Thomson Eilidh Elizabeth, Kelly Emmet Thomas, Beltman Marijke Eileen, Ryan Eoin Gerard
School of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Republic of Ireland.
Ir Vet J. 2024 Apr 30;77(1):6. doi: 10.1186/s13620-024-00270-3.
Penile fibropapilloma is a condition caused by bovine papilloma virus and is frequently encountered in young bulls. Penile fibropapillomatosis is thought to be spread through homosexual mounting behaviour. Fibropapillomas of the penis are painful, often bleed and can impede normal intromission. Treatment may range from allowing time for slow, spontaneous regression to surgical resection but recurrence following surgery is reported by some authors.
Thirty one bulls that were presented to University College Dublin Veterinary Hospital from March 2017 to March 2023 for surgical resection of penile fibropapillomas were included in this retrospective case series. Twenty-seven of the 31 bulls (87%) were under two years of age. The majority (42%) of bulls presented were Hereford, but Angus, Charolais, Holstein-Friesian and Limousin breeds were also seen. Following examination and diagnosis of penile fibropapilloma, regional anaesthesia (xylazine-procaine epidural and internal pudendal nerve block) and standing surgical intervention (resection and cautery) was performed in each case. Phone call follow-up was performed by one author (EET) in all 31 cases and 2 cases out of the 28 that were contactable showed post-surgical recurrence of penile fibropapillomatosis (i.e., 7.1% recurrence rate).
This case series summarises the history and presenting findings of 31 bovine penile fibropapilloma cases and describes a regional anaesthetic and standing surgical approach for successful case management.
阴茎纤维乳头瘤是一种由牛乳头瘤病毒引起的疾病,常见于年轻公牛。阴茎纤维乳头瘤病被认为是通过同性爬跨行为传播的。阴茎纤维乳头瘤会引起疼痛,常伴有出血,并可能妨碍正常的交配。治疗方法包括等待缓慢的自然消退,也可进行手术切除,但一些作者报道手术后会复发。
本回顾性病例系列纳入了2017年3月至2023年3月期间送至都柏林大学学院兽医医院进行阴茎纤维乳头瘤手术切除的31头公牛。31头公牛中有27头(87%)年龄在两岁以下。就诊的公牛中大多数(42%)是赫里福德牛,但也有安格斯牛、夏洛来牛、荷斯坦-弗里生牛和利木赞牛品种。在对阴茎纤维乳头瘤进行检查和诊断后,每例均进行了局部麻醉(赛拉嗪-普鲁卡因硬膜外麻醉和阴部内神经阻滞)及站立式手术干预(切除和烧灼)。一位作者(EET)对所有31例进行了电话随访,在可联系的28例中有2例出现了阴茎纤维乳头瘤病术后复发(即复发率为7.1%)。
本病例系列总结了31例牛阴茎纤维乳头瘤病例的病史和临床表现,并描述了一种成功管理病例的局部麻醉和站立式手术方法。