Page 211 - Manual of Equine Field Surgery

Penile Amputation 207

Internal

pudenda! v.

External .-!,., Con eti- with

pudenda! v. deep femoral v.

A

Glans penis

.
Body of penis penis

c--~~~~~--~========~~

~"ffh,~--------~3~------7€;:~~

·~~~r--------~4~------t

+-------5-----4 c

B ....-------6-----~~

. ...._ _

~~--- Dorsal process of glans penis--~

5

6

D

-q':t_f?a-v?~:/:~

Figure 37-2 A, Anatomy of the penis with transverse sections that extend through the B, glans penis, C, cranial

penis, and D, caudal penis. 1, Retractor penis muscle; 2, bulbospongiosus muscle; 3, urethra; 4, corpus spongiosum

penis; 5, albuginea; 6, corpus cavernosurn penis.

the ventral aspect of the penis proximal to the the lumen of the urethra (Figure 37-5). The sides

intended site of amputation (Figures 3 7 -3 and 3 7 - of the urethra are sutured to the skin edges

4). The base of the triangle is distal and about 3 with a simple interrupted pattern using No. 2-0

cm wide. The sides of the triangle are 4 to 5 cm absorbable monofilament suture material (Figure

long. This incision is continued through the sub- 3 7-6). When the amputation is performed in the

cutaneous tissue. The skin and underlying tissues more proximal portions of the penis, it may be

are discarded. helpful to close the subcutaneous tissue to the

A longitudinal incision is made the length of tissue just deep to the urethral mucosa before

the triangle between the retractor penis muscles, closure of the mucosal epithelium to the skin.

through the corpus spongiosum penis, and into Closure of this layer decreases tension on the ure-