Page 1023 - Small Animal Internal Medicine, 6th Edition
P. 1023

CHAPTER 56   Clinical Conditions of the Dog and Tom   995





  VetBooks.ir
















                                                                 FIG 56.14
                                                                 Transverse ultrasound image of the erect canine penis at the
                                                                 level of the bulbus glandis. Priapism. Arrow indicates blood
                                                                 accumulation during tumescence.


                            FIG 56.11
                            Penile laceration.
                                                                                      Deep vein and
                                                                                      artery of the penis
                                                                                        Vein and artery of the
                                                                                        bulbus penis
                                                                                          Dorsal artery and
                                                                                          vein of the penis
                                                                                                        Deep vein
                                                                                                        of the glans





                                                                 Corpus spongiosum           Bulbus glandis
                                                                              Corpus cavernosum
                                                                 FIG 56.15
                                                                 Schematic representation of relevant vascular anatomy of
                                                                 the canine penis. (Courtesy Dr. J. Lavely.)
                    FIG 56.12
                    Lymphosarcoma, canine penile mucosa.
                                                                   The canine erection is mediated through the pelvic
                                                                 nerve, which arises primarily from the first and second
                                                     0           sacral nerves (S1-S2) and is composed of parasympathetic
                                                                 nerve fibers. Stimulation of the pelvic nerve increases penile
                                                                 blood pressure, partially inhibits venous drainage, and
                                                                 dilates penile arteries resulting in an erection. The puden-
                                                                 dal nerve, which arises from the sacral nerves S1-S3, is
                                                     1
                                                                 involved as well, by stimulating contraction of the extrin-
                                                                 sic penile muscles. The hypogastric nerve, a sympathetic
                                                                 nerve originating from the lumbar L1-L4 spinal cord seg-
                                                                 ments, may also have a regulatory role in the canine erec-
                                                     2           tion. The hypogastric nerve is responsible for ejaculation
                                                                 and prostatic fluid secretion. Sympathetic chain fibers inhibit
                                                                 erection. Sympathetic chain fiber stimulation increases arte-
                                                                 rial resistance, decreases corpus cavernosal pressure, and
            FIG 56.13
            Transverse ultrasound image of the canine penis at the level   decreases venous resistance. The sympathetic inhibition of
            of the bulbus glandis. The os penis produces a hard   the erectile process is mediated by the α 1 -adrenergic system
            shadow dorsally. Detumescence.                       (Fig. 56.15).
   1018   1019   1020   1021   1022   1023   1024   1025   1026   1027   1028