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Treatment of penile cancer (PC) focuses on organ preservation, employing various surgical and non-surgical approaches. These interventions may lead to disfigurement, impacting patients' functional outcomes and psychosocial well-being. We reviewed studies related to penile health and PC up to February 2024, limited to studies published in English. Studies employing health-related quality of life (HRQoL) assessments have identified a detrimental association between aggressive treatment and overall health status, physical functioning, and relationships. In contrast, organ-sparing demonstrates improved measures related to HRQoL and sexual function. Assessment through validated questionnaires reveals diverse voiding outcomes, and varying impacts on QoL and sexual activity, emphasizing the necessity for multidisciplinary personalized care. Studies highlight substantial variations in sexual function, with patients reporting adaptations, reduced satisfaction, and concerns about body image and sexual well-being. Furthermore, unmet needs include challenges in patient-clinician communication, obtaining information, and accessing psychosocial support. Patient experiences underscore the importance of timely diagnosis, treatment access, and addressing psychological consequences. Organ-sparing approaches have higher QoL preservation and sexual function. Individualized support, including sexual therapy, support groups, and family counseling, is essential for post-treatment rehabilitation. Timely diagnosis and comprehensive care are paramount in addressing the multifaceted impact of PC on patients and families.

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Hypospadia is the imperfect closure of the external urethra of the male which results from the incomplete fusion of the urogenital folds and abnormal openings of the penile urethra. The urethral diverticulum is the abnormal dilatation of the urethra, and can be of multifactorial origin and related to genetic, endocrinological and environmental factors. The objective of this article is to report on the clinical and surgical treatment of two cases of hypospadias and one case of urethral diverticulum in goats raised as pets, originated from cross breeding polled pairs. In Case 1 the hypospadias was characterized by two orifices on the ventral portion of the penis, separated by a 2 cm interruption of the urethra, and in Case 2 by an orifice on the ventral portion in the region of the urethra. In both cases there was an accumulation of urine in the middle ventral region of the foreskin, leading to distension of the skin. Both cases were successfully treated by urethrostomy and partial penectomy with fixation of the proximal urethral ostium to the skin. In Case 3, the animal was seen at ten days of age with presence of a diverticulum in the preputial region, however, the animal returned for new care only after four months due to urethral obstruction and died as a result of advanced azotemia. Surgical treatment of hypospadia, when performed before the development of azotemia associated with urinary retention, has been shown to be efficient, and post-operative care is important

Hipospadia é o fechamento imperfeito da uretra externa do macho, resultado da falha de fusão das pregas urogenitais e da formação incompleta da uretra peniana e o divertículo uretral é a dilatação anormal da uretra, podendo ser de origem multifatorial e relacionada a fatores genéticos, endocrinológicos e ambientais. O objetivo desse artigo é relatar o tratamento clínico-cirúrgico de dois casos de hipospadia e um de divertículo uretral em caprinos criados como animais de estimação, oriundos de cruzamentos de casal mocho. No Caso 1 a hipospadia era caracterizada por dois orifícios ventrais ao pênis, separados por uma interrupção de 2 cm da uretra e no Caso 2 por um orifício na face ventral na região da uretra, em ambos os casos ocorreu o acúmulo de urina na região médio ventral do prepúcio levando a distensão da pele. Os dois casos foram tratados com sucesso através da uretrostomia e penectomia parcial com fixação do óstio uretral proximal a pele. Já no Caso 3, o animal foi atendido com dez dias de vida com presença de divertículo na região prepucial, no entanto retornou para novo atendimento somente após quatro meses devido obstrução uretral, causando quadro grave de azotemia e a morte. O tratamento cirúrgico da hipospadia, quando realizada antes do desenvolvimento de azotemia associado a retenção urinária, mostrou-se eficiente, sendo importante atenção os cuidados pós-operatórios

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Abstract Radical penectomy (RP) is infrequently performed as it is reserved for specific cases of penile cancer, hence the paucity of reports regarding surgical and anesthetic considerations. Acute postoperative pain, chronic post-surgical pain, concomitant mood disorders as well as a profound impact on the patient's quality of life have been documented. This case is of a patient with diabetes and coronary heart disease, who presented with advanced, over infected penile cancer, depressive disorder and a history of pain of neuropathic characteristics. The patient underwent radical penectomy using a combined spinal-epidural technique for anesthesia. Preoperatively, the patient was treated with pregabalin and magnesium sulphate, and later received a blood transfusion due to intraoperative blood loss. Adequate intra and postoperative analgesia was achieved with L-bupivacaine given through a peridural catheter during one week. Recovery was good, pain was stabilized to preoperative levels and the patient received pharmacological support and follow-up by psychiatry and the pain team.

