Tyrnenopoulou P. DVM, PhD, Assistant Professor, Faculty of Veterinary Science, University of Thessaly, Karditsa
Vathi N. DVM, Post graduate student, Faculty of Veterinary Science, Aristotle University of Thessaloniki, Thessaloniki
Tseliou A. DVM, Post graduate student, Faculty of Veterinary Science, Aristotle University of Thessaloniki, Thessaloniki
Diakakis N. DVM, PhD, Professor, Faculty of Veterinary Science, Aristotle University of Thessaloniki, Thessaloniki
The aim of this report is to present the successful outcome of segmental posthectomy in seven horses. Segmental posthectomy, also referred to as circumcision or reefing, is a surgical technique used for treating different diseases involving the internal or/and external preputial fold, such as granulomas, neoplastic lesions, and preputial scar tissue.
In all cases, segmental posthectomy was elected due to paraphimosis, presence of preputial masses, hematoma, or penile paralysis. Surgery was performed under general anaesthesia. After catheterization of the urethra, the penis was extended by traction. Distally and proximally to the lesion or mass, two parallel incisions were made and the integument between the incisions was carefully excised. The subcutis and the skin were sutured with absorbable sutures in two different layers, after pre-placing four sutures at right angles to each other to enhance closure.
The majority of horses recovered uneventfully, without complications. One horse presented with post-operative penile paralysis and was treated conservatively.
Segmental posthetomy represents a viable treatment not only for surgical treatment of preputial masses and scar tissue, but also for paraphimosis and penile paralysis.
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