Priapism in the stallion

A review of the literature is given concerning the anatomy and pathophysiology of the equine penis with regard to priapism: a prolonged erection of the penis not associated with sexual arousal. Several treatment options, such as flushing of the corpus cavernosum penis with heparinized saline and the creation of shunt between the corpus cavernosum penis and the corpus spongiosum penis are discussed. Subsequently, a case of priapism in a stallion following the injection of acepromazine, is discussed. The priapism resolved after the corpus cavernosum penis was flushed with the stallion under general anaesthesia.     

The microvascularization of the penis of the steer (Bos taurus)]

The blood supply and the microvascularization of the bovine penis (Bos taurus) were demonstrated using the scanning electron microscope. The Corpus cavernosum penis of the bull consists of a surprisingly well-developed mesh of small to intermediate vessels. The architecture of the cavernous body is largely determined by trabeculae of connective tissue, the extent of which varies between penis segments. The Corpus cavernosum is arranged primarily as a ring around the trabeculae of connective tissue. Chambers of large bore are found in the central portions of the Corpus cavernosum penis, whereas a relatively fine vascular network predominates in the periphery. Vessels in the cavernous body of the urethra, on the other hand, show strictly parallel orientation to the urethra, which they surround like a sleeve. They also stand in close association with vessels in the outer layer of the Tunica albuginea. The vascular systems of the Corpus cavernosum penis and the Corpus spongiosum penis are not connected with one another. The vascular architecture of the Glans penis is characterized by the inclusion of well-developed vascular arcades at regular intervals. These course through a connective tissue matrix rich in glycoproteins and stretch to just under the skin of the penis, where they are intimately associated with a subpapillary network of arteries and veins. The venous legs of the vascular arcades are supplied by this network of veins. The Glans penis of the bull is considered to represent a specialization of the penile integument.     

Preputial hematoma in a stallion

An 8-year-old Quarter Horse stallion was admitted with a swelling involving the prepuce, dorsal part of the scrotum, and root of the penis. The swelling was first noticed 10 days after breeding, with no evidence that it had resulted from a kick by the mare. The penis was retracted into the prepuce, except for a 10- to 15-cm protrusion of the glans penis. Treatment included warm hydrotherapy, massage, stockinette compression, antidiuretics, antibiotics, penile support, and exercise, without success. At necropsy, a massive preputial hematoma was found extending forward from the root of the penis to 12 cm proximal to the glans penis. The exact origin of the hematoma could not be determined. Most likely, bleeding had originated from the vascular plexus lying subfascially on the surface of the penis outside the intact tunica albuginea or from a branch of the external pudendal artery.     

Penile prolapse and urethral obstruction secondary to lymphosarcoma of the penis in a dog

A 5-year-old Chihuahua presented for clinical signs of dysuria and penile prolapse. Radiographic studies identified a urethral obstruction distal to the junction of the proximal and middle third of the os penis that appeared to be secondary to swelling of the penis. Penile resection combined with a scrotal urethrostomy was performed. Histopathological examinations of tissue samples of the body of the penis revealed lymphosarcoma. Lymphosarcoma of the penis is a rare finding in all species. It can occur as a primary tumor of the penis in dogs. Penile lymphosarcoma should be considered in the differential diagnosis of dogs affected with penile prolapse and dysuria.     

RADIOGRAPHIC CHARACTERIZATION OF THE OS PENIS IN THE CAT

The os penis in the cat has not been described radiographically, as compared with the dog. However, a small linear bony radiopacity is sometimes detected in the perineal area of male cats. We hypothesized that the feline os penis might be visible on survey radiographs of the pelvis, and we aimed to investigate the frequency of its visualization using analog and computed radiography (CR) system. One hundred radiographs of the pelvis of 99 male cats were reviewed retrospectively (50 were obtained with a CR system and 50 with an analog system). Age, breed, neutering status, and reason for presentation were recorded, as well as the visualization of the os penis. An os penis was detected in 19/50 (38%) cats with CR and in eight of 50 (16%) cats with analog radiography; this difference was statistically significant. With CR, the median age of cats with a visible os penis was significantly higher than in cats where the os penis was not seen. In one cat with a visible os penis examined with CR and analog radiography, the os penis was only visible on CR images. The penile tissues were examined histopathologically in one cat and well‐differentiated bone was found but there were no pathologic findings detected in surrounding tissues. Thus, the os penis can be detected on radiographs of cats and this should not be mistaken for a pathologic finding such as urolithiasis or dystrophic mineralization.     

