Young dogs may tolerate the surgery
better than older dogs, but dogs of any age can have
this procedure performed safely if the appropriate precautions
are taken.
Orchidectomy, or neutering, is a procedure
that is performed on many male dogs. There are ethical
reasons, as well as behavioral and medical conditions,
that warrant this surgery. Although an orchidectomy requires
general anesthesia, it is a short and simple procedure.
Most dogs will return to their normal behavior by the
following day. Nevertheless, they will need to have their
activity levels reduced for the week following surgery;
a rest period will allow the incision to heal properly.
Most veterinarians will discuss the benefits of neutering
during one of the initial puppy visits. Because of incorrect "old
wives' tales" about neutering circulating in the public,
many new owners feel hesitant about this surgery. However,
the veterinarian can dispel many of these myths and discuss
any other specific concerns.
Techniques for neutering vary slightly
depending on the position of the testicles. If the testicles
are located in the normal position within the scrotum, an
incision is made in the skin just above the scrotal sac.
The testicles are pulled out of the incision and the spermatic
cord is ligated or tied off with suture material. The spermatic
cord is then cut, examined for bleeding, and allowed to return
to its normal position inside the incision. Both testicles
are removed through a single incision. The incision is sutured
closed and the dog is kept rested during recovery.
If the testicles are not in the normal location, the
veterinarian will try to locate them by palpation.
The testicle can be anywhere from inside the abdomen
to within the tissues leading to the scrotum. If the
testicle is located under the skin along the ventral
abdomen, the incision is made just above it. The remainder
of the surgery is performed similarly to the procedure
described above. With an abdominally located testicle,
an incision into the abdomen is made, avoiding area
blood vessels. The testicle is connected to certain
structures by the vessels and ductus deferens of the
testis. Once the abdominal testis is found, the structures
can be tied off so that the testis can be removed.
In older dogs with a retained testicle, the removed
testis should be submitted to a pathologist to be evaluated
for cancer.
The prognosis is good. Possible complications
include bleeding at the surgery site, bruising and swelling,
infection, and self-induced trauma caused by the dog's licking the
incision. If complications arise, they should be addressed
by the veterinarian for treatment and correction.
The veterinarian should perform a
preoperative examination to assess the patient's overall
health. Older dogs should have bloodwork and possible
chest x-rays taken prior to the procedure so that any
underlying diseases can be identified and addressed.
The dog should be kept rested for
seven days following surgery, and prevented from licking
the incision. Outdoor dogs should be kept indoors until
healed. For seven days following the procedure, dogs
should be leashed while walking outside. Running, jumping,
and climbing stairs also should be discouraged during
the healing process. Owners should check the surgery
site daily to detect any complications.
It is recommended that dogs be neutered
at a young age to reduce the possibilities of anesthetic
risks and complications of surgery. The procedure can
be tolerated by older dogs, but preoperative tests and
monitoring are advised.