Use of the axial epigastric superficial caudal pattern flap associated with oral mucosa graft for prepucial reconstruction in a canine
Keywords:
Prepuce, oral mucosa, breeding, dog, postplastyAbstract
Diseases of the penis and foreskin are common in veterinary routine and can be divided into congenital and acquired. These conditions often result in chronic penile exposure, necessitating surgical correction. Therefore,
the objective was to report a preputial reconstruction, carried out in a single stage, using a superficial caudal epigastric axial pattern flap associated with an oral mucosa graft in a four-month-old canine. The animal was
treated at the Veterinary Hospital of the State University of Ceará, with an extensive lesion in foreskin and penile exposure, resulting from previous surgeries to correct phimosis. The main complications of this type of surgery
include seroma, suture dehiscence, scar retraction, preputial orifice stenosis, paraphimosis, and rejection and necrosis of the graft used. In the late post-surgical period, an adequate evolution of the surgical wound was
observed, as well as the viability of the skin flap and oral mucosa graft. In conclusion, the reconstruction used appears to be a viable alternative to penectomy, with low morbidity, short hospitalization period, preservation
of the penis, and good aesthetic appearance, highlighting that complications such as paraphimosis and preputial stenosis may require additional surgical intervention.
References
AMORIM, T.M.; RIBEIRO, A.P.; PRASS, D.S.; BRUNA, T.; MAGALHÃES, S.;
LOURENÇO, L.D.; KOIYAMA, M.F.G. Reconstrução prepucial com uso de enxerto
combinado em cães. Acta Scientiae Veterinariae, v.50, n.1, p.787, 2022. Disponível:
https://www.ufrgs.br/actavet/50-suple-1/CR_787.pdf. Acesso em: 04 jan. 2024.
APER, R.L.; SMEAK, D.D. Clinical evaluation of caudal superficial epigastric axial pattern
flap reconstruction of skin defects in 10 dogs (1989–2001). Journal of the American Animal Hospital Association, v.41, n.3, p 185-192, 2005. Disponível: https://meridian.allenpress.com/ jaaha/article-abstract/41/3/185/175942/Clinical-Evaluation-of-Caudal-Superficial. Acesso em: 15 jan. 2024.
DOLCE, T.D.F.; PEREIRA, M.; GIRALD, A.C.C.; FERREIRA, J.Z.; CARREIRA, J.T.;
ROSSETTO, V.J.V. Preputial repair as an alternative to penectomy in dogs-report of two cases.
Revista Científica Eletrônica de Medicina Veterinária. v.2019, n.33, 2019. Disponível:
https://pesquisa.bvsalud.org/portal/resource/pt/vti-24653. Acesso em: 06 jan. 2024.
FOSSUM, T. Cirurgia para Pequenos Animais. 4. ed., Rio de Janeiro: Elsevier, 2014.
GAVIOLI, F.B.; OLIVEIRA, R.P.; QUADROS, A.M.; MACHADO, T.P.; MEDEIROS, B.S.;
PALMA, M.D.; SILVA, M.A.M. Penectomia com uretrostomia escrotal em cães: relato de
quatro casos (2012-2014). Acta Veterinaria Brasílica, v.8, n.2, p.86-90, 2014.
GROSSMAN, J.; BALTZER, W. Use of a preputial circumferential mucosal flap for
hypospadias management in a Boston Terrier. Journal of Small Animal Practice, v.53, n.5, p.292-296, 2012.
HUPPES, R.R.; NARDI, A. B.; PAZZINI, J.M.; CASTRO, J.L.C. Cirurgia reconstrutiva em
cães e gatos. 1. ed. São Paulo: Medvet, 2022.
HUPPES, R.R.; SPRADA, A.G.; USCATEGUI, R.A.R.; PASSOS, B.L.S.; NARDI, A.B.;
PAZZINI, J.M.; VICENTE, W.R.R. Preputial reconstruction after traumatic avulsion in a dog. Archivos de Medicina Veterinaria, v.48, n.1, p 125-128, 2016.
MASSARI, F.; MONTINARO, V.; BURACCO, P.; ROMANELLI, G. Combined caudal‐
superficial‐epigastric axial pattern flap and full‐thickness buccal mucosa graft for single‐stage preputial reconstruction in six dogs. Journal of Small Animal Practice, v.59, n.7, p.415-421, 2018.
MILGRAM, J.; YAS‐NATAN, E.; BENZIONI‐BAR, H.; SHIPOV, A. A proposed technique
for one‐step preputial reconstruction in the dog. Journal of Small Animal Practice, v.60, n.12, p.739-745, 2019.
OLSEN, D.; SALWEI, R. Surgical correction of a congenital preputial and penile deformity in a dog. Journal of the American Animal Hospital Association, v.37, n.2, p.187-192, 2001.
PAPAZOGLOU, L.G. Idiopathic chronic penile protrusion in the dog: a report of six cases.
Journal of Small Animal Practice, v.42, n.10, p.510-513, 2001.
PAULO, N.M.; SILVA, F.F.D.; BRITO, G.A.D.; DAMASCENO, A.D.; BRITO, L.A.B.;
FREITAS, J.D.S.; VÊNCIO, C.M. Reconstrução uretral com retalho autógeno de mucosa bucal após uretrostomia, em cães. Acta Cirúrgica Brasileira, v.19, n.2, p.110-114, 2004.
VOLPATO, R.; RAMOS, R.S.; MAGALHÃES, L.C.O.; LOPES, M.D.; SOUSA, D.B. Afecções do
pênis e prepúcio dos cães – revisão de literatura. Veterinária e Zootecnia, v.17, n.3, p.312-323, 2010.
