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Total Perineal Prostatectomy: A Retrospective Study in Six Dogs
Daniele Zambelli1, Giulia Ballotta1, Simona Valentini1
1Department of Veterinary Medical Sciences, University of Bologna, Ozzano dell'Emilia, 40064 Bologna, Italy.
Animals : an Open Access Journal From MDPI
|January 20, 2022
Summary
This study explores total perineal prostatectomy for dogs with perineal hernias and prostate disease. The perineal approach proved safe and effective for treating these complex canine conditions.
Area of Science:
- Veterinary Surgery
- Canine Urology
- Surgical Oncology
Background:
- Perineal hernias involve pelvic/abdominal organs protruding through pelvic diaphragm weakness.
- Concurrent prostatic disease occurs in 25-59% of dogs with perineal hernias.
- Staged procedures are typical for complicated perineal hernias with prostate issues.
Purpose of the Study:
- To describe the technique of total perineal prostatectomy in dogs with perineal hernia and concurrent prostatic disease.
- To evaluate the safety, efficacy, and limitations of this surgical approach.
Main Methods:
- Retrospective case series of six dogs undergoing total perineal prostatectomy.
- Dogs presented with either the prostate within the hernial sac or an intrapelvic prostate.
- Surgical approach involved perineal access for prostatectomy and hernia repair.
Main Results:
- Total perineal prostatectomy was successfully performed in all six dogs.
- The procedure was found to be safe, well-tolerated, and effective.
- Advantages, disadvantages, and limitations of the technique were documented.
Conclusions:
- Total perineal prostatectomy is a viable surgical option for canine prostatic diseases associated with perineal hernias.
- This approach offers a potentially less invasive method for managing complex cases.
- Further investigation into this surgical technique is warranted.

