Vaginal prolapse occurs during the latter part of gestation when estrogen concentrations increase leading to relaxation of the pelvic ligaments. At the same time internal abdominal pressure increases with the distension of the uterus.
Epidural anesthesia with 2 ml of lidocaine for an adult sheep is administered with a 20 gauge needle angled to pass between the sacrum and the first movable caudal vertebra. Xylazine (0.07 mg/kg) can be added to the lidocaine for prolonged effect and anesthesia as far forward as the flank.
Messy recurrence of a vaginal prolapse. Retention sutures were placed too close to the edges of the lips of the vulva. Sutures should be placed deep and at the line where wool growth begins.
Prolapses of the vagina typically occur during the latter part of gestation when estrogen concentrations are high. After replacement of a prolapsed vagina, this device is used to retain the prolapsed mass. The shoehorn like portion is inserted vertically into the vagina and is then turned 90 degrees. The strings are tied laterally to the wool. Ewes can subsequently lamb with the device in place, but should be observed frequently.
After replacement of a vaginal prolapse, the mass is kept in place with a prolapse paddle ("U-Saver"). The arms of the plastic device are tied to a simple home-made harness or to the wool near the tuber coxae.
This ewe with a prepartum vaginal prolapse has lambed successfully, unattended. The retainer came out at the time of parturition and ended up on top of the sheep. This demonstrates the location of attachment of the strings to the wool.
After replacement of the vaginal prolapse, the mass is kept in place with a retention device (U-Saver). The arms of the plastic device are tied bilaterally to the wool with umbilical tape. The knots may be seen on top of the wool.
After replacement of the prolapsed vagina, under epidural anesthesia, toggle pins were placed across the vulva to retain the prolapsed mass. They are readily removable when the ewe goes into labor.
Commercial truss to retain the prolapsed vagina after replacement, as seen from the rear. The yellow device is a "U-Saver" (prolapse paddle). The owner applied two different methods of prolapse retention, for added security.
Homemade rope truss in place after replacement of a prolapsed vagina. The sections of rope on each side of the vulva apply external pressure to prevent re-prolapse. No paddle has been used, so there is no stimulus for the ewe to strain, and no risk of damage to the vagina.
Prepartum prolapse of the cervix is not common. Exposure of the cervix and the vaginal mucosa will lead to drying out, contamination, infection and injury. The prolapse should be replaced and retained to prevent constriction at the time of lambing.
Tenesmus led to prolapse of the rectum as well as the vagina. A purse-string suture was placed in the anal sphincter, while the vaginal prolapse was contained with a Buehner stitch. The ewe was not pregnant.
Prolapse of the rectum must be differentiated from prolapse of the vagina. Coccidiosis or persistent coughing may have predisposed this ram lamb, which also had previous scours and bronchopneumonia.