Resumen La penectomía radical (PR) es una cirugía infrecuente, reservada para casos específicos de cáncer de pene, por lo que hay escasos informes sobre sus consideraciones quirúrgicas y anestésicas. Se ha documentado dolor agudo postoperatorio, dolor crónico posquirúrgico y alteraciones del estado de ánimo concomitantes, así como un profundo impacto en la calidad de vida posterior del paciente. Se presenta el caso de un paciente diabético y cardiópata coronario con cáncer de pene avanzado y sobreinfectado, trastorno depresivo y dolor previo de características neuropáticas, que recibe técnica combinada espinal-peridural para cirugía de penectomía radical. Se le trata también con pregabalina preoperatoria, sulfato de magnesio y transfusión por sangrado quirúrgico. Se otorgó una adecuada analgesia intra y postoperatoria, mediante catéter peridural con L-bupivacaína hasta por una semana. El paciente tuvo una buena recuperación, estabilización del dolor a niveles preoperatorios, controles y apoyo farmacológico por psiquiatría de enlace y equipo del dolor.

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Penile necrosis is an uncommon condition associated, in most cases, with calciphylaxis, also known as calcific uremic arteriolopathy. It is a progressive disease found in approximately 1%-4% of patients with end stage renal disease. Patients with penile calciphylaxis present a mortality rate of up to 70%, with life expectancy of two-and a half months following the diagnosis. We report a severe calciphylaxis case that had to be submitted to a penectomy but survived the penile event.

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Background: In horses, an increase in the volume of penis and foreskin can be caused by trauma. The resultant edema interferes with the retraction of the penis and cause paraphimosis. Surgical intervention through penectomy is indicated in cases wherein an alternative treatment is not feasible. Partial penectomy can prolong the life and reproductive function of many stallions. The present study aims to report on the methodological, functional, and economic feasibility of a successful case of the use of Williams technique for partial penectomy performed in the field in a horse with paraphimosis, preserving urinary, productive, and reproductive functions. Case: A 10-year-old horse weighing 500 kg had clinical signs of paraphimosis due to the formation of granulomatous tissue following trauma to the glans region. A surgical intervention, namely a partial penectomy was decided to be performed to prevent injury from priapism. Due to the limited resources provided by the owner and the impossibility of moving the animal to a surgical center in a veterinary hospital, the procedure was performed in the field, with prior sanitization and preparation of the environment used to perform surgery. The horse was tranquilized with intravenous xylazine hydrochloride and acepromazine, with subsequent induction of anesthesia with ready-to-use (RTU) guaifenesin bolus and maintenance of anesthesia with an intravenous association of RTU guaifenesin, xylazine hydrochloride, and ketamine. The distal third of the penis was amputated using the recommended Williams technique. Although the complications like dehiscence and emergence of granulation tissue occurred after surgery, these were controlled in the daily follow-up of the animal and post-surgical treatment. Discussion: Paraphimosis predisposed the horse to abrasions and edema of the exposed portion of the penis. However, there was no urine retention, which suggested that the urethral ostium and the urethra had no lesions. Because the granulomatous lesions were located in the distal third of the penis and the extent of penile exposure was small, the partial penectomy technique proved effective in solving the permanent exposure of the penis. The anesthetic protocol used was inexpensive, easy to execute, and effective, and no anesthetic complications occurred, proving this protocol to be efficient for the anesthetic induction of animals in the field. In addition to being reliable and widespread, the Williams technique was recommended to prevent possible urethral stenosis and the development of contact dermatitis by urine. This technique makes a rapid recovery of the animal possible, with improvement of its physiological parameters, and due to ease of being able to be done in the field, it is also inexpensive. The edema and the granulation tissue that occurred after surgery were controlled with medication. In general, post-penectomy animals are not used for reproduction. This makes the present report an important contribution, because in cases in which the lesions present a distal disposition and the penile exposure is small, stallions have a chance of maintaining reproductive function after surgery, even with a long period of evolution before surgical treatment. This was demonstrated in the present case, as the animal in this case later impregnated a mare, with the pregnancy confirmed by ultrasound examination. Partial penectomy is a resolution technique for cases of traumatic paraphimosis, in which exuberant granulation tissue is formed in the distal third of the penis, with a long period of evolution. The surgery can be done in the field, with a low surgical cost to the owner, and a good productive and reproductive prognosis for the animal.

