Replantation of a Traumatically Amputated Penis in a Dog

외상에 의해 절단된 음경의 재접합술 1례

  • Park, Jin-Uk (Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University) ;
  • Cho, Ki-Rae (Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University) ;
  • Han, Tae-Sung (Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University) ;
  • Choi, Seok-Hwa (Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University) ;
  • Kim, Gon-Hyung (Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University)
  • 박진욱 (충북대학교 수의과대학 동물의료센터) ;
  • 조기래 (충북대학교 수의과대학 동물의료센터) ;
  • 한태성 (충북대학교 수의과대학 동물의료센터) ;
  • 최석화 (충북대학교 수의과대학 동물의료센터) ;
  • 김근형 (충북대학교 수의과대학 동물의료센터)
  • Published : 2007.12.31

Abstract

A mixed-breed hunting dog suffered penile amputation and lacerations in the femoral and inguinal areas while hunting wild boar. The penis was replanted by anastomoses of the urethra, cavernous body, and the left and right dorsal veins of the penis. The transected penis recovered anatomically and functionally. No evidence of postoperative necrosis or edema was detected at the distal portion of the penis. In addition, fistulas and stenosis were not found on urethrogram 20 days after the surgery. Aside from surgery, we performed experimental cavernosography to identify the importance of the anastomosis of the dorsal veins of the penis in three beagle dogs. The cavernosograms revealed that, the contrast medium, which was injected into the bulbus glandis, drained by the left and right dorsal veins of the penis, then converged into one vessel at the ischial arch and diverged into the left and right internal pudendal veins. Thus, reanastomosis of the left and right dorsal veins of the penis in cases of transected canine penis appears to be important for positive postoperative prognosis.

잡종의 사냥개가 멧돼지 사냥 중에 대퇴와 서혜부의 열상을 입고, 음경이 절단되었다. 음경은 요도, 해면체, 그리고 좌우측의 음경등쪽정맥을 문합함으로써 재접합되었다. 절단된 음경은 해부학적 그리고 기능적으로 회복되었다. 술 후의 음경 원위부의 부종이나 괴사는 발견되지 않았으며, 술 후 20일째 요도조영술에서 누관이나 협착 또한 발견되지 않았다. 본 수술과 별도로, 3마리의 비글견에서 음경등쪽정맥의 문합의 중요성을 확인하고자 실험적 해면체조영술을 실시하였다. 해면체조영에서 음경망울에 주입된 조영제는 좌우측의 음경등쪽정맥을 통해 배출되었고, 좌골궁 부위에서 하나의 혈관으로 수렴된 후 다시 좌우측 속음부정맥으로 분기되었다. 따라서 개의 절단된 음경의 증례에서 좌우측의 음경등쪽정맥의 재문합은 술 후 좋은 예후를 위해 중요하다고 사료된다.

Keywords

References

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