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 The penis was retracted into the prepuce, except for a 10- to 15-cm protrusion of the glans penis.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 Amputation and Sheath Ablation in the Horse

OBJECTIVE: To report a surgical technique for penile amputation and sheath ablation in horses. Study Design-Retrospective study. Animals or Sample Population-Twenty-five adult geldings of various breeds with conditions requiring penile amputation and sheath ablation. METHODS: The medical records of horses that had penile amputation and sheath ablation were reviewed. Briefly, the technique involved en bloc resection of the skin and subcutaneous tissues of the inner and outer lamina of the prepuce and penile shaft. Resection of the penile shaft, proximal to diseased segments, and spatulation of the urethral mucosa was followed by fixation of the penis to the ventral abdomen and closure of the peripreputial skin over the ventral aspect of the penis and creation of a new mucocutaneous junction at the urethral orifice. RESULTS: Mild to moderate postoperative hemorrhage occurred in all horses. Partial dehiscence of the mucocutaneous junction occurred in 8 horses; all healed by second intention. Postoperative pain lasting 24 to 48 hours occurred in 7 horses; 1 required epidural analgesia for pain relief. Long-term follow-up was available for 8 horses; none had any long-term complications. CLINICAL RELEVANCE: Partial amputation of the penis with pexy to the ventral abdomen and revision of the peripreputial skin can be used as an alternative to en bloc resection and penile retroversion for lesions involving the free part of the penis and the prepuce. It requires smaller incisions and results in less alteration to the normal appearance of the external genitalia than retroversion techniques, while still allowing the surgeon to remove extensive portions of the penis and extirpate the regional lymph nodes.     

Penile self-mutilation as an unusual sign of a separation-related problem in a crossbreed dog

A two-year-old, male, crossbreed dog was presented for evaluation of licking, biting and severe self-mutilation of its penis, which resulted in ulcers and haemorrhagic preputial discharge. History revealed signs of separation anxiety such as active greeting behaviour, excessive vocalisation and intermittent episodes of licking of the penis when the dog was left alone. The owner reported that he had been hospitalised after a car accident, and he had no chance of seeing the dog. During that time, the behaviour progressed to frequent episodes of licking and biting of the penis. Three weeks of treatment with clomipramine in addition to the presence of the dog's brother, who was brought into the dog's living environment, appeared to produce a considerable degree of improvement. The purpose of this report is to contribute to an increased awareness within veterinary practice of unusual signs of separation anxiety such as penile self-mutilation.     

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.     

Causes of copulatory failure in beef bulls

A cow in full standing estrus is required to assess a bull's ability to copulate. Insufficient libido is not involved if the bull sniffs the cow's vulva and attempts to mount. Blood or pus exiting the penis or prepuce indicates penile or preputial lacerations or other lesions. Rear foot or stifle lesions, seminal vesiculitis, traumatic reticulitis or lumbar spinal injuries may prevent the bull from mounting. Preputial stenosis, penile adhesions, desensitization, hematomas or deviations, peripreputial abscess, cavernosal shunts, insufficient penile length and occlusions of the cavernosal canals may prevent intromission after mounting.     

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.     

Anatomical Stages of Penile Erection in the Agouti (Dasyprocta leporina) Induced by Electro-Ejaculation

The reproductive system of the male agouti is not well documented. This study describes the specific anatomical features of the free part of the penis occurring during penile erection in the agouti. Electro-ejaculation was used to induce erection in three male agoutis that had previously produced offspring. Results proved that there were four stages in the erection process. Stage 1 involved protrusion of the penis from the preputial orifice. The lateral penile cartilages were then spread (stage 2). During stage 3, there was the blooming of the head of the glans penis (penile flower) and eversion of the intromittent sac. The protrusion of the keratinaceous styles and ejaculation occurred during stage 4. This information could assist in semen collection for use in reproductive techniques for the agouti such as artificial insemination.     

Penile hematoma in bulls: 60 cases (1979-1990).

