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Mass exteriorized from vulva in a bitch (Vaginal prolapse (Types ((Type…
Mass exteriorized from vulva in a bitch
Vaginal prolapse
Ethiopathology
Increase in vaginal hyperaemia and edema due to the oestrogen stimulus in estrus and proestrus in intact female dog
Appearance
Protrusion of oedematous vaginal tissue into vaginal lumen and through the vulvar lips with possible appearance of serosanguineous discharge
Types
Type I - not protruding vulvar opening
Type II - protruding vulvar opening
Type III - donut shape mass
Treatment
Decrease of oestrogen stimulus (medroxyprogesterone acetate)
Surgery - removing the prolapsed tissue
Adviced OVH as the prolapse used to be recurrent
Prognosis
Very good , Reproductive prognosis : with OVH really bad , when the treatment is just surgery quite good even though possibility of recurrence of prolapse
Complementary exams
Vaginal cytology,vaginoscopy,incisional biopsy,aspirative cytology
Vulvar neoplasia
Types
Benign
Leiomyoma,fibropapilloma,fibroma,fibroleiomyoma,lipoma,fibrous histiocytoma,myxoma,myxofibroma
Malignant
Transmissible venereal tumor,leiomyosarcoma,adenocarcinoma,fibrosarcoma, mastocytoma,epidemoid carcinoma,anaplastic spindle cell carcinoma
Appearance
Mass causing perineal swelling or visibly protruding through the vulvar lips with possible vulvar discharge (mucopurulent or sanguineous)
Complementary exams
Vaginal cytology,vaginoscopy,incisional biopsy,aspirative cytology
Treatment
Surgical removal + chemotherapy (if malignant ) ,OVH as treatment of the choice due to the hormone dependency of the disease
Prognosis
If malignant very bad, if benign very good , Reproductive prognosis - really bad
Uterine prolapse
Ethiopathology
Dystocia,forced fetal extraction
Complementary exams
Digital exam ,vaginoscopy,biopsy
Treatment
Fluidotherapy,antibiotherapy,OVH,surgery
Prognosis
Good , Reproductive prognosis depends on the size of uterine prolapse, if small - possibility to save the uterus by surgery and possibility of pregnancy again, if the prolapse is too big - the only choice OVH . really bad prognosis
Appearance
Protrusion of a tissue mass from the vulva