This document describes vaginal fold edema and prolapse in dogs. It notes that the condition causes an edematous swelling or large mass to protrude from the vulva. It can affect bitches from 1 to 8 years old. Treatment options discussed include applying topical medications, systemic antibiotics and anti-inflammatories, and surgical removal of the mass. The document outlines two anesthesia protocols that can be used for surgery and describes the surgical technique of amputating the base of the edematous mucosa using sutures. Histopathological examination found hydropic degeneration and edema in the smooth muscles of affected vulvas.

1. Arvind Sharma
Deptt. Of Surgery & Radiology, DGCN
COVAS,CSK HPKV ,Palampur
Himachal Pradesh (INDIA)

2.  Edematous swelling of
vagina mucosa
 Immediately cranial to
the urethral orifice
 Large mass to protrude
outside the vulvar lips
 Under the influence of
estrogen

3.  3 to 10 day old swollen, edematous, dry, ulcerated mass
 Self mutilation: 2 cases
 Age : 1 to 8 years
 nullipara, primipara &
multipara bitches
 Pear shaped, doughnut
shaped mass protruding from
the vulva

7. Vaginal fold edema & prolapse

8.  Tumors
 Fibroma
 Leiomyoma
 Originated from the
ventral vaginal floor
 Cranial to the urethral
orifice
Diagnosis: Vaginal edema & vaginal fold prolapse

9. Medical
 Application of LA jelly, glucocorticoid ointment
 Systemic antibiotics, NSAIDs, B-vitamins
 Relapse

10.  Protocol I-
 Sedation with butorphanol@0.02mg/kg body
weight i/m
 Epidural anaesthesia under 2% lignocaine HCl
 Protocol II- Dissociative anaesthesia
 Atropine-xylazine-ketamine combination.

11.  Amputation is the treatment of choice
 Needle & two suture strands traversed through the base of
edematous mucosa
 Individual sutures are tied
 Redundant vaginal mucosa is amputated
 Cryosurgery done in 1 case
 Urethra catheterized to prevent damage
 Stump retracts back into the vaginal cavity
 Vaginal digital examination done after 1 week to ensure vaginal
patency

20. REMOVAL OF PROLAPSED MASS

21. ELECTROEXCISION

24. Smooth muscles bundles of vulva showing localised hydropic
degeneration along with accumulation of non-inflammatory
edema in the interstitial spaces (H&E 20X)

25. Smooth muscles of vulva showing diffuse hydropic degeneration,
edema and infiltration of inflammatory mononuclear cells
(MNCs) in the interstitium (H&E 20X)

26. Smooth muscles of vulva showing diffuse hydropic degeneration
along with accumulation of non-inflammatory edema in the
interstitial spaces (H&E 20X)

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