Leech therapy in the treatment of a penile haematoma in a stallion

download PDF

Treatment of penile haematomas includes conventional therapy and/or surgical intervention which may not always result in the recovery of all penile functions. For valuable breeding stallions, a safe and effective treatment is necessary and medical leech therapy meets these criteria. Additionally, the proven efficiency and safety of the use of leeches in the resolution of haematomas makes this method applicable to other fields of veterinary medicine. A 14-year-old stallion was presented and assigned to the university hospital with a swollen and prolapsed penis. The owner reported that the stallion was likely kicked in the penis while mating. There were no deviations in the physiological indicators during the general examination. A drainage was inserted and a compression bandage was applied. After an initial slight subsidence of the oedema, the healing process slowed down. Hence, the experimental leech treatment was applied. The hirudotherapy was performed twice, five days apart. The hirudotherapy proved to be safe and effective, and with the addition of hydrotherapy, anti-inflammatory drugs and antibiotics, resulted in the full recovery of the horse within 45 days. The erectile functions of the penis were restored and the stallion successfully continued its breeding career.

Abdisa T. Therapeutic importance of leech and impact of leech in domestic animals. MOJ Drug Des Develop Ther. 2018;2(6):235-42.
Brinsko SP, Blanchard TL, Varner DD. How to treat paraphimosis. Proceedings of the 53rd Annual Convention of the American Association of Equine Practitioners, Orlando, Florida, USA; 2007 Dec 1-5. Lexington: American Association of Equine Practitioners (AAEP); 2007. p. 580-2.
Brinsko SP, Blanchard TL, Varner DD, Schumacher J, Love C. Surgery of the stallion reproductive tract. In: Brinsko SP, Blanchard TL, Varner DD, Schumacher J, Love CC, Hinrichs K, Hartman DL, editors. Manual of equine reproduction. 3rd ed. St. Louis: Mosby; 2010. p. 263-8.
Edwards JF. Pathologic conditions of the stallion reproductive tract. Anim Reprod Sci. 2008 Sep;107(3-4):197-207. https://doi.org/10.1016/j.anireprosci.2008.05.002
Ferris R, Franklin R, Adams A, Miller C. Rupture of a penile artery and erectile body: An uncommon cause of dysuria in a horse. Equine Vet Educ. 2008 Nov;20(11):564-6.  https://doi.org/10.2746/095777308X366694
Gaughan EM, van Harreveld PD. Trauma to the penis. In: Samper JC, Pycock JF, McKinnon O, editors. Current therapy in equine reproduction. St. Louis, MO: Saunders Elsevier; 2007. p. 227-30.
Hayden S. Treating equine paraphimosis. Compend Contin Educ Vet. 2012 Sep;34(9):1-5.
Jitender M, Sarvjot S. Successful treatment of penile hematoma in a colt. J Equine Vet Sci. 2011 Nov;31(11):615-7. https://doi.org/10.1016/j.jevs.2011.05.014
Knottenbelt DC, LeBlanc M, Lopate C, Pascoe RR. Equine stud farm medicine and surgery. Edinburgh, Scotland: Elsevier Science Ltd; 2003. p. 84-7.
Memon MA, McClure JJ, Usenik EA. Preputial hematoma in a stallion. J Am Vet Med Assoc. 1987 Sep;191(5):563-4.
Munshi Y, Ara I, Rafique H, Ahmad Z. Leeching in the history – A review. Pak J Biol Sci. 2008 Jul 1;11(13):1650-3. https://doi.org/10.3923/pjbs.2008.1650.1653
Reddy KR. Clinical study of leech application in various medico-surgical conditions. Curr Med Prac. 2014 May;4(3):101-5. https://doi.org/10.1016/j.cmrp.2014.06.009
Riede F, Koenen W, Goerdt S, Ehmke H, Faulhaber J. Medicinal leeches for the treatment of venous congestion and hematoma after plastic reconstructive surgery. J Dtsch Dermatol Ges. 2010 Nov;8(11):881-8. https://doi.org/10.1111/j.1610-0387.2010.07473.x
Ruckle HC, Hadley HR, Lui PD. Fracture of penis: Diagnosis and management. Urology. 1992 Jul;40(1):33-5. https://doi.org/10.1016/0090-4295(92)90432-V
Schnoor M, Alcaide P, Voisin MB, van Buul JD. Crossing the vascular wall: Common and unique mechanisms exploited by different leukocyte subsets during extravasation. Mediat Inflamm. 2015 Nov;2015(10):1-23. https://doi.org/10.1155/2015/946509
Schumacher J, Vaughan JT. Surgery of the penis and prepuce. Vet Clin North Am Equine Pract. 1988 Dec;4(3):473-91.
Schumacher J. Penis and prepuce. In: Auer AJ, Stick JA, Clarence J, Marshall Memorial Library Fund, editors. Equine surgery. 4th ed. St. Louis, Mo.: Saunders Elsevier; 2012. p. 840-65.
Sig AK, Guney M, Guclu AU, Ozmen E. Medicinal leech therapy – An overall perspective. Integr Med Res. 2017 Dec;6(4):337-43. https://doi.org/10.1016/j.imr.2017.08.001
Sobczak N, Kantyka M. Hirudotherapy in veterinary medicine. Ann Parasitol. 2014;60(2):89-92.
Steiner JV, Hillman RB, Orsini JA, Divers TJ, Schlafer DH. Reproductive system. In: Orsini JA, Divers TJ, editors. Equine emergencies: Treatment and procedures. 3rd ed. St. Louis, MO: Saunders Elsevier; 2008. p. 413-4.
van Harreveld PD, Gaughan EM, Lillich JD. Penile surgery in horses. Compend Contin Educ Pract Vet. 1998 Aug;20(8):947-54.
Wang J, Dore S. Inflammation after intracerebral hemorrhage. J Cereb Blood Flow Metab. 2007 May;27(5):894-908. https://doi.org/10.1038/sj.jcbfm.9600403
download PDF

© 2021 Czech Academy of Agricultural Sciences | Prohlášení o přístupnosti