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This study describes a case of a dog with a lacerated penile tear treated with partial penectomy followed by successful semen collections for artificial insemination. A 1.5-year-old Jack Russel Terrier with normal libido, genital organs and semen, had a penile laceration after copulation. The dog underwent a partial penectomy without orchiectomy, thus preserving the possibility of semen collection. Semen was successfully collected at 45 and 53 days after surgery, and it was used for artificial insemination of two bitches, one of which became pregnant. Therefore, this report demonstrated that semen may be collected from dogs with partial penectomy for artificial insemination, this technique has the potential to preserve fertility of dogs with penile lesions that require penectomy.(AU)

Este estudo descreve o caso de um cão que teve laceração peniana tratada por penectomia parcial seguida de coleta de sêmen para inseminação artificial bem sucedida. Um cão Jack Russel Terrier de 1,5 anos, com libido, órgãos genitais e sêmen normais, teve laceração peniana após cópula. O cão foi parcialmente penectomizado sem orquiectomia, preservando a possibilidade de coleta de sêmen. A coleta de sêmen foi bem sucedida 45 e 53 dias após a cirurgia, sendo utilizado para inseminação artificial de duas cadelas, uma delas se tornando gestante. Portanto, sêmen para inseminação artificial pode ser coletado em cães parcialmente penectomizados, esta técnica revelando ser uma potencial forma de preservação da fertilidade de cães com lesões penianas que necessitem penectomia.(AU)

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O sarcoide é a neoplasia cutânea mais frequente em equinos, independentemente da raça e coloração da pelagem. Há evidências consideráveis que o fator mais importante da oncogênese do sarcoide equino é a infecção pelo papilomavírus bovino (BPV) tipo 1 e 2, sendo o contato direto de equinos com bovinos a rota mais comum de transmissão. É uma neoplasia localmente invasiva e não metastática, clinicamente parecida com outras doenças, como carcinoma de células escamosas e habronemose, sendo o diagnóstico definitivo realizado através da biópsia e exame histopatológico. O prognóstico depende do lugar e do tipo de tratamentoe, em muitos casos, a excisão cirúrgica é a única opção viável para o tratamento do sarcoide. Um equino, macho, não castrado, da raça Crioula, de cinco anos de idade e 410 kg de peso, foi atendido no Setor de Grandes Animais do Hospital de Clínicas Veterinárias da UFRGS, apresentando aumento de volume na região da glande, com aspecto nodular e presença de miíase. O diagnóstico do sarcoide foi realizado através do exame histopatológico e o animal foi submetido a cirurgia de penectomia parcial, onde a neoplasia pôde ser retirada completamente. Descreveu-se a técnica cirúrgica utilizada e acompanhou-se o pós-cirúrgico do paciente, o qual não apresentou complicações e pôde retornar à suas atividades em um curto período de tempo.(AU)

The sarcoid is the most common cutaneous neoplasm in horses, no matter the breed and coat coloring. There are considerable evidence that the most important facto r in equine sarcoid oncogenesis is the bovine papillomavirus infection (BPI). type 1 and 2, in which the direct contact of horses with cattle the most common route of transmission. It is a locally invasive and non-metastatic neoplasm, clinically similar with other diseases, such as squamous cell carcinoma and habronema. with the definitive diagnosis being made through the biopsy and histopathological examination. The prognosis depends on the place and the kind of treatment and, in many cases, a surgical excision is the only viable option for the treatment of sarcoid. A horse, male, non-castrated, Criollo breed, five years old and weighting 410 kg, was attended at the Large Animais Sector of the Hospital of Veterinary Clinics of UFRGS, presenting an increase in volume in the glans region, with nodular appearance and presence of myiasis. The diagnosis of the sarcoid was made through histopathological examination, and the animal underwent partial penectomy surgery, where the neoplasm could be completely removed. The surgical technique was described and the patient's postoperative period was followed, which presented no complications and was able to return to its activities in a short period of time.(AU)

