Paraphimosis

RE: Paraphimosis

Richard Carter — Sat, 12 Mar 2022 10:11:13 GMT

Or a favourite teddy causing bruising..

RE: Paraphimosis

Silvia Maldonado — Sat, 12 Mar 2022 10:00:07 GMT

It may not be your situation. I had a young, castrated, overweight yorky who had paraphimosis twice in less than a month, then again some months later. Then the owner found out that it was linked to her neighbour's bitch being in season. Has it been ruled out any external stimulation?

RE: Paraphimosis

An On MRCVS — Sat, 12 Mar 2022 03:47:43 GMT

Preputial advancement and phallopexy will resolve the problem.Both proceedures should be within the remit of any competent general surgeon.Think the vets in the practice should show a bit of bottle.

RE: Paraphimosis

David Mills — Fri, 11 Mar 2022 12:22:19 GMT

[quote userid="5012" url="~/001/veterinary-clinical/small-animal/f/misc-case-discussions/30226/paraphimosis/236543#236543"]That's was my thought, but owners are set against any surgery at the moment.[/quote]

Guess they'll have to master their penis sheathing technique then.

[quote userid="5012" url="~/001/veterinary-clinical/small-animal/f/misc-case-discussions/30226/paraphimosis/236543#236543"]I would happily operate, but none of the regular vets within the practice group will do it, they will only refer.[/quote]

Jesus. Do they refer bitch spays as well?

RE: Paraphimosis

Jill Butterworth — Fri, 11 Mar 2022 12:15:57 GMT

[quote userid="5012" url="~/001/veterinary-clinical/small-animal/f/misc-case-discussions/30226/paraphimosis/236543#236543"]. I would happily operate, but none of the regular vets within the practice group will do it, they will only refer.[/quote]

Good grief.

RE: Paraphimosis

Clive Ansell — Fri, 11 Mar 2022 11:57:01 GMT

[quote userid="3169" url="~/001/veterinary-clinical/small-animal/f/misc-case-discussions/30226/paraphimosis/236508#236508"]Testosterone has a half life of something like 6-8 hours. That's not the cause, and blocking something that went 8 months ago won't help.[/quote]

Yes, I managed to work that out.

Testosterone is produced, in much smaller amounts of course, from other sources.

I know I was clutching at straws a bit, but I was looking for any ideas how to manage medically if it is even possible.

RE: Paraphimosis

Clive Ansell — Fri, 11 Mar 2022 11:52:44 GMT

[quote userid="8991" url="~/001/veterinary-clinical/small-animal/f/misc-case-discussions/30226/paraphimosis/236519#236519"]The surgery is very straightforward and ultimately likely required. Just take a triangle of abdominal skin cranial to the penis and pull the caudal skin forward. No reason for it to get more infected than any normal abdominal skin wound.[/quote]

Thanks.

That's was my thought, but owners are set against any surgery at the moment. I would happily operate, but none of the regular vets within the practice group will do it, they will only refer.

RE: Paraphimosis

David Mills — Thu, 10 Mar 2022 18:40:50 GMT

The surgery is very straightforward and ultimately likely required. Just take a triangle of abdominal skin cranial to the penis and pull the caudal skin forward. No reason for it to get more infected than any normal abdominal skin wound.

RE: Paraphimosis

Gillian Mostyn — Thu, 10 Mar 2022 16:47:35 GMT

Lol. Fair enough. I guess it depends how 'frequent' is meant by 'frequent' I doubt most owners want to be putting it back every couple of hours either! I was assuming once a day might be reducing the opportunities for manual stimulation!

RE: Paraphimosis

Michael Woodhouse — Thu, 10 Mar 2022 16:24:57 GMT

As the owner of a penis, Gillian Mostyn, I think the advice would be to only touch when needed......

The last thing the poor boy needs is more stimulation!

RE: Paraphimosis

Gillian Mostyn — Thu, 10 Mar 2022 16:09:44 GMT

[quote userid="3169" url="~/001/veterinary-clinical/small-animal/f/misc-case-discussions/30226/paraphimosis/236508#236508"]Some owners are sensible and are happy putting a glove on, lubing things up and helping it back into place. [/quote]

I was wondering something fairly similar ... How about applying a small amount of KY to penis once or twice daily? (Or a couple of ml into end of sheath if they're squeamish or struggle with the required manipulation!) It might calm down on its own in time?

RE: Paraphimosis

Michael Woodhouse — Thu, 10 Mar 2022 16:04:53 GMT

[quote userid="5012" url="~/001/veterinary-clinical/small-animal/f/misc-case-discussions/30226/paraphimosis/236496#236496"]I was wondering if anyone knows of any medications, testosterone blockers for example, that may help? I'm not aware of any.[/quote]

Testosterone has a half life of something like 6-8 hours. That's not the cause, and blocking something that went 8 months ago won't help.

Some owners are sensible and are happy putting a glove on, lubing things up and helping it back into place. If it keeps regularly getting stuck out then I've had anecdotal improvement with short ish course of highish dose steroids. Wonder if trauma > some inflammation > gets stuck easier > trauma and cycle continues.....

RE: Paraphimosis

Clive Ansell — Thu, 10 Mar 2022 13:18:25 GMT

He's about 2 years old, and was castrated 8 months ago.

He's not long haired, and there is no hair trapped in his sheath or around his penis. The preputial opening does seem small, but the penis can be exteriorised and examined easily.

I was wondering if anyone knows of any medications, testosterone blockers for example, that may help? I'm not aware of any.

I'n keen on surgery, only as a last resort. Surgical cases I have seen in the past seem prone to recurrent infections and irritation of the sheath and tip of the penis.

RE: Paraphimosis

Dinu Catilina — Thu, 10 Mar 2022 12:06:23 GMT

If it's a long haired dog he might just need a good brazilian. Castrated dogs can still have an erection and some can still mate.

If the shape of his prepuce is abnormal then he might need corrective surgery.

RE: Paraphimosis

Julie Innes — Thu, 10 Mar 2022 11:36:25 GMT

How long ago was it castrated? I have always thought it takes around 6 months to get all the testosterone out of their system (but I don't know where I got that from so...)