Equis ISSN 2398-2977

Penis: phallectomy - William technique

Contributor(s): David Moll

Introduction

Uses

  • Permanent penile paralysis accompanied by irrepairable penile damage   Penis: paralysis / priapism  .
  • Extensive penile neoplasia especially if the tunica albuginea has been invaded or other treatments have failed - squamous cell carcinoma, melanoma   Penis: neoplasia  .
  • Geldings with urethral stenosis distal to prepucial orifice.

Advantages

  • Good success in squamous cell carcinoma of the penis, especially the glans, if removed with wide margin.

Disadvantages

  • Usually renders stallions unable to copulate, not for use in breeding stallions.
  • Requires general anesthesia   Anesthesia: general - overview  .
  • Not suitable for neoplasia removal if evidence of lymphatic spread which would require en bloc resection.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Related to primary reason for surgery and amount of resection.
  • Guarded in neoplasia.
  • Fair in traumatic injuries.
  • Glans penis amputation may not interfere with copulation in some stallions.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Perkins J D, Schumacher J, Waguespack R W & Hanrath M (2003) Penile retroversion and partial phallectomy in a standing horse. Vet Rec 153 (6), 184-185 PubMed.


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