VSR 421: Regional Veterinary Surgery (2+1)

URETHERAL PROPLAPSE

Urethral prolapse

• Prolapse of the mucosal lining of the distal portion of the urethra through the external urethral orifice, commomn in english bull dogs.
  • Reddened protrusion at the tip of the penis
  • Sometimes it may be seen intermittently when the dog is sexually excited
  • Some dogs lick and traumatize the prolapse, and it may bleed

Symptoms

• persistent licking of the penile area.
• red to purple pea sized  lesion
• haematuria independent of micturition

Management

•  May resolve spontaneously if the size is small
•  Manual reduction under general anesthesia using a urinary catheter,  purse string suture is applied and later removed after 4 days.
•  Resection of the prolapsed mass is carried out in extensively damaged cases

Treatment

• If the prolapse is reducible, reduction followed by retention with sutures from the urethral lumen to the penile surface can be done
• Surgical resection of the prolapse is the choice when the prolapse cannot be reduced.