A challenging case: Phimosis in a young adult dog - Veterinary Medicine
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A challenging case: Phimosis in a young adult dog


VETERINARY MEDICINE


Pain management

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
Cornell University
Ithaca, NY 14853

*Dr. Saporito's current address is Coral Springs Animal Hospital, 1730 N. University Road, Coral Springs, FL 33071.

REFERENCES

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3. Kahn CM, ed. The Merck veterinary manual. 9th ed. Whitehouse Station, N.J.: Merck & Co, 2006;1159.

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9. Slatter D. Textbook of small animal surgery. 3rd ed. Philadelphia, Pa: Saunders, 2003;1539-1541.


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Source: VETERINARY MEDICINE,
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