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部分阴茎切除术和阴茎翻转术作为治疗驴严重包皮撕裂伤的手术方法()。

Partial Phallectomy and Penile Retroversion as a Surgical Approach for Severe Preputial Laceration in a Donkey ().

作者信息

Andrade Letícia Paranhos Rios, Dutra Helena Tavares, Ferreira Jéssyca Ataíde, da Silva Jéssica Sola Quirino, Bittar Mariana Quinan, Queiroz Paulo José Bastos

机构信息

School of Veterinary Medicine and Animal Science, Federal University of Goiás, Goiânia, Goiás, Brazil.

Equus Center Veterinary Hospital, Goiânia, Goiás, Brazil.

出版信息

Case Rep Vet Med. 2025 Jul 15;2025:9036471. doi: 10.1155/crve/9036471. eCollection 2025.

Abstract

Penile trauma in equines can cause injuries of varying severity, potentially leading to temporary or permanent dysfunction. In severe cases, various surgical techniques can be employed to restore the animal's quality of life, such as partial phallectomy combined with penile retroversion. However, descriptions of the application of this technique in donkeys are lacking. This report describes the surgical treatment of a donkey with extensive preputial and penile laceration using the technique of partial phallectomy combined with penile retroversion. An 18-month-old intact male donkey presented with extensive preputial and penile lacerations, resulting in the complete rupture of the preputial lamina, permanent penile protrusion, tissue necrosis, and urethral rupture with urine leakage. The donkey underwent a partial phallectomy and penile retroversion after a 2-week preoperative period, which included debridement, dressings, and antibiotic therapy. The surgical procedure involved the creation of a perineal urethrostomy and partial penile amputation. Postoperative care included antibiotic and anti-inflammatory therapy, as well as local wound management. Postoperative complications included postmicturition hemorrhage and partial suture dehiscence. Despite these issues, a complete recovery was achieved, and the donkey was discharged after 56 days postsurgery. Four years later, the donkey was urinating normally without complications. Penile retroversion combined with partial phallectomy proves to be an effective surgical approach for treating extensive penile and preputial lacerations in donkeys, providing lasting results and long-term complication-free outcomes.

摘要

马的阴茎创伤可导致不同严重程度的损伤,可能会导致暂时或永久性功能障碍。在严重情况下,可采用各种外科技术来恢复动物的生活质量,如部分阴茎骨切除术联合阴茎后翻术。然而,缺乏关于该技术在驴身上应用的描述。本报告描述了使用部分阴茎骨切除术联合阴茎后翻术对一头患有广泛性包皮和阴茎撕裂伤的驴进行手术治疗的情况。一头18个月大的未阉割雄性驴出现广泛性包皮和阴茎撕裂伤,导致包皮板完全破裂、阴茎永久性脱垂、组织坏死以及尿道破裂伴尿液渗漏。在进行了为期2周的术前准备(包括清创、换药和抗生素治疗)后,这头驴接受了部分阴茎骨切除术和阴茎后翻术。手术过程包括会阴尿道造口术和部分阴茎截肢术。术后护理包括抗生素和抗炎治疗以及局部伤口处理。术后并发症包括排尿后出血和部分缝线裂开。尽管出现了这些问题,但仍实现了完全康复,这头驴在术后56天出院。四年后,这头驴排尿正常,没有并发症。阴茎后翻术联合部分阴茎骨切除术被证明是治疗驴广泛性阴茎和包皮撕裂伤的一种有效手术方法,能提供持久的效果且长期无并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de6f/12283187/f926876854c2/CRIVEM2025-9036471.001.jpg

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