplásicos, seguido pela habronemose e pitiose. Os equídeos são susceptíveis à essas formações, as quais impedem o processo cicatricial por inibir a reepitelização e contração da ferida. Uma vez formado, o tecido de granulação exuberante predispõe às infecções e traumas adicionais, culminando em agravamento da lesão. O diagnóstico diferencial deve ser feito por meio de biópsia e exame histopatológico ou citologia aspirativa por agulha fina. 

Postectomia e falectomia para exérese de tecido de granulação exuberante em jumento (Equus asinus)

O tecido de granulação exuberante é o mais comum dos tumores não neoplásicos, seguido pela habronemose e pitiose. Os equídeos são susceptíveis à essas formações, as quais impedem o processo cicatricial por inibir a reepitelização e contração da ferida. Uma vez formado, o tecido de granulação exuberante predispõe às infecções e traumas adicionais, culminando em agravamento da lesão. O diagnóstico diferencial deve ser feito por meio de biópsia e exame histopatológico ou citologia aspirativa por agulha fina.