Tierarztl Prax Ausg G Grosstiere Nutztiere 2012; 40(06): 359-366
DOI: 10.1055/s-0038-1623144
Original Article
Schattauer GmbH

Prevalence and accompanying signs of pneumovagina and urovagina in dairy cows in the Southern Marmara region

Prävalenz und begleitende Anzeichen einer Pneumovagina und Urovagina bei Milchkühen der südlichen Marmara-Region
G. Goncagul
1   Mennan Pasinli Vocational High School, Uludag University, Bursa, Turkey
,
K. Seyrek Intas
2   Department of Obstetrics and Gynaecology, Faculty of Veterinary Medicine, Uludag University, Bursa, Turkey
,
I. H. Kumru
3   Customs offices of the Ministry of Agriculture, Kapikule-Edirne, Turkey
,
D. Seyrek Intas
4   Department of Surgery, Faculty of Veterinary Medicine, Uludag University, Bursa, Turkey
› Author Affiliations
Further Information

Publication History

Received: 27 May 2012

Accepted after revision: 09 August 2012

Publication Date:
06 January 2018 (online)

Summary

Objective: Studies on the prevalence of pneumo- and urovagina in cows are rare. The aim of this study was to determine the prevalence and the most common accompanying clinical signs of pneumo- and urovagina in dairy cows. Material and methods: Between 2007 and 2010 a total of 1167 Holstein and Brown Swiss cows were examined clinically and bacteriologically. Pneumovagina was diagnosed if air was sucked in or expelled from the vagina spontaneously at any time. Urovagina was defined as the accumulation of urine at the fornix of the vagina. Results: The prevalence of pneumovagina and urovagina were 19.2% (n = 224) and 3.1% (n = 36), respectively. Several clinical findings were accompanying pneumovagina in affected cows. 77.7% of cows having pneumovagina additionally displayed foamy vaginal discharge during estrous. Passive urinary flow out of the vulva could be observed due to pressure during rectal examination in some cows with urovagina. Bacteriological examination of uterine swaps from 111 cows with pneumovagina yielded a positive result in 95.5% of the cases. Uterine samples from 20 control animals were bacteriologically positive in 45% of the cases. Conclusions and clinical relevance: Pneumovagina in cows has a much higher prevalence than published before and causes uterine infection, endometritis and infertility due to fecal contamination. Urovagina is always an accompanying sign in severe cases of pneumovagina. Foamy vaginal discharge during estrous can be regarded as pathognomonic and early sign of pneumovagina also in very mild cases. Evacuation of the uterus after parturition and a decrease in body condition score due to negative energy balance causes an increased negative intraabdominal pressure. These conditions seem to trigger the development of pneumo- and urovagina. For this reason repeat-breeders and especially cows with foamy vaginal discharge during estrous, passive urinary leakage and an angulated vulva dorsal to the ischiadic arch should be carefully examined for pneumovagina.

Zusammenfassung

Gegenstand und Ziel: Es gibt nur wenige Studien zur Prävalenz der Pneumo- und Urovagina bei Kühen. Zweck dieser Studie war daher, die Prävalenz der Pneumo- und Urovagina bei Milchkühen zu bestimmen. Material und Methoden: Zwischen 2007 and 2010 wurden 1167 Holstein-Friesian- und Braunvieh-Kühe klinisch und bakteriologisch untersucht. Eine Pneumovagina wurde diagnostiziert, wenn zu irgendeinem Zeitpunkt spontan Luft in die Vagina hineingesogen oder aus ihr herausgepresst wurde. Eine Urovagina war als Harnansammlung im Fornix vaginae definiert. Ergebnisse: Die ermittelte Prävalenz der Pneumovagina betrug 19,2% (n = 224), die der Urovagina 3,1% (n = 36). Bei Kühen mit einer Pneumovagina fanden sich mehrere begleitende klinische Befunde. 77% der Kühe mit Pneumovagina zeigten während der Brunst eine schaumige Sekretion aus der Vulva. Passiver Harnfluss aus der Vulva konnte bei der rektalen Untersuchung bei vielen Kühen mit Urovagina beobachtet werden. Uterusproben von 111 Kühen mit Pneumovagina waren zu 95,5%, die von 20 Kontrolltieren nur zu 45% bakteriologisch positiv. Schlussfolgerungen und klinische Relevanz: Die Pneumovagina bei Kühen hat eine deutlich höhere Prävalenz, als bisher angenommen und verusacht Uterusinfektionen, Endometritis und Infertilität durch fäkale Kontamination. Eine Urovagina stellt immer eine Begleiterscheinung einer hochgradigen Pneumovagina dar. Schaumiger Vaginalausfluss während der Brunst kann als pathognomonisches und frühes Symptom der Pneumovagina gedeutet werden, auch in leichten Fällen. Eine Pneumovagina verursacht eine hohe Rate an Uterusinfektionen mit enteralen Bakterien. Die Entleerung des Uterus nach der Geburt und ein Rückgang der Körperkondition aufgrund von negativer Energiebilanz verstärken den intraabdominalen Unterdruck. Dies scheint die Entstehung der Pneumo- und Urovagina auszulösen. Deshalb sollten erfolglos besamte Kühe und vor allem Kühe mit schaumigem Brunstschleim, passivem Harnfluss sowie dorsal des Beckenbodens gewinkelter Vulva genauestens auf eine Pneumovagina untersucht werden.

