Paraphymosis. Lumbar or General Phymosis 149 



The handling of phymosis consists essentially of the control of 

 the infection which has caused it. The prepuce and sheath need 

 be thoroughly and repeatedly douched with a warm antiseptic 

 solution, not too powerfully irritant, such as a ^ % solution of 

 potassium permanganate, or a i % solution of carbolic acid or 

 creolin. The solution should be used in large volume so that 

 the sheath and prepuce are repeatedly filled until the entire 

 cavity is thoroughly cleansed and disinfected. In the bull, the 

 preputial tuft of hairs should be removed in order to facilitate 

 cleansing. 



When the preputial opening is too greatly constricted, espe- 

 ciall}^ in the bull, so that cleansing the cavity through the normal 

 opening is difficult or impracticable, the sheath is to be freely 

 opened, either by surgical enlargement of the preputial opening 

 or by a perforating incision through the inferior wall of the 

 sheath at its posterior extremity. The latter method affords ex- 

 cellent facility for thoroughly cleansing the narrow, elongated 

 sheath of the bull. With the latter plan, the antiseptic fluid 

 can be injected through the preputial opening and allowed to 

 escape through the incision at the posterior extremity of the 

 sheath. 



10. Paraphymosis, or the protrusion of the penis through an 

 incarcerating preputial opening, interferes with normal erection 

 and copulatory power. The incarcerated glans penis becomes en- 

 gorged, swollen and inflamed so that it is too painful to permit of 

 copulation, and functionally incompetent. 



Observed chiefly in the dog, it more frequently follows than 

 prevents copulation, but, having occurred, prevents coition until 

 remedied. It is to be remedied by a reduction of the paraphy- 

 mosis. The incarcerated glans penis is, usually, greatly swollen 

 and exceedingly painful and cannot be readily returned to its 

 position. After cleansing with tepid water, to which a little 

 lysol or soda bicarbonate has been added to render the parts unc- 

 tuous, the enlarged glans is to be decrea.sed in volume by digital 

 compression and finalh^ pressed back through the preputial ring. 

 Failing in this, the preputial opening needs be dilated by a small 

 incision with a probe-pointed bistoury, enlarging the opening 

 just sufficiently to permit the return of the glans. This may be 

 followed by antiseptic dressing. 



11. Lumbar or General Paralysis, as a bar to copulation. 



