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Surgical Management of Preputial Injury Avulsion of the Prepuce

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Avulsion of the distal prepuce from its attachment on the dorsum of the free portion of the penis occurs most commonly in bulls that serve an artificial vagina (AV) for semen collection for artificial insemination. This injury rarely occurs during natural breeding. The prepuce adheres to the latex liner of the AV and the prepuce is torn loose from the penis when the bull makes the ejaculatory lunge. Contrary to other types of lacerations, those that occur in an AV should be sutured immediately. The wounds are quickly diagnosed and comparatively clean and excellent healing is expected with immediate primary closure of the wound. If the injury is not immediately closed by suture, surgical repair should be delayed until the wound is completely covered by healthy granulation tissue. With local anesthesia of the penis, prepare the surgical field for aseptic surgery, undermine the retracted prepuce, and slide it distally to the normal position and appose the prepuce to the free portion of the penis with absorbable suture.

Bovine Reproduction

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