PARAPHIMOSIS IN PET ANIMALS

Paraphimosis defined as a condition in which when the penis protasio from preputium and can not be pulled by reenter into the preputium. It is usually associated with phimosis.

The condition that can lead to paraphimosis is :

1. Animals that have orifice of preputium smaller, time will be mating so penis can protusio in a state of semi erection without difficulty, but after full erection can not be pulled by reenter into the preputium because the hole preputium smaller than normal.
2. Paraphimosis can also occur when the penis that normal could be pulled reenter but the feathers along the penis ( skin preputium inversion ) follow to come into the orifice preputium so that block retracted of penis the whole.

In conditions where the gland of penis out side preputium and experiencing of constriction, then preputium that retracted in this case occurred in the back of the bulbus glandis remained erect will be congestion and pale. Ring preputium become swollen and can occur contriction tighter, so in a longer time if the condition is permanent will happen contriction tighter to the penis gland becomes necrotic and occurs urethra obstruction.

Therapy for paraphimosis :

1. Manual reposition of paraphimosis.

• Fur preputium around orifice shaved and penis will be checked for the presence of penile lesions or fractures in the os. Penis.
• The penis and preputium cleaned by washing with a mild antiseptic and in irrigation with saline solution.
• congestion and edema can be reduced by using a towel soaked with cold saline solution that was stuck with a little pressure continuously.
• Lubricant applied to the surface of the penis and under the ring preputium that contriction.
• penis pushed to the back and at the same time preputium pulled forward.

If this action fails due to conditions of paraphimosis have been persistent for more than a few hours then preputium to the incision.

2. Surgical correction of paraphimosis.

• The cranial edge of the prepuce is lodged caudal to the bulbus glandis. An incision is made in the ventral prepuce through the skin, subcutaneous tissue and the parietal layer.This releases the penis and allows it to return inside the prepuce
• The skin is sutured to the parietal layers along the prepuce edge.
• The suture are placed so that the skin and parietal layer are in contact.
• The permanent enlargement allows the penis to move in and out freely.

If the condition of penis necrosis or damage permanent to the urethra, the penis must be amputated.

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