PARAPHIMOSIS 267 



suppression. In mature animals the same symptom of 

 difficulty in passing urine is often present. There is a 

 narrowing of the preputial opening; sometimes it is exceed- 

 ingly small. Animals suffering from phimosis are unable to 

 copulate. 



Treatment.— In phimosis surgical relief should be given 

 promptly. There are two methods employed: 



(a) The patient is placed in a dorsal position on the 

 table and the parts disinfected. A longitudinal incision of 

 sufficient length is made on the inferior portion of the prepuce 

 to allow the penis to protrude. The two portions are 

 temporarily stitched back to the skin to prevent adhesions 

 and a recurrence of the condition. The wound should be 

 treated daily with antiseptics. 



(6) The animal is placed in the same position as above and 

 local or general anesthesia given. A circular incision is 

 made completely around the prepuce, removing about one- 

 quarter to one-half inch of its end. The hemorrhage is 

 usually slight. The mucosa should be stitched to the skin 

 for the entire distance around the prepuce. This will insure 

 a preputial opening of sufficient size. Care must be taken 

 in this operation not to remove too much of the prepuce, as 

 it would allow prolapsus of the penis. After-treatment 

 consists in cleaning and disinfecting the parts daily. 



PARAPHIMOSIS. 



Definition.— A contraction of the prepuce around the penis, 

 preventing the penis from assuming its normal position. 



Etiology. — Paraphimosis can result from coition. The 

 prepuce becomes inverted when the penis retracts, but the 

 resulting swelling prevents complete retraction. As a result 

 of coition, with subsequent swelling, the penis becomes too 

 large to pass through the preputial opening. It is further 

 observed in some cases of paralysis of the penis, organic 

 changes having taken place in the tissues from exposure. 

 Neoplasms, such as granulomata, are sometimes productive 

 of the same condition. 



