# Modified preputial elevation and cranial translation of the prepuce by transection of the skin caudal to the bulbus glandis for managing chronic idiopathic paraphimosis in dogs: six cases (2021‐2024)

## TL;DR

A modified surgical technique for idiopathic paraphimosis in dogs was successfully used in six cases, with good long-term outcomes.

## Contribution

A modified surgical approach for idiopathic paraphimosis in dogs is proposed and evaluated with favorable results.

## Key findings

- All six dogs recovered uneventfully from the modified preputial elevation and cranial translation surgery.
- The median follow-up time was 24 months, with excellent outcomes in all dogs.
- Minor postoperative complications occurred in three dogs but resolved without treatment.

## Abstract

To report the signalment, clinical signs, duration of clinical signs, length of penile protrusion, surgical technique (modified preputial elevation and cranial translation of the prepuce), length of preputial advancement, postoperative complications, outcomes and long‐term postoperative follow‐up.

Retrospective case series. The medical records of dogs with idiopathic paraphimosis undergoing elevation and cranial translation of the prepuce between 2021 and 2024 were reviewed.

Six dogs with idiopathic paraphimosis were identified. The median duration of paraphimosis was 9.5 months. The median length of the penile protrusion was 2 cm (range: 1 to 3 cm). All dogs recovered uneventfully from surgery. The median translation of the prepuce at surgery was 4 cm (range: 2 to 6 cm). Four minor postoperative complications were observed in three dogs, including serosanguineous discharge from the incision, preputial oedema formation, penile exposure and a small dehiscence. All short‐term complications resolved without treatment. Median follow‐up time was 24 months. All dogs had an excellent outcome. In one dog, 14 months after surgery, a 0.5 cm long intermittent penile protrusion was noted with no clinical significance.

Modified preputial elevation and cranial translation of the prepuce could be considered an option for the treatment of idiopathic paraphimosis in dogs.