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What are Inability to Protrude or Retract Penis?

The inability to completely protrude the penis is called phimosis. The inability to completely retract the penis, alternatively, is called paraphimosis. The causes of each of these conditions can vary, and veterinary intervention may be required if the problem persists. These conditions may be more likely in small dogs, though it can be seen in all breed types. While this can occur at any age, it typically occurs in dogs that are younger than 1 year of age. Paraphimosis usually occurs after the dog has an erection, when the skin at the preputial orifice (the space between the prepuce and glans penis) becomes inverted and traps the penis, keeping it from retracting.

Phimosis (the inability to protrude the penis) and paraphimosis (the inability to retract the penis) are conditions sometimes seen in male dogs. Symptoms may include trouble when trying to copulate, trouble urinating, and swelling around the penis.

Inability to Protrude or Retract Penis Average Cost

From 367 quotes ranging from $200 - $2,500

Average Cost

$650

Symptoms of Inability to Protrude or Retract Penis in Dogs

  • Posthitis (swelling of the foreskin of the penis)
  • Smelly discharge
  • Trouble urinating
  • Excessive licking of the area
  • Trouble when trying to copulate

Types

Phimosis

  • Phimosis is typically unnoticed in dogs until they try to copulate and are unable to protrude the penis. Treatment may not be required if the dog is not used for breeding, though castration may be considered to prevent arousal. In breeding dogs, surgical widening of the preputial orifice may be required.

Paraphimosis 

  • Paraphimosis typically occurs after an erection, usually following semen collection or coitus. If the problem persists, veterinarian treatment should be sought. If the problem isn’t addressed, complications including severe edema and pain could develop.
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Causes of Inability to Protrude or Retract Penis in Dogs

Paraphimosis

  • Inverted skin at preputial orifice
  • Small preputial opening
  • Priapism (persistent erection, typically painful)
  • Foreign objects around the penis
  • Band of hair at the preputial orifice that constricts the penis
  • Trauma

Phimosis

  • Congenital causes
  • Neoplasia (formation of a new, abnormal growth)
  • Edema (excess of watery fluid collecting in cavities/tissues of the body)
  • Fibrosis after trauma (thickening and scarring of connective tissue)
  • Inflammation
  • Infection
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Diagnosis of Inability to Protrude or Retract Penis in Dogs

If there are no other symptoms or problems, a physical exam may be the only required diagnostic test. In the event of other symptoms, additional tests may be required, including:

  • Complete blood count
  • Serum chemistry profile
  • Stress leukogram
  • Neutrophilia
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Treatment of Inability to Protrude or Retract Penis in Dogs

In cases of phimosis, treatment is only important if the dog is used for breeding, though castration may be considered. Paraphimosis treatments typically require lubrication or other techniques to return the penis to its sheath. Prognosis is good in most cases.

Paraphimosis

Treatment depends largely on the cause of the paraphimosis. Possible treatments include:

  • Cleaning and lubrication of exposed penis
  • Hypertonic solutions
  • Sedation or general anesthesia may be required, depending on cause and/or duration
  • Exploratory surgery of the preputial cavity may be necessary
  • If the urethra is damaged, temporary placement of a catheter may be necessary
  • Removal of any foreign objects
  • Cutting of any constricting hairs
  • Analgesics (drugs to relieve pain)
  • IV may be used for rapid medication administration or fluid therapy
  • Penile amputation may be performed if the penis is necrotic (the cells of the penis are dying)

Phimosis

  • If the dog isn’t used for breeding, treatment usually isn’t necessary.
  • In breeding dogs, surgical enlargement of the preputial orifice may be used to treat the condition
  • Castration may be considered in dogs not used for breeding to avoid any future problems.
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Recovery of Inability to Protrude or Retract Penis in Dogs

Recovery and management will vary slightly based on the underlying causes and severity, but typically treatment is fairly simple and a full recovery is possible. In most cases, the recovery period is quick, though this can vary if surgical intervention is required.

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Inability to Protrude or Retract Penis Average Cost

From 367 quotes ranging from $200 - $2,500

Average Cost

$650

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Inability to Protrude or Retract Penis Questions and Advice from Veterinary Professionals

Need pet health advice? Ask a vet

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Ask a Vet

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Ace

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Chihuahua

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5 Months

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Mild severity

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1 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Mild severity

Has Symptoms

Not Eating, Not Peeing, Pain

My 5 month old Chihuahua's penis has been out for about 2 days now & won't retract. I've tried everything I read o on Google & nothing has worked. It is a very bad time, financially, for a vet bill. Do you have any suggestions?

