![]() ![]() ![]() The largest-diameter plastic tube that will fit is placed within the lumen of the prolapsed prepuce to the depth of the fornix. The prepuce and sheath are prepared for surgery. The preputial hairs are clipped and the skin of the sheath shaved approximately 10 cm proximal to the orifice. The preferred technique is to place the bull in right lateral recumbency under moderate tranquilization or general anesthesia. GREGOR MORGAN, in Current Therapy in Large Animal Theriogenology (Second Edition), 2007 Amputation of the PrepuceĪmputation of the prepuce requires less stringent asepsis than that needed for resection and anastomosis and can be used as a prophylactic procedure to prevent preputial prolapse and to correct chronic preputial prolapse. During the study period, no fever, flank pain or urinary symptoms were recorded and urine culture was negative in both cases. In these cases, ureteropyelography showed ureteral obstruction with severe excretory system dilatation. No technical problems occurred during the endoscopic procedures on the two patients with chronic unilateral obstruction (groups (b) and (c)). Stents were removed without technical difficulties in all cases. The patients were successfully treated with anti-muscarinics until the removal of the stents. In one patient in group (a) and two patients in group (e), frequency/urgency symptoms were recorded. During the study period, no patient reported fever or flank pain. In all patients belonging to groups (a) and (d), retrograde ureteropyelography performed at the start of the procedure showed bilateral ureteral obstruction with various degrees of excretory system dilatation. No technical problems or violations of asepsis were recorded during endoscopic procedures. FIORI, in Biomaterials and Tissue Engineering in Urology, 2009 6.3.1 Clinical and operative data
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