Today's Veterinary Practice

JUL-AUG 2014

Today's Veterinary Practice provides comprehensive information to keep every small animal practitioner up to date on companion animal medicine and surgery as well as practice building and management.

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Page 49 of 83

Today's Veterinary Practice July/August 2014 48 | PRACTICAL TECHNIQUES 10 Following transec- tion of the penis, the most ventral suture (A) should act as an encircling suture to ligate the penile stump (B); thus, controlling penile hemorrhage. Alter- natively, a separate encircling suture can be placed around the penile stump. 11 The penis is amputated (A and B). 12 C o m p l e t e the PU by closing the remaining skin inci- sion using a simple continuous or inter- rupted pattern (A and B). 10B 10A 11B 11A POSTOPERATIVE MANAGEMENT Postoperative management includes: • Appropriate pain management • Monitoring urine output • Continuation of IV fluid diuresis (at least 24 H post- surgery) • Ensuring the patient cannot damage the repair (eg, E- collar, litter that will not adhere to the surgery site). A postoperative indwelling urethral catheter is not indi- cated in a routine PU. COMPLICATIONS Educate owners about potential acute complications, such as hemorrhage, re-obstruction, urine dissection into the subcutaneous tissues, incisional dehiscence, urinary tract infection, urine scald, incontinence, and stricture. 1,4,5 Although the management of such complications is be- yond the scope of this article, adhering to the basic surgical principles of delicate tissue handling, careful dissection, tension-free closure, and perfect mucosa-to-skin apposi- tion should minimize occurrence of such complications. Recurrent bacterial cystitis is the most common late com- plication, and appropriate ongoing medical management of the underlying FLUTD helps prevent it. 4,5 12B 12A Cranial (Continued on page 62.)

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