Stud exams preserve fertility
Paraphimosis, or swelling of the penis, is one of the most commonly seen problems in breeding stallions."Breeding injuries and trauma from phantom (artificial collection mounts) accidents cause the majority of stallion injuries that we see," says Dr. Charles Love, a member of the Department of Reproduction at the College of Veterinary Medicine at Texas A&M University.
Aggressive Thoroughbred stallions often charge mares, and aggressive mares occasionally kick stallions. Either of these scenarios can result in blunt-force trauma to the penis of the stallion, "essentially a smashed penis", Love says. "Breeding managers have become so comfortable collecting stallions off a phantom that they tend to think that all of the potential risk has been removed. Yet charging the phantom or misalignment, especially with an aggressive breeder, can result in significant trauma, penile hematoma and paraphimosis."
Dr. William Ley, an equine reproductive specialist in private practice in Virginia, concurs that a kick from a mare before, during or after breeding is the most common cause of injury to the stallion and can result in scrotal contusion, testicular hematoma or penile paraphimosis. These stallions usually will present with a slight elevation in temperature due to a pain response and with very obvious swelling of the affected area. Ultrasound examination will confirm the presence of edema. If an acute testicular hematoma is present, it might be hypo-echoic or anechoic (areas of reduced or absent ultrasound signal that appear as black spaces) due to an accumulation of blood within the tissue. Chronic lesions will appear hyper-echoic (areas of whiter ultrasound shading) due to fibrosis. Prognosis for these types of injuries is guarded, but quick recognition of the problem and aggressive treatment may preserve acceptable stallion performance and fertility.
Treatment for traumatic swelling or paraphimosis requires aggressive measures to reduce edema. Love recommends vigorous massage of the penis and periodic cold hydrotherapy during the initial 24-hour period.
"And I do mean massage as often as possible over that initial period requiring that the stallion be in a location offering 24-hour care," he says.
The goal is to be able to retract the penis into the prepuce, which then greatly increases the chances of a successful outcome. Anti-inflammatory medications, such as flunixin and dexamethasone, can be used along with topical antibiotics to reduce the chances of infection. Salix and Naquasone (trichlormethiazide and dexamethasone combination) also can be used to reduce edema, but there is no substitute for hydrotherapy and massage. Caution must be used, though, with the application of cold water because reduced blood flow to the penis can result in tissue trauma if the cold is excessive or used continuously for too long. Short (eight to 10 minute) applications every hour are best. The use of compression bandages or various slings designed to help hold the penis up against the ventral abdomen can be very beneficial as it helps offset gravity and allow easier reduction of edema. Still, the primary goal is to replace the penis within the prepuce as quickly following trauma as possible.