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Scrotal ablation
Introduction
- Scrotal ablation means complete removal of the scrotum. Since the scrotum covers the gonads in intact animals, orchidectomy is also performed with scrotal ablation.
Obtain owner consent for castration before this procedure is contemplated.
Uses
- Severe trauma and devitalization of the scrotum.
- Scrotal neoplasia
. - Scrotal abscess.
- Old dogs with pendulous scrotums.
- Scrotal urethrostomy.
- Feline perineal urethrostomy.
- Severe scrotal hematoma after routine castration
. - Testicular disease (orchitis Orchitis / epididymitis , neoplasia Testicle: neoplasia ) extending into scrotal tissue.
Advantages
- Simple.
- Quick.
- Relatively complication-free.
Disadvantages
- In intact animals, orchidectomy Castration also required.
- Common mistake made during this procedure is excessively wide elliptical excision of scrotum causing difficulty in wound closure Wound closure: primary.
- Plan elliptical skin incision carefully so enough skin remains for tension-free closure.
- Penis and urethra are located within wound just deep to scrotal septum and tunics.
Care to avoid incorporating these structures during wound closure.
Alternative techniques
- None.
Time required
Preparation
- <10 minutes.
Procedure
- 20-30 minutes.
Decision taking
Criteria for choosing test
- Scrotum does not heal readily as easily traumatized.
- Chronic conditions of scrotum and diseases that cause severe enlargement of scrotum are best treated with scrotal ablation.
- Scrotum has large potential for dead space so difficult to achieve passive ventral drainage. Ablation considered early for immediate resolution of problem (scrotal hematoma) or for cosmetic concerns (dog exhibiting large floppy scrotum).
Risk assessment
- Scrotal ablation rarely performed on an emergency basis, so ensure patient is good candidate for general anesthesia General anesthesia: overview ; otherwise, stabilize patient before procedure.
Requirements
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Preparation
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Technique
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Aftercare
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Outcomes
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Further Reading
Publications
Refereed papers
- Recent references from PubMed and VetMedResource.
- Harvey C E (1973) Scrotal ablation and castration in the dog. J Am Anim Hosp Assoc 9 (2), 170-1 VetMedResource.