El sarcoide es la neoplasia cutánea más frecuente en los equinos, independientemente de laraza y coloración del pelaje. Hay evidencias considerables que el factor más importante de la oncogénesis del sarcoide equino es la infección por el papilomavirus bovino (BPV) del tipo 1 y el tipo 2, siendo el contacto directo de equinos con bovinos la ruta más común de transmisión. Es una neoplasia localmente invasiva y no metastásica, clínicamente parecida a otras enfermedades, como carcinoma de células escamosas y habronemose, siendo el diagnóstico definitivo realizado a través de la biopsia y el examen histopatológico. El pronóstico depende del lugar y del tipo de tratamiento y, en muchos casos, la excisión quirúrgica es la única opción viable para el tratamiento del sarcoide. Un equino, macho, no castrado, de la raza Criolla, de cinco anos de edad y 41 O kg de peso, fue atendido en el Sector de Grandes Animales del Hospital de Clínicas Veterinarias de la UFRGS, presentando un aumento de volumen em la región dei glande, con aspecto nodular y presencia de miasis. El diagnóstico del sarcoide fue realizado a través del examen histopatológico y el animal fue sometido a cirugía de penectomía parcial, donde la neoplasia pudo ser retirada completamente. Se describió la técnica quirúrgica utilizada y se acompanó al postquirúrgico del paciente, el cual no presentó complicaciones y pudo regresar a sus actividades en un corto período de tiempo.(AU)

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O sarcoide é a neoplasia cutânea mais frequente em equinos, independentemente da raça e coloração da pelagem. Há evidências consideráveis que o fator mais importante da oncogênese do sarcoide equino é a infecção pelo papilomavírus bovino (BPV) tipo 1 e 2, sendo o contato direto de equinos com bovinos a rota mais comum de transmissão. É uma neoplasia localmente invasiva e não metastática, clinicamente parecida com outras doenças, como carcinoma de células escamosas e habronemose, sendo o diagnóstico definitivo realizado através da biópsia e exame histopatológico. O prognóstico depende do lugar e do tipo de tratamentoe, em muitos casos, a excisão cirúrgica é a única opção viável para o tratamento do sarcoide. Um equino, macho, não castrado, da raça Crioula, de cinco anos de idade e 410 kg de peso, foi atendido no Setor de Grandes Animais do Hospital de Clínicas Veterinárias da UFRGS, apresentando aumento de volume na região da glande, com aspecto nodular e presença de miíase. O diagnóstico do sarcoide foi realizado através do exame histopatológico e o animal foi submetido a cirurgia de penectomia parcial, onde a neoplasia pôde ser retirada completamente. Descreveu-se a técnica cirúrgica utilizada e acompanhou-se o pós-cirúrgico do paciente, o qual não apresentou complicações e pôde retornar à suas atividades em um curto período de tempo.

The sarcoid is the most common cutaneous neoplasm in horses, no matter the breed and coat coloring. There are considerable evidence that the most important facto r in equine sarcoid oncogenesis is the bovine papillomavirus infection (BPI). type 1 and 2, in which the direct contact of horses with cattle the most common route of transmission. It is a locally invasive and non-metastatic neoplasm, clinically similar with other diseases, such as squamous cell carcinoma and habronema. with the definitive diagnosis being made through the biopsy and histopathological examination. The prognosis depends on the place and the kind of treatment and, in many cases, a surgical excision is the only viable option for the treatment of sarcoid. A horse, male, non-castrated, Criollo breed, five years old and weighting 410 kg, was attended at the Large Animais Sector of the Hospital of Veterinary Clinics of UFRGS, presenting an increase in volume in the glans region, with nodular appearance and presence of myiasis. The diagnosis of the sarcoid was made through histopathological examination, and the animal underwent partial penectomy surgery, where the neoplasm could be completely removed. The surgical technique was described and the patient's postoperative period was followed, which presented no complications and was able to return to its activities in a short period of time.

