VSR 421: Regional Veterinary Surgery (2+1)

AFFECTIONS OF THE VAGINA

Vaginal prolapse/hyperplasia

• Vaginal prolapse/hyperplasia Ocuurs as a result of edematous enlargement of vaginasl tissue during estrus or proestrous.

Vaginal prolapse / hyperplasia

• Vaginal prolapse occurs as a 360 o involvement of the protrusion of the mucosa where as hyperplasia arise from a stalk of mucosa from the vaginal floor.weakeness of the vaginal connective tissue results in edema and prolapse through the vulva.
• occurs in young bitches 2years or younger and is extremly rare in cats.

Differential diagnosis - uterine prolapse.

• The most common types of vulval vaginal tumors are fibroleiomyoma, sqaumous cell carcinoma,and transmissible veneral tumour.( Malignant)

Treatment

• If the protrusion is small the prolapse will resolve once the effects of estrogen diminshes.
• For this GnRH can be given at the dose rate of 50 microgram / 40lb bodyweight.In TVT Vincrysticine can be administered at the dose rate of 0.025 mg/kg  up to 1 mg IV  weekly for 3-6 weeks

Surgical treatment

• OHE is recommended to prevent injury to the evereted mucosa
• Mannual reduction afetr episiotomy and suturing the vulval lips till edematous stage resorbs.
• Resection of the protruding mass with OHE is recommended if the tissue is severly damaged.
• Resection of the protruding mass without  OHE may require hysteropexy, cystopexy or colopexy' : but this is not practiced in TVT cases.