Preputial damage and lateral penile displacement during castration in a degu

CASE DESCRIPTION: A 2-month-old male degu was treated for preputial damage and lateral penile displacement that occurred during attempted castration. CLINICAL FINDINGS: Bruising and swelling of the prepuce and severe edema to the left of the prepuce were evident. The penis could not be extruded from the prepuce. Radiography revealed a large bladder. Contrast medium injected into the prepuce filled the peripreputial subcutaneous tissues. TREATMENT AND OUTCOME: During surgical exploration through a peripreputial approach, the penis was found to be completely separated from the prepuce and located in the adjacent subcutaneous tissue. The penis was repositioned in the prepuce and anchored with a suture at its base. The following day, the preputial orifice was crusted over, urine was leaking from the incision, and the penis could not be extruded from the prepuce. The anchoring suture was removed, and the tip of the penis was sutured to the preputial orifice so that the penis protruded slightly from the prepuce. Urination was normal after the second surgery. Two years later, the preputial orifice remained adhered to the distal portion of the penis and the exposed penile tissue was healthy. CLINICAL RELEVANCE: Penile displacement from the prepuce is an unusual complication of castration in degus. The surgical technique used in this animal may be an effective means of repair. Permanent exposure of the tip of the penis may be well-tolerated in degus.     

Multilobular osteochondrosarcoma of the os penis in a dog

Multilobular osteochondrosarcoma (MLO) of the os penis was diagnosed in a dysuric dog. Recurrence was confirmed or suspected twice over a 22-month period. This is the first reported case of MLO occurring in the os penis, and the 5th reported case of neoplasia of the os penis in the dog.     

Penile haemangiosarcoma in a breeding stallion

A 9‐year‐old Arab stallion was presented for haematuria and a haemorrhagic mass on the urethral process of the penis. Clinical examination and surgical excision suggested a tumour of the penis, histologically confirmed as a haemangiosarcoma. The stallion was successfully treated with surgical excision; however, successful breeding has not been achieved thus far (28 months). To the authors' knowledge, haemangiosarcoma of the equine penis has not previously been described.     

Disorders of the canine penis.

Function and anatomy of the canine penis are reviewed. Functional abnormalities of the penis described include lack of erection and lack of ejaculation. Physical abnormalities of the penis also are described, including paraphimosis. Diagnosis and treatment options are described.     

Surgical Treatment of Priapism in a Stallion

Priapism occurred in a stallion after the administration of acetylpromazine. When conservative measures failed, the corpus cavernosum penis (CCP) was drained and irrigated, and a vascular shunt between the erectile bodies was created. Subsidence of erection resulted, but subsequently, the stallion was unable to retract or erect the penis. The stallion was castrated and the penis was surgically retracted into the sheath.     

Arterial supply of the penis in the New Zealand rabbit (Oryctolagus cuniculus L.)

In the present study, the distributional pattern of the penile artery and the vessels joining the blood supply of the penis were investigated in the New Zealand rabbit. Eight adult rabbits were used in the study. In order to exhibit the vascular network by dissection, latex was injected via the abdominal aorta. The main vessel which supplies blood to the penis, the penile artery, is a branch of the internal pudendal artery. It divides into two branches which form the deep and dorsal penile arteries at the level of the ischiadic arch. The deep penile artery penetrates the tunica albuginea, and forms the arterial network of corpus cavernosum penis. On the other hand, the dorsal penile artery gives off three small branches for the subischiocavernosus muscle and at the level of the attachment of this muscle sends two small branches for the preputium. The course of both arteries follows the dorsolateral surface of the penis to the glans and ends in an anastomosis. Hence, a caudal branch of the prostatic artery which originates from the umbilical artery joins the blood supply of the penis in the rabbit. After vascularizing the prostate complex, it ends by entering the corpus spongiosus penis at the dorsolateral surface at the level of the ischiadic arch.     

Preputial reconstruction in a dog

A 2-year-old dog was examined after a 22-month history of intermittent drying and chafing of the distal portion of the penis after traumatic loss of the cranial portion of the prepuce and fracture of the os penis at 8 weeks of age. A multiple-staged surgical procedure was performed to reconstruct the prepuce, including free buccal mucosal grafting and transfer of a peripreputial bipedicle subdermal plexus flap. Preputial reconstruction provided mucosal and cutaneous coverage of the penis.     

The Apical Ligaments of the Penis of the Goat and Sheep

The penile apical ligaments of 13 goats and 8 sheep were dissected and described. Unlike the single apical ligament of the bull penis, both goats and sheep had one ligament on each side of the apex of the penis with no apparent connection over the dorsal surface. These lateral apical ligaments consisted of substantial connective tissue fibers that arose from the outer layers of the tunica albuginea and varied from 6.0 to 10.0 cm in length. The left apical ligament was longer and thicker than the right. The left apical ligament of the sheep penis was divided into a dorsal and a ventral branch. Both the goat and sheep possessed flattened perivenous ligaments that originated from the apical fascia and extended caudally along each side of the dorsal vein of the penis.     

Angiography of the crus penis in the ram and buck during erection

Serial angiography was used to determine blood flow patterns to the penis of rams and bucks. Animals were anesthetized and the internal pudendal artery was catheterized so that contrast medium could be injected toward the crus penis area. By comparing vascular patterns of the ram and buck during erection, it was found that flow patterns of the corpus cavernosum penis (CCP) and corpus spongiosum penis (CSP) were similar for both species. Contraction of the ischiocavernosus muscles occluded the arterial inflow and venous outflow to the CCP, making it a closed system during peak erection. However, during erection, the contrast medium continued to flow into the CSP, showing that it is not a closed system. In the vasodilatation phase, the CSP usually filled before and more intensely than did the CCP.     

