Equine Male sx

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