Papadopoulou Μ. DVM, Companion Animal Clinic, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Angelou V. DVM, MSc, PhD, Companion Animal Clinic, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Chatzimisios K. DVM, MSc, Companion Animal Clinic, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Anastasiou S. DVM, Companion Animal Clinic, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Papazoglou L.G. DVM, MSc, Companion Animal Clinic, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Introduction
Paraphimosis is the inability to retract the penis into the prepuce resulting in persistent exposure of the penis. The idiopathic form is caused by ineffective preputial muscles or paralysis of the retractor penis muscle. In cases where nonsurgical management has failed, surgical treatment is indicated. The surgical techniques described are efficient for 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 for idiopathic chronic penile protrusion (CPP) when the length of the exposed penis is over 1.5 cm.
Materials and methods
Three male intact dogs, with a median age of 3 years, were referred to the Clinic for surgical correction of paraphimosis. All cases were diagnosed with CPP and the median length of the exposed penis at the time of presentation was 1.9 cm.
Results
All cases were treated surgically by using a modified preputial advancement technique. The initial skin incision was made around the prepuce, a crescent-shaped piece of skin has been removed cranially to the prepuce, and the prepuce was elevated from the rectus abdominis muscle and was advanced cranially to cover completely the exposed penis. Postoperatively, one dog showed seroma formation, and no further complications were encountered. Median follow-up was 11 months and all dogs were found well, without any signs of penile protrusion.
Conclusions
The modified cranial advancement of the prepuce may be the treatment of choice for the correction of idiopathic penile protrusion.
References
- Papazoglou LG (2001) Idiopathic chronic penile protrusion in the dog: a report of six cases. Journal of Small Animal Practice 42, 510-513.
- Yiapanis C, Atamna R, Gan M, Shipov A, Chochlios T, Milgram J (2021) Cranial translation of the elevated prepuce in dogs before and after two modifications: A cadaveric study. Veterinary Surgery 50, 1463-1471.
