Journal of Reproduction and Fertility (2000) 119, 233–240 Ultrasonographic imaging of the testis and epididymis of the bottlenose dolphin, Tursiops truncatus aduncas F. M. Brook1, R. Kinoshita2, B. Brown3 and C. Metreweli4 1 Department of Optometry and Radiography, The Hong Kong Polytechnic University, Kowloon, Hong Kong; 2Zoological Operations and Education Department, Ocean Park Corporation, Hong Kong; 3School of Optometry, Queensland University of Technology, Brisbane, Australia; and 4Department of Radiology and Organ Imaging, The Chinese University of Hong Kong, Shatin, Hong Kong Eight male bottlenose dolphins, Tursiops truncatus aduncas, underwent examination of the reproductive organs to investigate the use of real-time B-mode ultrasonography in assessment of reproductive status and to establish normal ultrasonographic appearances. Ultrasonography allowed repeatable examinations which were well tolerated by all animals. Ultrasonography was used to examine the testes, epididymides, vasa deferentia, penis, bulbourethral and bulbocavernosal muscles; the prostate was not convincingly distinguished from surrounding muscles. Testicular echopatterns and size differed among individuals. Three distinct testicular echopatterns were discerned and could be used to differentiate males of different reproductive status. Ultrasonographic appearance of the testes provides useful data in assessing the reproductive status of male dolphins. Introduction Real-time B-mode ultrasonography is a non-invasive highly sophisticated diagnostic method, which has a proven and particularly valuable role in morphological description and physiological evaluation of reproductive events. To date, there is no known hazard associated with ultrasonography used at standard diagnostic power levels (American Institute of Ultrasound in Medicine, 1988; Hykes et al., 1992). Over the past decade, the clinical application of ultrasonography in veterinary medicine and animal reproduction has expanded dramatically and its value in managed breeding of domestic species is extensively documented (Ginther and Pierson, 1984, 1989; Buckrell, 1988; Pierson and Ginther, 1988; Squires et al., 1988; Taverne and Willemse, 1989; Kahn, 1994). Until fairly recently, the application of ultrasonographic imaging to the study of reproductive physiology in wild and exotic species was considered to be ‘in its inception’ (Lasley, 1985; Griffin and Ginther, 1992). Nowadays the use of ultrasonography in the reproductive management of zoo animals has increased and it has provided a needed research tool for examining reproductive biology in exotic and endangered species. Ultrasonographic imaging of the reproductive tract has been reported in several large nondomestic species (Adams et al., 1991). The bottlenose dolphin, Tursiops truncatus gilli or aduncas, has been maintained since 1914 and is the most common small cetacean seen in oceanaria. Today, improved husbandry techniques have allowed dolphins in these facilities to be trained to co-operate in routine medical procedures, enabling collection of blood, urine and faecal samples, saliva and Revised manuscript received 11 January 2000. respiratory tract secretions, and even vaginal smears for cytology (Streatfield and Chapman, 1976; Sawyer-Steffan and Kirby, 1980; Cornell et al., 1987; Walker et al., 1988; Schroeder and Keller, 1989; Kirby, 1990). These techniques have contributed to the health of dolphins in captivity. Some have also provided data on the reproductive physiology of the species, but none provide a means of direct assessment of events or changes in the gonads of live dolphins. Although dolphins can also be trained to co-operate in ultrasonographic examination (Brook et al., 1991), the application of this technique in assessment of the reproductive status of this species has been limited and mainly confined to assessment of pregnancy (Stone, 1990; Williamson et al., 1990; Taverne, 1991; Stone et al., 1999). Stone (1990) reported that ultrasonography can demonstrate the testes in dolphins and Briggs et al. (1995) used ultrasonography to monitor changes in the testes of ten T. truncatus in a study to evaluate the effects of leuprolide acetate (Lupron®) on testicular size and function. None of these reports describe the ultrasonographic anatomy of the reproductive tract in detail. Materials and Methods Animals and management Eight male T. truncatus aduncas from Taiwan or Indonesia were investigated; seven males had been in the facility for more than 4 years, but exact ages were unknown. Age assessments and estimates of maturity were made from body length and weight and external characteristics. Four males were designated mature and two immature, and there was © 2000 Journals of Reproduction and Fertility Ltd 0022–4251/2000 234 F. M. Brook et al. uncertainty about the maturity of one animal. The eighth male was a captive-born 2-year-old calf. Each animal was weighed and measured at the beginning of the study. Measuring and recording of body length and weight is a routine part of the medical care protocol at this facility and is performed using a suspended sling that can be lowered into the water. Body weight is rounded up to the nearest kg. Body weights recorded at the beginning of the study are shown (Table 1). Diet consisted of different proportions of capelin, sardine, herring and smelt; the calf