Prepubic urethrostomy opening within a prepuce in a dog: a case report

Abstract

The prepubic urethrostomy procedure has been shown to be a long-term diversion technique in dogs with intrapelvic urethral damage. This case report describes the clinical presentation and successful surgical management of an intrapelvic urethral stricture in a four month old male intact Labrador Retriever with hypospadias. The dog was presented for assessment of dysuria, stranguria, urinary incontinence, and urethrocutaneous fistula. After the diagnosis of perineal hypospadias with intrapelvic urethral stricture was made, surgery was performed to relieve the urethral obstruction and repair the urethrocutaneous fistula. A prepubic urethrostomy was made and the transected urethra was pulled through the inguinal canal into the prepuce. The postoperative recovery was uneventful. This technique can reduce postoperative peristomal skin irritation and leads to better cosmetic appearance than the standard technique.