From College of Veterinary Medicine, University of Florida, Gainesville, Florida.
J Am Anim Hosp Assoc. 2023 Sep 1;59(5):219-223. doi: 10.5326/JAAHA-MS-7369.
A 1 yr old castrated male shih tzu was referred for recurrent urinary tract infections (UTI), prostatitis, and urine dribbling that was not responsive to medical management. Physical examination and computed tomography scan revealed a micropenis with a disproportionately high prepuce-to-penis ratio. Preputial shortening with a hexagonal, full thickness preputial resection followed by preputial anastomosis was performed. The dog recovered from surgery with no complications. Urine dribbling persisted in the short-term postoperative period, but the patient achieved significant clinical improvement and resolution of his urine dribbling and recurrent UTIs at the 1 yr follow-up. In conclusion, this surgical technique was able to successfully restore quality of life in a dog with a micropenis, and preputial shortening should be considered in cases of recurrent UTIs where there is significant disparity between the size of the penis and the prepuce.
一只 1 岁已去势的雄性西施犬因反复性尿路感染（UTI）、前列腺炎和尿滴沥而被转介，这些症状对药物治疗没有反应。体格检查和计算机断层扫描显示小阴茎，其包皮与阴茎的比例不成比例地高。行包皮缩短术，行六边形全层包皮切除术，然后行包皮吻合术。术后狗狗无并发症恢复。短期术后仍有尿滴沥，但在 1 年随访时，患者的临床症状显著改善，尿滴沥和反复性 UTI 得到解决。总之，这种手术技术能够成功地恢复小阴茎犬的生活质量，对于存在阴茎和包皮大小明显差异且反复发生 UTI 的病例，应考虑行包皮缩短术。