was also suckling. The holding pool facilities consisted of several outdoor tanks. Males were separated from females at the time of this study; however, the structure of connecting gates between the tanks allowed visual and auditory contact, although tactile contact was limited. Equipment All examinations were performed with an Aloka 630 SSD ultrasound unit (Aloka Co. Ltd, Mitakashi, Tokyo) in conjunction with a 3.5 MHz linear array transducer. This unit is relatively small and mobile, and is easily moved to the poolside. The monitor was mounted on a customized arm (Industrial Promoting Co., Hong Kong), allowing it to be manoeuvred across and down to the poolside for easier visualization. The whole unit was protected from splashes by a waterproof cover. The transducer was waterproofed by insertion into a plastic sleeve containing acoustic gel, which displaced any air and provided good acoustic contact. Plastic taping secured the covering sleeve and extended up the transducer cable, to ensure this was also waterproofed. All examinations were recorded on videotape and thermalprinting paper (Sony Echocopier, Sony Products Ltd, Tokyo). Ultrasonographic procedures Although it is preferable for examinations to be performed with the dolphin in the water, accurate measurements are not always possible in this situation due to inevitable movement. A repeatability study was conducted to compare the accuracy of measurements performed both with the dolphin in the water and lying in lateral recumbence on a wet foam rubber mattress at the poolside. Six measurements were made of each testis in four subjects. Measurements performed with the dolphin out of the water were more accurate (SD ⫾ 0.08 cm) than when the dolphin remained in the water (SD ⫾ 0.52 cm). Therefore, all testis measurements in this study were performed with the dolphins out of the water. This did not have an adverse effect on any animal. All cross-sectional measurements of the testes could be made directly from the image display, using the in-built electronic caliper functions. However, the maximum width of the ultrasonographic field of view available was 10 cm and it was not possible to take longitudinal measurements of longer testes directly from the monitor image. By locating each end of the testis and noting these points on the surface of the skin, it was possible to make indirect measurements of testicular length. The transducer was placed perpendicular to the flank, at the level of the genital slit and moved dorsally or cranially until the testis was located. The proximal and caudal ends of the testis were identified, both points were noted on the skin surface and the distance between them measured. The same orientation of the transducer was maintained throughout the procedure and the measurement was completed between inhalations to minimize any error induced by movement. The entire testis was then examined in longitudinal section and the testicular parenchyma carefully assessed and recorded. At the widest part of the testis, the transducer was rotated 90⬚ to show a cross-sectional image. This image was captured in ‘freeze-frame’ on the monitor, and electronic calipers were used to measure dorsoventral diameter, width and circumference directly from the image. The volume of each testis was determined using Lambert’s formula for an ellipsoid: volume (cm3) = length ⫻ width ⫻ depth ⫻ 0.71. The total testicular volume was derived from the sum of the left and right testicular volumes. A full survey of the parenchyma was made in cross-section, from the cranial to the caudal pole. The same procedure was repeated for the contralateral testis. Table 1. Body weight, length, estimated age and testicular size in eight male bottlenose dolphins, Tursiops truncatus aduncas, at the beginning of the study (April 1990) Dolphin Body weight (kg) Body length (cm) Victor Wiki Bobbya Marty Mini Molly Bunbi Dippera 123 116 146 121 114 93 76 75 210 208 232 215 206 202 192 181 a Estimated age in years (estimated maturity) 20+ (M) 15+ (M) 10+ (M) 10+ (M) 6+ (?) 6+ (I) 6+ (I) 2 (date of birth known) Dolphins from Taiwan; the remainder are the smaller Indonesian type. M: mature; I: immature. Left testis length (cm) Left testis volume (cm3) Right testis length (cm) Right testis volume (cm3) 16.8 18.5 18.2 14.0 8.8 9.3 6.3 4.4 263.4 361.7 271.2 151.2 26.6 42.9 12.7 4.0 16.5 20.5 22.8 14.8 9.0 10.0 6.4 4.6 286.3 531.8 280.8 147.6 32.3 45.7 10.3 4.6 Ultrasonographic anatomy of male dolphin reproductive tract Testicular measurements and parenchymal assessments were performed between one and four times per month and a total of 336 examinations were completed between April 1990 and January 1992. Results Dolphin testes are large and easily accessible by transabdominal scanning. They can be visualized lying longitudinally, immediately caudoventral to the kidneys (Fig. 1). The appearance and size of the testes varied among individual dolphins. Testicular length ranged from a minimum of 4.4 cm in Dipper, to a maximum of 22.8 cm in Bobby; the right testis was usually longer than the left. Testicular volume ranged from 4.0 cm3 (left testis) in Dipper to 531.8 cm3 (right testis) in Wiki. Testicular length alone could not be used to assess testis size accurately: the longest testis (22.8 cm in Bobby), was almost half the volume of the largest testis (531.8 cm3 in Wiki) (Table 