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Application of preputial tube-flap urethroplasty to establish a neourethra in a male dog with complications after preputial urethrostomy
Authors:T. Satanyasuwan  S. See-ngam  W. Kosathong  W. Yippaditr
Affiliation:1. Kasetsart University Veterinary Teaching Hospital Hua Hin, Faculty of Veterinary Medicine, Kasetsart University, Phrachuap Khiri Khan, Thailand

Contribution: Resources (lead), Software (lead), Validation (lead), Writing - original draft (lead), Writing - review & editing (lead);2. Kasetsart University Veterinary Teaching Hospital Hua Hin, Faculty of Veterinary Medicine, Kasetsart University, Phrachuap Khiri Khan, Thailand

Contribution: Data curation (equal), Resources (equal), Software (equal), Writing - original draft (equal);3. Kasetsart University Veterinary Teaching Hospital Hua Hin, Faculty of Veterinary Medicine, Kasetsart University, Phrachuap Khiri Khan, Thailand

Contribution: Resources (equal), Software (equal), Visualization (equal), Writing - original draft (equal);4. Kasetsart University Veterinary Teaching Hospital Hua Hin, Faculty of Veterinary Medicine, Kasetsart University, Phrachuap Khiri Khan, Thailand

Abstract:A 14-year-old male poodle weighing 7.5 kg presented due to complications after preputial urethrostomy for management of preprostatic urethral rupture. Revision surgery was performed with preputial tube-flap urethroplasty via preputiotomy. A longitudinal flap was raised from the prepuce and anastomosed to the end of the previously cut urethra to create a neourethra and reduce tension at the urethrostomy site. Follow-up retrograde positive contrast urethrography performed 10 days and 6 months postoperatively showed no contrast leakage from either the neourethra tube flap or new preputial urethrostomy. A follow-up email questionnaire, based on the American Urological Association Symptom Index, was completed by the owner 6 months after surgery. The dog had excellent symptom scores, and urinated from the prepuce without difficulty in a manner resembling physiological urination.
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