El sarcoide es la neoplasia cutánea más frecuente en los equinos, independientemente de laraza y coloración del pelaje. Hay evidencias considerables que el factor más importante de la oncogénesis del sarcoide equino es la infección por el papilomavirus bovino (BPV) del tipo 1 y el tipo 2, siendo el contacto directo de equinos con bovinos la ruta más común de transmisión. Es una neoplasia localmente invasiva y no metastásica, clínicamente parecida a otras enfermedades, como carcinoma de células escamosas y habronemose, siendo el diagnóstico definitivo realizado a través de la biopsia y el examen histopatológico. El pronóstico depende del lugar y del tipo de tratamiento y, en muchos casos, la excisión quirúrgica es la única opción viable para el tratamiento del sarcoide. Un equino, macho, no castrado, de la raza Criolla, de cinco anos de edad y 41 O kg de peso, fue atendido en el Sector de Grandes Animales del Hospital de Clínicas Veterinarias de la UFRGS, presentando un aumento de volumen em la región dei glande, con aspecto nodular y presencia de miasis. El diagnóstico del sarcoide fue realizado a través del examen histopatológico y el animal fue sometido a cirugía de penectomía parcial, donde la neoplasia pudo ser retirada completamente. Se describió la técnica quirúrgica utilizada y se acompanó al postquirúrgico del paciente, el cual no presentó complicaciones y pudo regresar a sus actividades en un corto período de tiempo.

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BACKGROUND: The objectives of this study were to determine the minimum incidence of penile cancer in the poorest Brazilian state, and to describe the epidemiologic and clinical characteristics of patients diagnosed with the disease. METHODS: A retrospective study of 392 patients diagnosed with penile cancer in the three most important referral center in the state was conducted during 2004-2014. RESULTS: The age-standardized incidence was 6.15 per 100,000 and the crude annual incidence was 1.18 per 100,000. More than half (61.1%) of the tumors were histological grades 2 and 3, and 66.4% of tumors were classified as at least stage T2. The average age of patients was 58.6 ± 15.7 years (range, 18 to 103 years), with 20.8% of patients ≤40 years of age at diagnosis. The vast majority underwent penectomy (93%). Only 41.8% underwent lymphadenectomy, 58 patients (14.8%) received chemotherapy, and 54 patients (13.8%) received radiotherapy. Stage 3/4 and vascular invasion were statically significant at disease-free survival analysis. CONCLUSION: The state of Maranhão has the highest incidence of penile cancer in Brazil and globally. Tumors are locally advanced and at the time of diagnosis, and there is a high frequency among young individuals. Patients have a low socioeconomic status, making it difficult to complete treatment and receive appropriate follow-up.

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Apesar de rara, a hipospadia é a afecção congênita mais frequente da genitália externa do macho. Trata-se de uma anomalia que resulta da não união completa da porção ventral da uretra perineal, escrotalou peniana. Pode ser acompanhada de má formação peniana, prepucial e criptorquidismo. Os malefícios para o cão estão relacionados a injúrias físicas devido à possível exposição do pênis a traumas, e dermatite surêmicas regionais causadas pela urina que escorre pela pele ou fístulas. O tratamento temporário deve ser sintomático com limpeza regional e utilização de ungüentos até que o animal atinja idade ideal para tratamento cirúrgico definitivo. Existem técnicas de reconstrução uretral, porém não são todos os casos em que a técnica é cabível devido à possível deformação uretral cranial e caudal ao defeito e falta de mucosa para reconstrução uretral. Há citações de enxertos autólogos bucais. Uma opção para casos mais complicados é a amputação peniana associada à uretrostomia e orquiectomia. O prognóstico é favorável,porém estes animais devem ser retirados da reprodução.AU

