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In this episode, host Alyssa Watson, DVM, welcomes Erin E. Runcan, DVM, DACT, to discuss her recent Clinician’s Brief article, “Prolapsed Penis in a French Bulldog.” Dr. Runcan uses a case of an intact male dog presenting with severe paraphimosis to highlight how damaging this problem can be. The good news? With prompt, straightforward treatment, most cases of paraphimosis can be resolved without much trouble.
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Key Takeaways
Paraphimosis is a non-erect penis that is stuck outside of the sheath, whereas priapism is a persistent erection lasting longer than 4 hours.
Paraphimosis can occur in any male dog from hair rings, neurologic dysfunction, neoplasia, a congenitally too small sheath, or if the sheath “rolls in” following erection and sexual activity in intact males.
As soon as possible, the exposed penis should be evaluated for hair rings or sheath abnormalities, osmotic agents (table sugar, mannitol, dextrose) can be applied if necessary, and the lubricated penis can be replaced.
Compromised blood flow is very likely to cause devitalization after 12-24 hours of paraphimosis.
Amputation (phallectomy) is often necessary in these severe cases; when feasible, partial phallectomy is preferable because it also preserves functional urethral anatomy.
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The Team:
Alyssa Watson, DVM - Host
Alexis Ussery - Producer & Multimedia Specialist