1). Ultrasonographic appearance of the testes The testes are elongated and the border of each is well demarcated by the surrounding tunicae, which were 235 visualized as a single hyperechoic border to the parenchyma. The testicular mediastinum was visualized as a prominent hyperechoic linear structure, extending the full length of the testis (Fig. 2). In cross-section, the testes are rounded (Fig. 3). A single testicular vein could be identified running through the medial parenchyma to the caudal extremity of the testis (Fig. 2b,c). When the testis is large enough, the dorsal surface abuts the hypaxialis lumborum muscle and the ventral aspect rests on the rectus abdominus muscle (Fig. 3b,c). The cranial aspect of the medial surface is covered by bowel and the distal aspect rests against the urinary bladder. The urinefilled bladder is visualized as an ovoid anechoic structure lying in the mid-line, between and slightly ventral to the testes (Figs 3a and 4). In transverse section, the hypaxialis lumborum muscle can be seen to lie immediately adjacent or close to the testis (Fig. 3). The echopattern and echogenicity of the hypaxialis lumborum muscle is similar in all animals, regardless of size or age, therefore these values were used as a reference against which to assess the echogenicity of the testicular parenchyma. Three distinct ultrasonographic patterns could be discerned in the testes of different subjects and each was assigned a grading. Grade I. The testicular parenchyma presented a homogeneous ‘speckled’ echopattern of mid- to high-level intensity Fig. 1. Diagram illustrating ventral view of male Tursiops truncatus aduncas reproductive tract at the level of the testes. 236 F. M. Brook et al. Fig. 2. Longitudinal ultrasonograms (with line diagrams) of the testes in (a) a juvenile (caudal pole of testis to the left of the image), (b) a subadult (cranial pole to the left of the image) and (c) a mature (cranial pole to the left of the image) bottlenose dolphin, Tursiops truncatus aduncas. Black arrowheads indicate the testicular mediastinum; black and white arrowheads indicate the testicular vein. B: bowel; Bl: blubber layer; Ep: head of epididymis; M: muscle layer. Echogenic areas and comet-tail artefacts seen in (a) and (b) are due to bowel gas. Scale marks are in centimetres. (Figs 2c and 3c), and was isoechoic or slightly hyperechoic compared with the hypaxialis lumborum muscle. There was some evidence of parenchymal lobulation. This pattern was seen in Wiki, Victor, Bobby and Marty; lobulation was particularly prominent in the elderly male, Victor (Fig. 4). The cylindrical shape of the testes was expanded at the distal portion. Linear hyperechoic structures could be seen extending from the mediastinum; these were more prominent in Wiki and Victor (Fig. 4). Testes showing this echopattern varied between 14 and 22.8 cm in length. As both Wiki and Bobby were known to be reproductively mature, a grade I appearance was assumed to indicate reproductively mature testes. Grade II. The ultrasonographic appearance of the testicular parenchyma was less well defined than in grade I testes. The parenchymal echopattern was homogeneous, but Ultrasonographic anatomy of male dolphin reproductive tract 237 Fig. 3. Transverse ultrasonograms (with line diagrams) of the testes in (a) a juvenile (left testis), (b) a sub-adult (left testis) and (c) a mature (right testis) bottlenose dolphin, Tursiops truncatus aduncas. B: bowel; Hlm: hypaxialis lumborum muscle; Ram: rectus abdominus muscle; Rec: rectum; T: testis; Ub: urinary bladder. Scale marks are in centimetres. less echogenic than the hypaxialis lumborum muscle (Figs 2b and 3b). The mediastinum was similar in appearance to that in the older males, that is well defined and hyperechoic; however, no linear mediastinal extensions were seen. The shape of the testes was more consistent, without the obvious widening at the distal end (Fig. 2b). This appearance was seen in two dolphins, Molly and Mini. Testes showing this echopattern varied between 8.8 and 10 cm in length. As testis size increased, the parenchyma became more echogenic. Ten months after this study, left and right testis lengths in Molly 238 F. M. Brook et al. Fig. 4. Longitudinal ultrasonogram (with line diagram) of the testis (T) and head of the epididymis (Ep) in an elderly bottlenose dolphin, Tursiops truncatus aduncas. Lobular appearance of the testicular parenchyma and branching extensions of the mediastinum are apparent. Arrowhead indicates testicular mediastinum. B: bowel; Ub: urinary bladder. Scale marks are in centimetres. had increased from 9.3 and 10 cm to 14.9 and 15.9 cm, respectively, and testicular echogenicity was similar to that seen in grade I testes. It was hypothesized that a grade II appearance indicated sub-adult or maturing testes. Grade III. These testes were small (testicular length 4.4– 6.4 cm). The shape of the testes and the appearance of the mediastinum were very similar to those seen in grade II testes. However, the testicular parenchyma was very different Ultrasonographic anatomy of male dolphin reproductive tract and was markedly hypoechoic in relation to the hypaxialis lumborum muscle and poorly differentiated (Figs 2a and 3a). This appearance was seen in Bunbi and Dipper. As Dipper was known to be only 2 years old, this appearance was assumed to indicate immature