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接受部分阴茎截肢术的犬只的适应症、并发症及结果:10例(2014 - 2021年)

The indications, complications and outcomes of dogs undergoing partial penile amputation: 10 cases (2014-2021).

作者信息

Ritson K, Bird F, Stefanidis G, Brissot H

机构信息

Willows Veterinary Centre and Referral Service, Highlands Road, Shirley, Solihull, B90 4NH, West Midlands, UK.

European Specialist in Small Animal Surgery, Pride Veterinary Centre, Riverside Road, Derby, DE24 8HX, Derbyshire, UK.

出版信息

J Small Anim Pract. 2023 Feb;64(2):103-110. doi: 10.1111/jsap.13564. Epub 2022 Nov 14.

Abstract

OBJECTIVES

To report the signalment, indications for surgery, postoperative complications and medium-/long-term outcomes in dogs undergoing partial penile amputation.

MATERIALS AND METHODS

Retrospective case series. The electronic medical records of a single small animal referral hospital were searched between January 2014 and January 2021 for dogs that underwent a partial penile amputation. Data collected included signalment, presenting clinical signs, indication for partial penile amputation, surgical technique, postoperative complications and outcome.

RESULTS

Ten dogs were included in the study. Indications for surgery were treatment of preputial neoplasia (n=5), penile neoplasia (n=1), idiopathic paraphimosis (n=3) and chronic urethritis (n=1). Five of five preputial tumours were cutaneous mast cell tumours, and the penile tumour was a squamous cell carcinoma. All dogs recovered uneventfully from surgery with a median postoperative hospitalisation time of 28.8 hours. Two of the three dogs treated for paraphimosis had major postoperative complications requiring further resection of the tip of the penis at 2 weeks and 24 months. Four dogs had minor complications managed without surgical intervention. The outcome was good to excellent in nine of nine dogs for which medium- or long-term follow-up data were available.

CLINICAL SIGNIFICANCE

In this group of dogs, partial penile amputation, performed with or without concurrent resection of the prepuce, was a well-tolerated surgical procedure with low intraoperative and postoperative complication rates and good functional outcomes. Partial penile amputation should be considered for conditions affecting the distal penis and prepuce.

摘要

目的

报告接受部分阴茎截肢术的犬只的特征、手术指征、术后并发症及中长期预后情况。

材料与方法

回顾性病例系列研究。检索了一家小型动物转诊医院2014年1月至2021年1月期间接受部分阴茎截肢术的犬只的电子病历。收集的数据包括特征、临床表现、部分阴茎截肢术的指征、手术技术、术后并发症及预后。

结果

本研究纳入了10只犬。手术指征包括治疗包皮肿瘤(n = 5)、阴茎肿瘤(n = 1)、特发性阴茎异常勃起(n = 3)和慢性尿道炎(n = 1)。5例包皮肿瘤均为皮肤肥大细胞瘤,阴茎肿瘤为鳞状细胞癌。所有犬只术后恢复顺利,术后住院时间中位数为28.8小时。3例接受阴茎异常勃起治疗的犬中有2例出现严重术后并发症,分别在术后2周和24个月需要进一步切除阴茎尖端。4只犬出现轻微并发症,无需手术干预即可处理。在有中长期随访数据的9只犬中,9只犬的预后良好至优秀。

临床意义

在这组犬中,无论是否同时切除包皮,部分阴茎截肢术都是一种耐受性良好的手术,术中及术后并发症发生率低,功能预后良好。对于影响阴茎远端和包皮的疾病,应考虑行部分阴茎截肢术。

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