Segmental posthectomy
Circumcision
Reefing
Removal of
- Neoplasms
- Granulomas (habronema infestation)
- Scar tissue
- Chronic thickening
- Penile paralysis
Sx prep
Dorsal recumbency
General anesthesia
Catheterization of the urethra
Tournequet
Skin incision
Tensing of prepuce
Tension with towel clamps
Circumferential incision
longitudinal incision
Avoid
Large longitudinal subcutaneous branches of external pudendal arteries and veins
Reapposition
suture
penis sx live 1
penis sx live 2
penis sx live 3
Aftercare
Isolate from mares 2 - 4 weeks
Regular exercise (reduce edema)
Potential complications
Edema
Hematoma formation
Infection
Dehiscence
Phallectomy
Amputation of the penis
Indications
Irreparable penis damage - Penile paralysis
Extensive neoplasia
19 yo Haflinger gelding
SCC
SCC 2
17 yo Bavarian Warmblood SCC
Patient preparation
Castrate 3 - 4 weeks pre op
Dorsal recumbency
General anesthesia
Catheterization of the urethra
Tourniquet
Techniques
Phallectomy
Visnot's technique
William's technique
Scott's technique
En Bloc resection
Visnot's technique
William's technique
William's technique incision
William's technique suture and resection
William's technique suturing
16 yo Pinto gelding SCC
SCC removal 1
SCC removal 2
Necropsy: cystitis
Localized peritonitis
Surgical site
Scott's technique 1
Scott's technique 2
Scott's technique 3
Scott's technique 4
Scott's technique 5
prep
En bloc resection
Perineal orifice
en bloc resection
25 yo grey gelding
Necropsy: melanomas
Bolz' technique of phallopexy
Retract paralyzed penis - Penile paralysis
Avoid phallectomy
Incision caudal to scrotum 1
Bolz' technique of phallopexy
Incision caudal to scrotum 2
Bolz' technique of phallopexy
Blunt dissection
Bolz' technique of phallopexy
Avoid large pudendal vessels
Retract to annular ring
Bolz' technique of phallopexy
Closure
Bolz' technique of phallopexy
Aftercare phallopexy
Castration ? YES
Handwalk daily
Remove percutaneous sutures in 10-12 days
Heavy exercise 3-4 weeks post op
Scortal Hernia 1
Scortal Hernia 2
Testicular tumor
Equine Testicular Neoplasia
Seminoma
Teratoma
Interstitial Cell Tumor (Leydig's)
Sertoli's Cell Tumor
....Incidence ~ 0.5% of intact male horses