testes. Ultrasonographic appearance of the epididymis The epididymides were clearly visualized in each dolphin, except for Dipper. The structure of the epididymis was seen to alter along its length. The head of the epididymis is identifiable as a triangular structure, abutting the cranial end of the testis, and is isoechoic or hyperechoic compared with the testicular parenchyma (Fig. 4). The body of the epididymis shows the same echogenicity, and extends caudally along the dorso-lateral aspect of the testis. It is triangular in cross-section and one side is closely applied to the testis. The distal twothirds of the epididymis change in appearance, becoming more hypoechoic. In this section, the tubular structure of the epididymis becomes distinguishable, particularly at the distal end, where it is highly convoluted. In Wiki, Victor, and Bobby, rounded protrusions of convoluted tubules could be seen adjacent to the epididymis (Fig. 5). These were not distinguishable in other dolphins. The tubules were hypoechoic and were 2–3 mm in diameter. The caudal epididymidis was large in the older males, extending 1.5–3.5 cm beyond the caudal pole of the testis. In this section, the diameters of the tubule sections were greater (3–5 mm). 239 On several occasions, these diameters were measured preand post-ejaculation, after manual manipulation for sperm collection. Some tubules were seen to decrease by up to 2 mm in diameter. If required, it is not difficult to image the penis, retractor muscles and the large bulbourethral and bulbocavernosal muscles which surround the prostate, but it was not possible to differentiate the prostate gland convincingly. Discussion Ultrasonography of the testis is a non-invasive technique which is performed easily on trained dolphins. It gives information about testicular size and structure in live dolphins which is not available by any other means. Although dolphin testes are intra-abdominal, they are large and relatively superficial and are easily accessible for ultrasonographic evaluation. The internal structure of the testes and epididymides can be clearly demonstrated and ultrasonographic appearances are consistent with anatomical descriptions in the literature (Meek, 1918; Harrison, 1969; Green, 1972). Ultrasonography can be used to measure testicular dimensions and the diameter of the epididymal tubules. In this study, the ultrasonographic appearance of the testes varied among individuals and it is proposed that this reflects, and so can be used to indicate, the reproductive status of individuals. The testes of juvenile and sub-adult dolphins are Ep Vm Fig. 5. Ultrasonogram showing longitudinal section through the mid-epididymis (Ep) of a mature Tursiops truncatus aduncas, showing apparent vasal mass (Vm) between black arrowheads. Scale marks are in centimetres. 240 F. M. Brook et al. cylindrical in shape. Juvenile testes present a homogeneously hypoechoic parenchymal echopattern, whereas sub-adult testes show increasing echogenicity over time. This may be due to the increasing diameter of the seminiferous tubules in the growing testis. As these dilate, the walls separate and more interfaces will present to reflect the ultrasound beam, increasing parenchymal echogenicity. The presence of free spermatozoa will also increase echogenicity. Mature testes are homogeneous and moderately to highly echogenic. This is the characteristic echopattern of mature testes seen in many mammalian species (Cartee et al., 1986; Pechman and Eilts, 1987). In all dolphins examined in the present study, a prominent hyperechoic testicular mediastinum was observed. In mature males, a dilated tubular structure can be seen abutting the distal two-thirds of the testis. Rounded protrusions of this structure are visible in males that have been mature for some time; these protrusions are not seen in recently mature males. The ultrasonographic appearance of this structure corresponds to gross anatomical descriptions of the vas deferens in dolphins (Hepburn and Waterston, 1902; Meek, 1918; Ping, 1926; Matthews, 1950; Harrison, 1969). Harrison observed that the protrusions increased in both number and size in older dolphins and this is consistent with the ultrasonographic visualization of these structures only in older males. However, only two vasal masses were identified in any of the older males in the present study, one on each side. Follow-up examinations of Molly revealed that one vasal mass had formed on each side by June 1995, almost 5 years later. The presence of one or more of these protrusions in a male Tursiops may be useful to identify an animal that has been sexually mature for some years. Ultrasonographic differentiation between the epididymis and the origin of the vas deferens was not possible. Tubule diameters at the distal end of the testis decreased in diameter by as much as 2 mm after ejaculation. This finding supports the hypothesis that the large vas deferens allows storage of seminal fluid in the absence of seminal vesicles in dolphins (Matthews, 1950), although further study is required to confirm these results. The support and technical assistance of the staff of the Zoological Operations and Education Department, Ocean Park Corporation, Hong Kong, and K.T. Luk of Industrial Promoting Co., Hong Kong, are gratefully acknowledged. 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