12. Paraphimosis in a 5-year-old Cavalier King Charles. What to do?

DRAFT
Updates at: www.toapayohvets.com. Goto DOGS - Surgery webpage - balanoposthitis.


Paraphimosis - protrusion of the penis with an inability to retract the penis into the prepuce.

Causes:
1. Idiopathic - No known causes
2. Small preputial orifice
3. Weakened preputial muscles
4. Trauma
5. Shorter prepuce

Possible medical conditions
1. Posthitis - Inflammation of the prepuce.
2. Phalitis - Inflammation of the penis.
3. Balanitis - Inflammation of the head of the penis (glans penis).
4. Balanoposthitis - Inflammation of the head of the penis and the internal layer of the prepuce.

Treatment:
1. Surgery to prevent balanoposthitis?
2. Retract prepuce to the level of the bulbus glandis and wash it with soap and water every day.
3. Others?










Dec 16, 2009.
The case is being reviewed for the next 2 weeks as the dog is given medication.

The small preputial orifice got swollen 6 weeks after the first treatment. This could be due to the dog's lifestyle - humping on cushion though he is neutered at 2 years of age (belated) and sunbathing for 15-20 minutes a day nowadays.

When the inflammation is gone, surgery may be the only option as daily pulling back of the internal layer of the prepuce to wash away the smega and pus may be too much work for the young working lady owner.