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Case Reports
. 2016 Sep 27:2016:6989450.
doi: 10.1155/2016/6989450. eCollection 2016.

Long-Term Outcome of En Bloc Extensive Resection of the Penis and Prepuce Associated with a Permanent Perineal Urethrostomy in a Gelding Affected by Squamous Cell Carcinoma

Paola Straticò  1 , Vincenzo Varasano  1 , Gianluca Celani  1 , Riccardo Suriano  1 , Lucio Petrizzi  1
Affiliations
Case Reports

Long-Term Outcome of En Bloc Extensive Resection of the Penis and Prepuce Associated with a Permanent Perineal Urethrostomy in a Gelding Affected by Squamous Cell Carcinoma

Paola Straticò et al. Case Rep Vet Med. .

Abstract

A 15-year-old gelding was referred for a florid, cauliflower-like ulcerated mass, enclosing penis and prepuce together with penile urethra showing a malodorous purulent and blood-stained discharge and larvae infestation. En bloc extensive resection of the penis and prepuce, without penile retroversion or pexy to ventral abdomen associated with a permanent perineal urethrostomy, was performed. Histology of the mass revealed a squamous cell carcinoma of penis and prepuce. The surgical technique that was adopted is a modified version of that already described that allows a more proximal resection of the penile body and is a valid option for treating advanced SCC lesions involving the penis. Early postsurgical complications (mild strangury, haemorrhage from the urethrostomy site and its partial dehiscence, and infection of the abdominal wound) were managed with a medical treatment and resolved within 5 to 12 days. Three years after surgery the horse is in good body condition and does not show any sign of recurrence or disorders related to the surgery.

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Conflict of interest statement

The authors declare that there are no competing interests regarding the publication of this paper.

Figures

Figure 1
Figure 1
Macroscopic appearance of the penile mass at admission showing a florid, cauliflower-like ulcerated mass disrupting the normal anatomy of penis and prepuce.
Figure 2
Figure 2
Abdominal wall suture and a multitubular drain applied at the scrotal region.
Figure 3
Figure 3
Macroscopic appearance of the perineal urinary meatus 3 years after surgery: urethral stoma underwent a progressive contraction until stabilization, allowing normal urination without urine scalding.
See this image and copyright information in PMC

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