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Peer-reviewed veterinary case report

Congenital phimosis causing preputial swelling in a newborn foal.

Journal:
The Canadian veterinary journal = La revue veterinaire canadienne
Year:
2020
Authors:
Canisso, Igor F et al.
Affiliation:
Department of Veterinary Clinical Medicine · United States
Species:
horse

Plain-English summary

A newborn colt, just 18 hours old, was brought in because he was uncomfortable, had swelling around his penis, and was trying to urinate frequently. A check showed he had two testicles and no hernias, but an ultrasound revealed his bladder was full. It turned out that a part of the skin around his penis was stuck, which was causing the swelling. The vet carefully separated this stuck skin, and within an hour, the colt was able to urinate on his own. Over the next week, the swelling gradually went down, and the treatment was successful.

Abstract

An 18-hour-old colt was presented for abdominal discomfort, preputial swelling, and frequent posturing to urinate. Examination of the scrotum confirmed 2 testes and no scrotal or inguinal hernia. Transabdominal ultrasound identified a distended bladder and no free fluid in the peritoneal cavity. Inspection of the preputial cavity revealed that the internal lamina of the prepuce was mostly attached to the glans penis. The preputial cavity was lubricated and manual traction was applied to detach the internal lamina of the prepuce from the glans penis. The colt urinated spontaneously 1 hour after the procedure, and the preputial swelling slowly resolved over 7 days. Key clinical message: Congenital phimosis in a newborn foal was resolved by manual separation of the penile epithelium and preputial lamina.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/32165746/