Dr. Cashmore's current address is Veterinary Specialist Centre—Surgery, 14-20 Delhi Road, North Ryde, Sydney, NSW 2113, Australia.
Creation of a Urethral Conduit from a Preputial Indirect Flap in a Dog with Perineal Hypospadias
Article first published online: 6 JAN 2010
© Copyright 2010 by The American College of Veterinary Surgeons
Volume 39, Issue 1, pages 14–20, January 2010
How to Cite
CASHMORE, R. G. and LADLOW, J. F. (2010), Creation of a Urethral Conduit from a Preputial Indirect Flap in a Dog with Perineal Hypospadias. Veterinary Surgery, 39: 14–20. doi: 10.1111/j.1532-950X.2009.00622.x
- Issue published online: 6 JAN 2010
- Article first published online: 6 JAN 2010
- Submitted October 2008; Accepted March 2009
Objective— To report a surgical technique for creation of a urethral conduit using a preputial indirect flap.
Study Design— Case report.
Animals— Male Doberman Pinscher (6 weeks old).
Methods— A urethral conduit was constructed using a multistage preputial indirect flap in a dog with severe perineal hypospadias.
Results— Successful transfer of a perineal located urethral meatus to a more anatomically normal inguinal location was achieved with a preputial flap. The procedure was performed to aid control of recurrent urinary tract infections after anal and urethral separation in a dog with imperforate anus, urethrorectal fistula, and proximal perineal hypospadias.
Conclusions— Creation of a urethral conduit from a tubed bipedicle flap using redundant preputial tissue eliminated fecal contamination of the urethral meatus, aiding control of urinary tract infection. A good functional and cosmetic outcome was achieved.
Clinical Relevance— This technique should be considered in aiding control and prevention of urinary tract infections in dogs with proximal perineal hypospadias where a preputial remnant exists.