Sixty bulls with penile hematomas were examined from 1979 through 1990. Thirty-eight bulls underwent surgical correction, 17 bulls were managed by medical treatment, and 5 bulls were not treated. Hereford and Polled Hereford breeds represented the majority (n = 37, 62%) of the bulls, with 10 other breeds representing the remainder (n = 21, 35%) in this study; breed was not reported in 2 bulls. Follow-up information was obtained from owners (40/60) through conversation on the success or failure of treatment, interval of sexual rest, duration of breeding soundness, and final outcome of the bull. Surgical correction was successful in 19 (70%) of 27 cases; medical treatment was successful in 6 (46%) of 13 cases. Of the 8 bulls that had penile hematomas with swelling measuring > 20 cm in width, 6 were successfully treated surgically, compared with 1 of 3 successfully treated medically. Of the bulls with penile hematomas having a swelling measuring < or = 20 cm in width, 7 of 9 were successfully treated surgically, compared with 4 of 5 successfully treated medically. Duration of the penile hematoma had little effect on the success of surgical correction. Of the bulls allowed sexual rest for > 2 months after treatment was initiated, 6 (25%) of 24 had a recurrence of penile hematoma. Four (40%) of 10 bulls allowed sexual rest for < or = 2 months had a recurrence of penile hematoma.     

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.     

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 injuries in beef bulls: 172 cases (1980-1985)

One hundred seventy-two bulls with preputial injuries were treated from 1980 through 1985. Most of the injuries developed during the breeding season (April through August), with a peak during June. The number (111) of bulls represented by 3 beef breeds (Brangus, Brahman, Beefmaster) was greater than the number (61) of the other 9 breeds included in the survey. Preputial prolapse (PP) and posthitis without obvious laceration was diagnosed in 82 of 172 bulls. Preputial laceration, abscessation, stricture with phimosis, and PP with penile hematoma were diagnosed in 46, 22, 15, and 9 bulls, respectively. These abnormalities were treated medically and/or surgically. Questionnaires (n = 145) were mailed, and 83 (57.4%) replies were received. Owners (80/83) of affected bulls responded to questions regarding the future use of their bulls for breeding. Of the bulls with PP and posthitis (n = 34), laceration (n = 17), abscessation (n = 15), stricture with phimosis (n = 8) and PP with penile hematoma (n = 6) and treated medically and/or surgically, 30, 11, 7, 7, and 4 bulls, respectively, (74% overall) were returned to breeding use successfully.     

Canine osteosarcoma of the penile bone

A 13-year-old mixed breed dog was presented with difficulties to urinate, blood in the urine and a nodule at the root of the penis. The penis was completely resected, and an osteosarcoma of the penile bone was diagnosed. Radiographically, there was no evidence to suggest tumours in other bones or distant metastases. The dog was euthanized as a consequence of tumour recurrence after 2 months. This is believed to be the first reported case of a primary osteosarcoma of the penile bone.     

Combined preputial advancement and phallopexy as a revision technique for treating paraphimosis in a dog

A 7‐year‐old neutered male Jack Russell terrier‐cross was presented for signs of recurrent paraphimosis, despite previous surgical enlargement of the preputial ostium. Revision surgery was performed using a combination of preputial advancement and phallopexy, which resulted in complete and permanent coverage of the glans penis by the prepuce, and at 1 year postoperatively, no recurrence of paraphimosis had been observed. The combined techniques allow preservation of the normal penile anatomy, are relatively simple to perform and provide a cosmetic result. We recommend this combination for the treatment of paraphimosis in the dog, particularly when other techniques have failed.     

Priapism Secondary to Perineal Abscess in a Dog – A Case Report

A 7‐year‐old intact male Boxer was referred to our services at the Veterinary Teaching Hospital of the University of Trás‐os‐Montes and Alto Douro, suffering from a persistently erect penis (including the bulbus glandis) that had been exposed for several days. Radiographic and ultrasonographic examinations detected a 5.0 × 3.5 cm mass located dorso‐laterally to the urinary bladder. The microbial culture of the mass revealed Staphylococcus spp. At that time, we suspected the involvement of an abscess in the origin of the priapism. Medical and surgical treatments were promptly instituted, which allowed for penile withdrawal into the prepuce; however, the resolution of the penile erection was not accomplished in the following days and penile amputation was required. Histological evaluation of the excised penis revealed extensive infarction of the erectile tissue of the pars longa and bulbus glandis, and also of the blood vessels of the penis. Following penile amputation and antimicrobial therapy, the animal fully recovered. Ultimately, the animal died as a consequence of gastric torsion. At necropsy, some lesions compatible with a previous perforation of the intestinal wall were recorded. The data gathered from the anamnesis, the physical and imaging examinations, along with the post‐mortem findings, allowed us to conclude that in this clinical case the primary cause of priapism was a perineal abscess due to bowel perforation.     

