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Segmental Posthetomy in a Four Stallions Case Series

SIMPLE SUMMARY: The equine prepuce is characteristic for having two infoldings that allow for substantial accommodation of the penis during detumescence and permit erection. Segmental posthetomy of the equine prepuce is a well described technique indicated for penile sheath injuries or lesions (neop...

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Autores principales: Palozzo, Adriana, Celani, Gianluca, Guerri, Giulia, Straticò, Paola, Varasano, Vincenzo, Petrizzi, Lucio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8072830/
https://www.ncbi.nlm.nih.gov/pubmed/33923837
http://dx.doi.org/10.3390/ani11041145
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author Palozzo, Adriana
Celani, Gianluca
Guerri, Giulia
Straticò, Paola
Varasano, Vincenzo
Petrizzi, Lucio
author_facet Palozzo, Adriana
Celani, Gianluca
Guerri, Giulia
Straticò, Paola
Varasano, Vincenzo
Petrizzi, Lucio
author_sort Palozzo, Adriana
collection PubMed
description SIMPLE SUMMARY: The equine prepuce is characteristic for having two infoldings that allow for substantial accommodation of the penis during detumescence and permit erection. Segmental posthetomy of the equine prepuce is a well described technique indicated for penile sheath injuries or lesions (neoplasms, granulomas, or scar tissue) that do not involve the underlying penile tunics. This surgical technique can be performed with variable extent of excision (i.e., the Adam’s procedure or subtotal posthetomy). The authors describe their experiences and results with different levels of preputial resection for treating four Equidae stallion patients with different preputial/pathologies. ABSTRACT: Segmental posthetomy, also referred to as circumcision, reefing or posthioplasty, consists of removing a circumferential segment of the internal preputial lamina (internal preputial fold) followed by end-to-end anastomosis of skin edges. The purpose of this case series is to describe the successful outcome of segmental posthetomy for treating different diseases involving the internal or/and external preputial fold, while restoring the normal telescopic function. In this paper, we report the first case of complete degloving injury of the equine penis in the literature (case 1) and describe three different common lesions of the equine prepuce/penis (preputial scar tissue in case 2, preputial sarcoid in case 3 and penile/preputial wound in case 4). The amount of prepuce (safe minimums) that can be removed from a stallion without disrupting the proper telescopic function of the internal/external preputial fold and normal copulatory ability, has not been established. In this case series, all Equidae stallions maintained the telescopic function after preputial surgical resection. However, the surgeon must carefully evaluate every single case, especially when performing the Adam’s procedure.
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spelling pubmed-80728302021-04-27 Segmental Posthetomy in a Four Stallions Case Series Palozzo, Adriana Celani, Gianluca Guerri, Giulia Straticò, Paola Varasano, Vincenzo Petrizzi, Lucio Animals (Basel) Case Report SIMPLE SUMMARY: The equine prepuce is characteristic for having two infoldings that allow for substantial accommodation of the penis during detumescence and permit erection. Segmental posthetomy of the equine prepuce is a well described technique indicated for penile sheath injuries or lesions (neoplasms, granulomas, or scar tissue) that do not involve the underlying penile tunics. This surgical technique can be performed with variable extent of excision (i.e., the Adam’s procedure or subtotal posthetomy). The authors describe their experiences and results with different levels of preputial resection for treating four Equidae stallion patients with different preputial/pathologies. ABSTRACT: Segmental posthetomy, also referred to as circumcision, reefing or posthioplasty, consists of removing a circumferential segment of the internal preputial lamina (internal preputial fold) followed by end-to-end anastomosis of skin edges. The purpose of this case series is to describe the successful outcome of segmental posthetomy for treating different diseases involving the internal or/and external preputial fold, while restoring the normal telescopic function. In this paper, we report the first case of complete degloving injury of the equine penis in the literature (case 1) and describe three different common lesions of the equine prepuce/penis (preputial scar tissue in case 2, preputial sarcoid in case 3 and penile/preputial wound in case 4). The amount of prepuce (safe minimums) that can be removed from a stallion without disrupting the proper telescopic function of the internal/external preputial fold and normal copulatory ability, has not been established. In this case series, all Equidae stallions maintained the telescopic function after preputial surgical resection. However, the surgeon must carefully evaluate every single case, especially when performing the Adam’s procedure. MDPI 2021-04-16 /pmc/articles/PMC8072830/ /pubmed/33923837 http://dx.doi.org/10.3390/ani11041145 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Palozzo, Adriana
Celani, Gianluca
Guerri, Giulia
Straticò, Paola
Varasano, Vincenzo
Petrizzi, Lucio
Segmental Posthetomy in a Four Stallions Case Series
title Segmental Posthetomy in a Four Stallions Case Series
title_full Segmental Posthetomy in a Four Stallions Case Series
title_fullStr Segmental Posthetomy in a Four Stallions Case Series
title_full_unstemmed Segmental Posthetomy in a Four Stallions Case Series
title_short Segmental Posthetomy in a Four Stallions Case Series
title_sort segmental posthetomy in a four stallions case series
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8072830/
https://www.ncbi.nlm.nih.gov/pubmed/33923837
http://dx.doi.org/10.3390/ani11041145
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AT straticopaola segmentalposthetomyinafourstallionscaseseries
AT varasanovincenzo segmentalposthetomyinafourstallionscaseseries
AT petrizzilucio segmentalposthetomyinafourstallionscaseseries