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Peer-reviewed veterinary case report

Surgical treatment of 4 horses for cryptorchidism caused by failure of regression of the cranial suspensory ligament of the testis.

Journal:
Veterinary surgery : VS
Year:
2014
Authors:
Ortved, Kyla F et al.
Species:
horse

Plain-English summary

This study looked at four horses that had a condition called cryptorchidism, where one or both testicles fail to descend properly due to a problem with a ligament. The horses were treated with surgery to remove the retained testicles, using different methods depending on the case. Two horses had both testicles undescended, while the other two had just one. All surgeries were successful, and the horses recovered well afterward. This shows that even though this type of cryptorchidism is rare, it can be effectively treated with surgery.

Abstract

OBJECTIVE: To report surgical management of 4 horses with cryptorchidism caused by failure of regression of the cranial suspensory ligament (CSL). STUDY DESIGN: Retrospective case series. ANIMALS: 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 ligated and removed. RESULTS: Two horses had bilateral cryptorchidism and 2 horses had unilateral cryptorchidism. Standing laparoscopic cryptorchidectomy was performed successfully in 2 horses and in 2, the retained testes were removed using a flank or paramedian celiotomy. All testes were located in the dorsal aspect of the abdomen just caudal to the kidney and had a well-developed CSL. All horses recovered successfully from surgery. CONCLUSIONS: Failure of regression of the CSL is an uncommon cause of cryptorchidism in horses; however, affected horses can be treated using surgical approaches that facilitate exploration of the dorsocaudal aspect of the abdomen.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/24697815/