In this case, the pain management protocol included preoperative carprofen, postoperative epidural analgesia, hydromorphone
for the first 12 hours after surgery, a fentanyl patch, and topical lidocaine jelly. It is questionable whether the lidocaine
jelly provided marked relief; however, in theory, it should have provided more comfort than sterile lubricating jelly alone.
Pain management in dogs undergoing surgery to correct phimosis has not traditionally been described in the veterinary medical
literature. However, in this case, pain management was a particular challenge despite an aggressive approach and should be
an important consideration in any case of phimosis that requires surgical intervention.
Kelly Saporito, DVM*
Hospital for Animals
College of Veterinary Medicine
Ithaca, NY 14853
*Dr. Saporito's current address is Coral Springs Animal Hospital, 1730 N. University Road, Coral Springs, FL 33071.
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