Microscopic characteristics of genital end bulbs in the penis of bulls

Light microscopic sections of Epon-embedded bull penis were examined for nerve endings. Tissue was taken from the dorsal midline of the glans penis and from the free portion of the penis in 6 mature bulls. Genital end bulbs were identified in both regions of the penis and were located from 1 to 500 micron beneath the epithelium, with most end bulbs concentrated next to the epithelium in the glans penis. Occasionally, end bulbs were found within nerve trunks. Other encapsulated endings were not seen. Ultrastructural correlation of the light and electron microscopic appearance of spherical end bulbs and elongated end bulbs indicated that their structure was identical. Two to 6 neurites filled with mitochondria were surrounded by several layers of thin cytoplasmic lamellae. The lamellae were characterized by pinocytotic vesicles, microtubules, and a scant basal lamina. A capsule of differing thickness enclosed the end bulbs. Fewer capsular layers surrounded more superficially located end bulbs. Near the epithelium, there were gaps in the capsule. Nonmyelinated fibers were seen within end bulbs and between end bulbs and the epithelium.     

Surgical treatment of paraphimosis in a pony

Circumcision (or reefing operation) was performed on an aged pony stallion to remove excessive granulation tissue involving the preputial integument following an injury and subsequent paraphimosis. Postoperative swelling of the penis and prepuce was reduced daily with gentle massage. Initially, an improvised suspensory was used to support the penis postoperatively. The pony was able to voluntarily retract its penis six months following surgery.     

Priapism in a stallion with generalized malignant melanoma

A Thoroughbred stallion developed priapism that was unresponsive to medical treatment and lavage of the corpus cavernosum penis with heparinized 0.9% NaCl solution. Three weeks after onset of priapism, the penis was firm and noncompliant, and penile pain sensation and ability to retract the penis were lost. Ultrasonography confirmed thrombosis of the corpus cavernosum penis. The stallion was euthanatized because of poor prognosis for return to breeding soundness. Necropsy revealed enlargement of numerous lymph nodes. The dorsal penile nerves were demyelinated distal to the crura of the penis. A diagnosis of generalized malignant melanoma was made; however, neither metastasis to the vertebral canal nor compression of spinal nerve roots as they exited the vertebral foramen was found. Priapism is a persistent erection without sexual arousal and is initially unassociated with penile paralysis, but if prolonged, leads to irreversible venous occlusion where collecting veins join the cavernous spaces. Damage to the dorsal penile nerves may explain the long-term penile paralysis and loss of sensation that accompanied priapism in this stallion. Priapism unassociated with the use of phenothiazine-derivative tranquilizers is uncommon in horses.     

Ventral rupture of the penile tunica albuginea and urethra distal to the sigmoid flexure in a bull

A 4-year-old Limousin bull sustained a rupture of the ventral aspect of the tunica albuginea of the penis, 20 cm distal to the distal bend of the sigmoid flexure. The corpus spongiosum penis and urethra apparently ruptured at the same time.     

The Anatomy of the Male Genital System of the Beluga Whale, Delphinapterus leucas, with Special Reference to the Penis

The genital organs of four male adult beluga whales and one newborn animal were dissected and the main characteristics are described. As in other species of cetaceans, the testes and the greatest part of the penis are located inside the abdominal cavity. The penis has a sigmoid flexure and belongs to the fibroelastic type with a thick tunica albuginea and a small amount of vascular spaces in the erectile tissue. The prostate gland, found in other cetaceans, was not seen macroscopically, but only small prostate rudiments could be identified histologically. The os penis and the other accessory glands are absent as in other whales.     

Arterial supply of the penis in agoutis (Dasyprocta prymnolpha, Wagler, 1831)

The arterial vascularization of agoutis’ penis (Dasyprocta prymnolopha) were analysed using ten male adults from ‘Núcleo de Estudos e Preservação de Animais Silvestres da Universidade Federal do Piauí’ (FUFPI/IBAMA n° 02/99). Among the total number of specimens, six animals had natural death and were members of the research collection of the Laboratory of Anatomy, and four were killed after anaesthesia. Stained bi‐centrifugated‐Cis‐I‐4 latex was injected in arterial vessels responsible for penis vascularization throughout the abdominal portion of aorta. The samples were fixed in 10% formaldehyde solution and arteries were dissected. The penile artery is originated as a branch of internal pudendal artery. At the level of ischiatic arch, the penile artery project two branches, the penile dorsal and the deep arteries; those arteries irrigates the penile dorsal surface and the corpus cavernosum penis. The penile dorsal arteries have an independent course up to the glans penis. Based on the conditions of this work a remarkable similarity regarding the distribution of vessels destined to the agouti penis when compared to other domestic, wild and lagomorph rodents as rabbits.