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.     

Comparison of genitoanal and bulbospongiosus reflexes and measurement of penile nerve conduction velocity in cats

The bulbospongiosus reflex, genitoanal reflex, and nerve conduction velocity of the dorsal nerve of the penis were evaluated in cats. Seven adult sexually intact or castrated male mixed-breed cats underwent surgical isolation of the bulbospongiosus (analagous to bulbocavernosus) branch, anal branch, and distal trunk of the pudendal nerve. The bulbospongiosus and genitoanal reflexes were recorded from the bulbospongiosus and anal branches, respectively, by electrical stimulation, in turn, of the distal pudendal trunk and the penis itself. Nerve conduction velocity of the dorsal nerve of the penis was calculated by measuring response latency differences in the anal branch after stimulation of 2 sites on the extruded penis. The bulbospongiosus reflex had response latencies of 8.1 to 10.3 ms (distal trunk stimulation) and 11.0 to 13.0 ms (penile stimulation). The genitoanal reflex had latencies of 8.1 to 10.5 ms (distal trunk stimulation) and 11.2 to 13.2 ms (penile stimulation). Response amplitudes diminished at stimulus rates of 5 to 10 Hz; responses were abolished at rates of 12 to 15 Hz, suggesting that the reflexes are polysynaptic. There was no significant difference between latency values for the bulbospongiosus and genitoanal reflexes. Mean +/- SD nerve conduction velocity in the dorsal nerve of the penis was calculated to be 3.8 +/- 0.34 m/s, which was considerably slower than that found in human beings. This may represent technical difficulties in performing the test in cats, but could also indicate a difference between cats and human beings in the predominant population of cutaneous sensory fiber types of the penis.     

Surgical treatment of 45 horses affected by squamous cell carcinoma of the penis and prepuce

The medical records of 45 horses treated for suspected squamous cell carcinoma of the penis and/or prepuce were reviewed. The age of 40 horses was known, and these had a mean age of 17.4 years. The duration of neoplasia was known for only 3 of the 45 horses. The results of histological evaluation of lesions, available for 35 horses, confirmed that the diseased tissue was squamous cell carcinoma. The location of gross neoplastic lesions was recorded for 43 horses; the glans penis was involved in 24 horses, the body of the penis or the inner lamina of the preputial fold in 27 horses, and the external fold of the prepuce in 10 horses. Surgical treatments of these horses included phallectomy (penile amputation) in 35 horses, segmental posthectomy in 4 horses, phallectomy plus segmental posthectomy in 2 horses, and en bloc resection of the penis, prepuce and superficial inguinal lymph nodes with penile retroversion in 4 cases. Short-term complications in the immediate postoperative period included preputial oedema and haemorrhage at the end of urination. One horse developed acute urinary retention because of severe urethral oedema. Long-term (>1 year) follow-up information was obtained for 31 horses. Neoplasia of the penis and/or prepuce recurred in 6 of these 31 horses (19%), and in 5 of these the recurrence necessitated euthanasia of the horse.     

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.     

Alternative method to facilitate resolution of paraphimosis after penile trauma in the horse

Inflammation associated with traumatic injury to the penis is characterised by pain, heat and oedema. Ensuing penile swelling interferes with retraction of the penis into the prepuce, resulting in paraphimosis. This report describes the use of a 5 l capacity pressure infusion bag to reduce penile oedema in three horses. This technique provided complete resolution of oedema and associated paraphimosis in approximately 1 h. The use of the bag, along with an abdominoinguinal bandage, a plastic funnel suspensory device, or a penile repulsion device (Probang) to avoid recurrence, offers a novel treatment that may be performed with the horse sedated.