Combined phallopexy and preputial advancement for the treatment of paraphimosis of unknown aetiology in 16 dogs.

Combined phallopexy and preputial advancement improves paraphimosis in 87.5% of dogs refractory to medical management.

This retrospective case series evaluated combined phallopexy and preputial advancement for treating idiopathic paraphimosis in 16 dogs over a 13-year period at a single referral center. Median surgical time was 60 minutes with no intraoperative complications. Post-operative outcomes showed 50% of dogs had no paraphimosis recurrence, 18.75% experienced intermittent recurrence requiring no treatment, and 18.75% had intermittent recurrence managed medically with improvement from pre-surgical status. Two dogs (12.5%) experienced major complications and one (6.25%) had minor complications. Overall, 87.5% of dogs showed improvement following surgery. The authors concluded that combined phallopexy and preputial advancement can effectively treat medical-refractory paraphimosis, though complication rates and recurrence risk are comparable to single-technique approaches. This combined approach offers a reasonable surgical option for managing this condition in small animal practice.

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