June 18, 2018

Ace's Owner

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Dr. Michele K. DVM

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1611 Recommendations

The problem with Ace's penis not being able to go back into it's sheath is that the longer it is out, the more swollen it will become, and the harder it will be to fix that problem. Unfortunately, this will probably require veterinary care for him, as he may need to be sedated and have a suture placed to keep it in until the swelling goes down. Those tissues will start to dry out and become diseased if his problem isn't resolved. Until you can get him seen, you will need to keep those tissues moist with a lubricant jelly. Many clinics do offer a 'free first exam' that may allow you to have him seen, and most clinics do offer CareCredit for unexpected expenses. I hope that everything goes well for him.

June 18, 2018

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Shaka

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Russell Terrier

dog-age-icon

6 Years

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Moderate severity

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1 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Moderate severity

Has Symptoms

Penis Tip Gets Dry And Tender

His penis won't retract completely Shaka penis tip is constantly sticking out. I've used sugar water, lubricant an a prescription for his vet. The skin gets rolled up around it. I gently unroll it but it doesn't stay in for long. It gets grass, dirt, ant bites, because his so low to the ground.

Jan. 2, 2018

Shaka's Owner


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Dr. Michele K. DVM

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1611 Recommendations

Thank you for your question. Without examining Shaka, I'm not sure what is causing this problem in him, but if it has been a long standing problem, it may be that his prepuce (the skin covering his penis) is not long enough to cover his penis. There are surgical options to correct that condition, or it can be managed by keeping it clean and moisturized. If it is a chronic problem, it would be best to have your veterinarian assess the area and give recommendations on how best to manage the problem. I hope that everything goes well for him.

Jan. 2, 2018

My male dog not getting stuck with any females during what is the problem with male dog and remedies please

Sept. 6, 2018

Satish K.

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Beaux

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Blue Heeler

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1 Year

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Critical severity

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0 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Critical severity

Has Symptoms

Pain

My dog is suffering the same. Started to bleed real bad. Took him to vet had him neutered and tip of penis sewn up to hold it in. Went back 2 weeks later and found out the head of penis is now dying and falling off. Hes on antibiotics but needs a surgery that's costly. I started a GoFundMe for him I'm waiting to see the out.come. he goes back next week. If ur dog has this problem please take to the vet iys not looking good for my baby boy. Prayers are needed

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Jr

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Chihuahua

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13 Years

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Moderate severity

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0 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Moderate severity

Has Symptoms

Unable To Retract Penis

My chihuahua is about 13 years old and about a year or two ago his red rocket would come out and not be able to retract back on its own. We took him to the bet the first time it happened and they had put it back in but then it continued to happen again and again. The vet was starting to get expensive every time we’d go in. So they told us what we could do at home if it happened again. Which is basically the sugar thing and lube. Well now, it’s gotten to the point where it’ll happen, sometimes multiple times a day and other days nothing but it sucks because my little one is very mean towards us because he thinks we’re trying to hurt him when I’m reality we’re just trying to help. I just want him to be able to pee correctly, sometimes it takes him super long to pee. We’ve switched out his food and are giving him these treats for proper digestion (when he poops and is having trouble is when it comes out too)

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Trotz

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Shorkie Tzu

dog-age-icon

10 Years

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Moderate severity

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0 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Moderate severity

Has Symptoms

Pain
Walking Tenderly

My little guy had his rocket out for 2 days and I noticed him walking funny and not eating as much. I did all the things mentioned online and it retracted. Hours later it’s back out again. Not sure if this is my life now or what to do.

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Sammy

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Dachshund

dog-age-icon

9 Years

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Serious severity

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1 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Serious severity

Has Symptoms

Irritability
Irritability, Paraphimosis, Stress,

Our 9 year old Dachshund has had paralysis of his hindquarters for about 4 years now (IVDD) - we live in a single story home with lots of tile, so he gets around find by dragging himself around the house. We know the timing of when he drinks water and when we need to express his bladder, and can often feel when his bowels are full, and can 'assist' in massaging the bowel to help him poop. He's had recurring issues with paraphimosis in the past, and it's often timed with him squeezing out some poop.. his real legs will twitch forward, and the penis comes out, and he gets incredibly agitated (often trying to bite us as we assist). About a year ago, we talked to our vet about it, and they suggested a couple stitches to the opening of the sheath, reducing the size of the opening, to prevent the penis from coming out - it helped for a while, but lately (the last 2 weeks or so), it's been happening more frequently - several times a day. We have to keep a cone on him 24/7 to keep him from licking or gnawing on the exposed penis, but he's learning how to get the cone off. the other day, his penis came out so far, probably close to 6".. the base of the penis was exposed, incredibly raw and bloody, and after several attempts with sugar water and lube, we got it back in.. but with it happening daily, we don't know what else to do.. it's almost as if the nerve damage to his spine is contributing to this issue. We are giving him Metacam daily, as well as a sedative lately, just to keep him calm.. but this is no way for our poor guy to live.. what options do we have?

Inability to Protrude or Retract Penis Average Cost

From 367 quotes ranging from $200 - $2,500

Average Cost

$650