Though rarely, the hypospadia its a more frequent congenital condition of external genitalia of male. It is one anomaly that results of non full union of ventral portion of perineal, scrotal or penile urethra. It can be accompanied with penile malformation, preputial malformation and cryptorchidism. The harm to dogs is associated with fisical injuries due of penile exposition to traumas and regional uremic dermatitis caused by urine that flows by skin or fistulas. The temporary treatment should be symptomatic with regional cleaning and use of ointment until the animal reaches ideal ages to definitive surgical treatment. There is techniques to urethral reconstruction, but, not all cases the technique are appropriate due possible deformation urethral cranial and caudal to defect and mucosa lack to urethral reconstruction. There are quote of autografts mouth. Penile amputation together with urethrostomy and orchiectomy are an option to more complicated cases. The prognosis is favorable, but these animals should be playback removed.AU

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Apesar de rara, a hipospadia é a afecção congênita mais frequente da genitália externa do macho. Trata-se de uma anomalia que resulta da não união completa da porção ventral da uretra perineal, escrotalou peniana. Pode ser acompanhada de má formação peniana, prepucial e criptorquidismo. Os malefícios para o cão estão relacionados a injúrias físicas devido à possível exposição do pênis a traumas, e dermatite surêmicas regionais causadas pela urina que escorre pela pele ou fístulas. O tratamento temporário deve ser sintomático com limpeza regional e utilização de ungüentos até que o animal atinja idade ideal para tratamento cirúrgico definitivo. Existem técnicas de reconstrução uretral, porém não são todos os casos em que a técnica é cabível devido à possível deformação uretral cranial e caudal ao defeito e falta de mucosa para reconstrução uretral. Há citações de enxertos autólogos bucais. Uma opção para casos mais complicados é a amputação peniana associada à uretrostomia e orquiectomia. O prognóstico é favorável,porém estes animais devem ser retirados da reprodução.

Though rarely, the hypospadia it’s a more frequent congenital condition of external genitalia of male. It is one anomaly that results of non full union of ventral portion of perineal, scrotal or penile urethra. It can be accompanied with penile malformation, preputial malformation and cryptorchidism. The harm to dogs is associated with fisical injuries due of penile exposition to traumas and regional uremic dermatitis caused by urine that flows by skin or fistulas. The temporary treatment should be symptomatic with regional cleaning and use of ointment until the animal reaches ideal ages to definitive surgical treatment. There is techniques to urethral reconstruction, but, not all cases the technique are appropriate due possible deformation urethral cranial and caudal to defect and mucosa lack to urethral reconstruction. There are quote of autografts mouth. Penile amputation together with urethrostomy and orchiectomy are an option to more complicated cases. The prognosis is favorable, but these animals should be playback removed.

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Conocer características clínicas, factores pronósticos, tratamiento quirúrgico y sobrevida en pacientes con cáncer de pene en el Instituto de Oncología Dr. Miguel Pérez Carreño. Estudio descriptivo, transversal, en 50 de 65 pacientes con cáncer de pene en nuestro hospital entre 1995-2009. Obtuvimos 11 pacientes evaluados entre 1995-1998, 12 entre 1999-2002, 15 de 2003 a 2006 y 12 de 2007 a 2009. 32 por ciento fueron < de 50 años, 26 por ciento entre 51-60, 12 por ciento entre 61-70 y 9 por ciento > de 71 años. 80 por ciento fue carcinoma epidermoide, 2 por ciento epidermoide con patrón sarcomatoso y 18 por ciento verrugosos. El 66 por ciento grado histológico GI, 32 por ciento GII y 2 por ciento GIII. La falectomía parcial se practicó en 44 por ciento, esta más linfadenectomía bilateral en 18 por ciento, emasculación en 16 por ciento. El estadio patológico fue de 36 por ciento para I y III 20 por ciento para estadio IV y 8 por ciento estadio II. La realización de vaciamientos inguinales en su mayoría fue en estadios avanzados con un 29,6 por ciento en pT3 G1. La sobrevida global en estadio I fue 88,8 por ciento al primer año y 50 por ciento a 5 años, estadios IV en un año 70 por ciento y cero en 5 años. El pronóstico depende del estadio patológico, afectación ganglionar, grado histológico, los pacientes pT3 y pT4 independientemente del grado histológico tienen peor pronóstico así se describe en la literatura, la linfadenectomía es fundamental en el manejo de estos casos.