 
  • References

  • 1 Arora N. Role of uropathogenic virulence factors in the pathogenesis of E. coli-induced cystic endometrial hyperplasia/pyometra complex in the bitch. PhD thesis University of Melbourne Australia; 2007: 250.
  • 2 Azawi OI. Postpartum uterine infection in cattle. Anim Reprod Sci 2008; 105: 187-208.
  • 3 Brand A, Varner M. Monitoring reproductive performance. In: Herd Health and Production Management in Dairy Practice. Brand A, Noordhuizen JPTM, Schukken YH. eds. Wageningen: Wageningen Pers; 2001: 283-311.
  • 4 Caslick EA. The vulva and vulvovaginal orifice and its relation to genital health of the thoroughbred mare. Cornell Vet 1937; 27: 178-187.
  • 5 Chen YM, Wright PJ, Lee CS, Browning GF. Uropathogenic virulence factors in isolates of Escherichia coli from clinical cases of canine pyometra and feces of healthy bitches. Vet Microbiol 2003; 94: 57-69.
  • 6 Davies MCG. Equine Reproductive Physiology Breeding and Stud Management. Cambridge: Cambridge University Press; 2008
  • 7 Edmonson AJ, Lean IJ, Weaver LD, Farver T, Webster G. A body condition scoring chart for Holstein dairy cows. J Dairy Sci 1989; 72: 68-79.
  • 8 Farhoodi M, Nowrouzian I, Hovareshti P, Bolourchi M, Nadalian MG. Factors associated with rectovaginal injuries in Holstein dairy cows in a herd in Tehran. Iran Prev Vet Med 2000; 46: 143-148.
  • 9 Ferguson JD, Gallagen JD, Thomsen N. Principal descriptors of body condition score in Holstein cows. J Dairy Sci 1994; 77: 2695-2703.
  • 10 Gautam G, Nakao T. Prevalence of urovagina and its effects on reproductive performance in Holstein cows. Theriogenology 2009; 71: 1451-1461.
  • 11 Gearhart MA, Curtis CR, Erb HN, Smith RD, Sniffen CJ, Chase LE, Cooper MD. Relationships of changes in condition score to cow health in Holsteins. J Dairy Sci 1990; 73: 3132-3140.
  • 12 Gilbert RO, Wilson DG, Levine SA, Bosu WTK. Surgical management of urovagina and associated infertility in a cow. J Am Vet Med Assoc 1989; 194: 931-942.
  • 13 Goncagul G, Seyrek-Intas K, Kumru IH, Ozakin C, Weiss R, Prenger-Berninghoff E, Baljer G. Bacterial infertility and ascending uterine infections with respect to pneumovagina and urovagina in cows. Oral Presentation. “Veterinary Days of Uludag University, Bursa, and Justus Liebig University, Giessen”. 14–16 July 2011. Faculty of Veterinary Medicine Giessen/Germany; Abstract book 2011 5-6.
  • 14 Gonzalez-Martin JV, Astiz S, Elvira L, Lopez-Gatius F. New surgical technique to correct urovagina improves the fertility of dairy cows. Theriogenology 2008; 69: 360-365.
  • 15 Kaufmann TB, Westermann S, Drillich M, Plontzke J, Heuwieser W. Systemic antibiotic treatment of clinical endometritis in dairy cows with ceftiofur or two doses of cloprostenol in a 14-d interval. Anim Reprod Sci 2010; 121: 55-62.
  • 16 Otto KL, Ferguson JD, Fox DG, Sniffen CJ. Relation between body condition score and composition of ninth to eleven rib tissue in Holstein dairy cows. J Dairy Sci 1991; 74: 852-859.
  • 17 Seyrek-Intas K. Kisraklarda pneumovagina’nin sagaltiminda kullanilan operatif teknikler: Uygun teknigin secimi. Symposium of Sport Horse Surgery. 1–4 May 1997. Kirazliyayla/Bursa-Turkey: 1997; 122.
  • 18 Seyrek-Intas K, Bostedt H, Herfen K, Seyrek-Intas D. Kisraklarda Modifiye Caslick Metodu ile Pneumovagina’nin operatif sagaltimi ve postoperatif sonuclar. Veteriner Cerrahi Dergisi 1997; 3: 10-15.
  • 19 Sheldon IM, Noakes DE, Rycroft AN, Pfeiffer DU, Dobson H. Influence of uterine bacterial contamination after parturition on ovarian dominant follicle selection and follicle growth and function in cattle. Reproduction 2002; 123: 837-845.
  • 20 Sheldon IM, Price SB, Cronin J, Gilbert RO, Gadsby JE. Mechanisms of infertility associated with clinical and subclinical endometritis in high producing dairy cattle. Reprod Domest Anim 2009; 44 (Suppl. 03) 1-9.
  • 21 Sheldon IM, Williams E J, Miller ANA, Nash DM, Herath S. Uterine diseases in cattle after parturition. Vet J 2008; 176: 115-121.
  • 22 St Jean FG, Hull BL, Robertson JT, Hoffsis GF, Haibel GK. Urethral extension for correction of urovagina in cattle: a review of 14 cases. Vet Surg 1988; 17: 258-262.
  • 23 Vandeplassche M, Bouters R, De Keyser P, Tijskens R, Brone E. Committee for the study of infertility, Gent Veterinary Faculty Report for 1976. Vlaams Diergeneesk Tijdschr 1977; 46: 149-161.
  • 24 Vanroose G, de Kruif A, Van Soom A. Embryonic mortality and embryopathogen interactions. Anim Reprod Sci 2000; 60 –61: 131-143.
  • 25 Yeong SW, Yoon S, Woosuk H. Prevalence of bovine reproductive disorders. Korea Republic. J Agr Sci 1996; 38: 825-829.
  • 26 Youngquist RS, Braun WFJR. Abnormalities of the tubular genital organs. Vet Clin Food Anim Pract 1993; 9: 309-322.