Partial penile amputation using a thoracoabdominal stapler in nine dogs

Abstract Objectives To describe a novel technique for partial anatomic penile amputation using a thoracoabdominal stapler in dogs and to report any associated short‐term peri‐operative complications and clinical outcomes associated with the procedure. Materials and methods Medical records from a ter...

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Main Authors: Nikesh Patel, Stephen C. Jones, Mary A. McLoughlin, James Howard
Format: Article
Language:English
Published: Wiley 2022-03-01
Series:Veterinary Medicine and Science
Subjects:
Online Access:https://doi.org/10.1002/vms3.723
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author Nikesh Patel
Stephen C. Jones
Mary A. McLoughlin
James Howard
author_facet Nikesh Patel
Stephen C. Jones
Mary A. McLoughlin
James Howard
author_sort Nikesh Patel
collection DOAJ
description Abstract Objectives To describe a novel technique for partial anatomic penile amputation using a thoracoabdominal stapler in dogs and to report any associated short‐term peri‐operative complications and clinical outcomes associated with the procedure. Materials and methods Medical records from a tertiary referral hospital were reviewed for dogs undergoing penile amputation and scrotal urethrostomy between October 2007 and December 2019. Data collected included patient signalment, clinical signs on presentation, indication for penile amputation, surgical technique, duration of surgery, post‐operative complications, and short‐term outcome. Results Nine dogs were included in the study. Indications for surgery were for treatment of chronic paraphimosis and priapism (n = 3), recurrent urethral prolapse (n = 2), balanoposthitis (n = 1), masses arising from the penis, prepuce, and/or urethra (n = 2), and penile trauma (n = 1). All dogs underwent a scrotal urethrostomy followed by a partial penile amputation with a thoracoabdominal stapler. All dogs suffered mild post‐operative haemorrhage from the urethrostomy stoma. On recovery from general anaesthesia, 2/9 dogs were painful and another 2/9 dogs were dysphoric. Two dogs experienced incisional complications with mild swelling around the urethrostomy stoma. One dog experienced an infection of the penile amputation site 21 days after surgery. The short‐term outcomes for this procedure were excellent in 8/9 dogs. These outcomes were based on owner assessment of comfort and monitoring throughout the recovery period, manual palpation of the surgical site at the time re‐evaluation, and surgeon visualization of successful voluntary urination 14–35 days after surgery. Clinical significance Use of a thoracoabdominal stapler is effective in achieving partial anatomic penile amputation in dogs.
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spelling doaj.art-d1d34df29d2e4aa4955e5d8de2ef7b8e2022-12-22T01:42:21ZengWileyVeterinary Medicine and Science2053-10952022-03-018243744410.1002/vms3.723Partial penile amputation using a thoracoabdominal stapler in nine dogsNikesh Patel0Stephen C. Jones1Mary A. McLoughlin2James Howard3The Ohio State University Veterinary Medical Center Columbus Ohio USAThe Ohio State University Veterinary Medical Center Columbus Ohio USAThe Ohio State University Veterinary Medical Center Columbus Ohio USAThe Ohio State University Veterinary Medical Center Columbus Ohio USAAbstract Objectives To describe a novel technique for partial anatomic penile amputation using a thoracoabdominal stapler in dogs and to report any associated short‐term peri‐operative complications and clinical outcomes associated with the procedure. Materials and methods Medical records from a tertiary referral hospital were reviewed for dogs undergoing penile amputation and scrotal urethrostomy between October 2007 and December 2019. Data collected included patient signalment, clinical signs on presentation, indication for penile amputation, surgical technique, duration of surgery, post‐operative complications, and short‐term outcome. Results Nine dogs were included in the study. Indications for surgery were for treatment of chronic paraphimosis and priapism (n = 3), recurrent urethral prolapse (n = 2), balanoposthitis (n = 1), masses arising from the penis, prepuce, and/or urethra (n = 2), and penile trauma (n = 1). All dogs underwent a scrotal urethrostomy followed by a partial penile amputation with a thoracoabdominal stapler. All dogs suffered mild post‐operative haemorrhage from the urethrostomy stoma. On recovery from general anaesthesia, 2/9 dogs were painful and another 2/9 dogs were dysphoric. Two dogs experienced incisional complications with mild swelling around the urethrostomy stoma. One dog experienced an infection of the penile amputation site 21 days after surgery. The short‐term outcomes for this procedure were excellent in 8/9 dogs. These outcomes were based on owner assessment of comfort and monitoring throughout the recovery period, manual palpation of the surgical site at the time re‐evaluation, and surgeon visualization of successful voluntary urination 14–35 days after surgery. Clinical significance Use of a thoracoabdominal stapler is effective in achieving partial anatomic penile amputation in dogs.https://doi.org/10.1002/vms3.723Penile amputationPhallectomyThoracoabdominal staplerSoft tissue surgery
spellingShingle Nikesh Patel
Stephen C. Jones
Mary A. McLoughlin
James Howard
Partial penile amputation using a thoracoabdominal stapler in nine dogs
Veterinary Medicine and Science
Penile amputation
Phallectomy
Thoracoabdominal stapler
Soft tissue surgery
title Partial penile amputation using a thoracoabdominal stapler in nine dogs
title_full Partial penile amputation using a thoracoabdominal stapler in nine dogs
title_fullStr Partial penile amputation using a thoracoabdominal stapler in nine dogs
title_full_unstemmed Partial penile amputation using a thoracoabdominal stapler in nine dogs
title_short Partial penile amputation using a thoracoabdominal stapler in nine dogs
title_sort partial penile amputation using a thoracoabdominal stapler in nine dogs
topic Penile amputation
Phallectomy
Thoracoabdominal stapler
Soft tissue surgery
url https://doi.org/10.1002/vms3.723
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