To determine clinical characteristics, prognostic factors, surgical treatment and survival in patients with penile cancer at the Institute of Oncology Dr. Miguel Perez Carreño. Descriptive, transversal, in 50 of 65 patients with penile cancer. 11 patients evaluated in the years 1995 to 1998. 12 from 1999 to 2002, 15 patients from 2003 to 2006, and 12 from 2007 to 2009. 32 percent were < 50 years, 26 percent between 51-60, 12 percent between 61-70 and 9 percent > 71 years. 80 percent were squamous cell carcinoma, 2 percent with a sarcomata’s squamous and 18 percent warty. 66 percent was in GI histological grade, 32 percent and 2 percent GII GIII. The partial penectomy were performed in 44 percent, bilateral lymphadenectomy in 18 percent, 16 percent emasculation. The pathological stage was 36 percent for I and III 20 percent for stage IV and 8 percent stage II. The performance of inguinal dissection was mostly in advanced stages with 29.6 percent in pT3 G1. Overall survival of stage I patients was 88.8 percent in the first year and 50 percent at 5 years, while stage IV in 70 percent and zero in five years. Penile cancer prognosis depends on the pathological stage, lymph node involvement and histological grade, pT3 and pT4 patients regardless of histological grade are the ones who have a worse prognosis as described in the literature, therefore, is central lymphadenectomy handling these cases.

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Um macho de tartaruga-mordedora (Chelydra serpentina), com cerca de 2 anos, foi encaminhado à uma clínica veterinária particular em São Paulo SP, com histórico de prolapso de pênis há cerca de 48 horas, o qual foi submetido a penectomia. O pênis foi exposto e cada corpo cavernoso teve a hemostasia realizada com pinça hemostática Halsted. Realizou-se sutura cranial ao tecido necrosado dos corpos cavernosos com fio de sutura absorvível. A amputação foi realizada com lâmina de bisturi, removendo todo o órgão copulador. Foram realizadas em pontos simples individuais na extremidade do coto antes de posicioná-lo no interior da cloaca, com fio de sutura absorvível, totalizando 4 pontos. Após 24 horas do procedimento cirúrgico, o animal já nadava, alimentava-se defecava normalmente(AU)

A male of common snapping turtle (Chelydra serpentina), with 2 years old, it was directed to the veterinary clinic, reporting prolapse of penis and was submitted to penectomy. The penis was exposed and each cavernous body had the hemostasy accomplished with hemostatic tweezers. We took place sutures cranial to the necrotic tissue of the cavernous bodies with absorble suture. The amputation was accomplished with bistoury blade, removing the whole copulator organ. Sutures were accomplished in individual simple points in the extremity of the stump, with absorble thread of suture, totaling 4 points. After 24 hours of the surgical procedure, the animal already swimed, fed and defecated(AU)

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RESUMO

Um macho de tartaruga-mordedora (Chelydra serpentina), com cerca de 2 anos, foi encaminhado à uma clínica veterinária particular em São Paulo – SP, com histórico de prolapso de pênis há cerca de 48 horas, o qual foi submetido a penectomia. O pênis foi exposto e cada corpo cavernoso teve a hemostasia realizada com pinça hemostática Halsted. Realizou-se sutura cranial ao tecido necrosado dos corpos cavernosos com fio de sutura absorvível. A amputação foi realizada com lâmina de bisturi, removendo todo o órgão copulador. Foram realizadas em pontos simples individuais na extremidade do coto antes de posicioná-lo no interior da cloaca, com fio de sutura absorvível, totalizando 4 pontos. Após 24 horas do procedimento cirúrgico, o animal já nadava, alimentava-se defecava normalmente

A male of common snapping turtle (Chelydra serpentina), with 2 years old, it was directed to the veterinary clinic, reporting prolapse of penis and was submitted to penectomy. The penis was exposed and each cavernous body had the hemostasy accomplished with hemostatic tweezers. We took place sutures cranial to the necrotic tissue of the cavernous bodies with absorble suture. The amputation was accomplished with bistoury blade, removing the whole copulator organ. Sutures were accomplished in individual simple points in the extremity of the stump, with absorble thread of suture, totaling 4 points. After 24 hours of the surgical procedure, the animal already swimed, fed and defecated

Assuntos