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Prolapsed Hemipene!

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  • 03-20-2009, 09:28 PM
    muddoc
    Prolapsed Hemipene!
    It's time for Home Veterinarian Care Part II, with Tim.
    NOTE: These episodes are not planned! LOL

    Disclaimer: I did not act alone in this diagnosis. I consulted with two of my mentor home Veternarians before applying this treatment (Sean Bradley and Adam Wysocki). The story is below.

    I went to the snake room this evening to put some males in with females. I got through about 15 pairings, and got to the last male. Skippy the BumbleBee was scheduled togoin with the currently unnamed Lemon Blast female #2. Well, I slid out the tub and picked up Skippy. OH NO. What is that. A prolapsed hemipene. What now?

    Unfortunately I did not get pictures of the scene when I first found it, but his hemipene was extremely engorged, and was very dry looking. Upon inspecting a little closer (which means touching it), the "scab", for lack of a better term, started to fall off. The scab casing came off pretty easily to reveal the soft tissue. However, this did leave a small bit of blood as well. The first step was to rinse it off, and try to get some water on it and remoisten it. I then emptied his tub of aspen bedding and replaced it with moist paper towels. This was to try and keep anything from aggravating the problem further, and keep his hemipene from drying out and falling off.

    At this point, I made my two phone calls (to the Veteranarian mentors) and concocted a course of treatment, and of course got the camera for visual documentation of the event. Below are the pictures of the prolapsed hemipene.

    p.s. Sean said not to worry, that is why God gave them 2. However, we are going to try and save this one as well, and don't want any chance of infection from an exposed organ.

    http://www.baileyreptiles.com/pics/pene1.jpg

    http://www.baileyreptiles.com/pics/pene2.jpg

    The recommended treatment was as follows. Mix up a sugar/water paste. Meaning, do not dissolve all of the sugar, but make a very pasty concotion of water and sugar. Sugar is hydrophilic (meaning it loves water and absorbs as much as possible). Like when you leave a sucker in your mouth for a while, your inner cheeks get wrinkly. Sugar, like salt, is a dessicant, and will dry out tissue. After the paste is mixed, take the male by the tail, and palpate the animal backwards (from tail towards head). The reason for this, is the muscles that control the penes are on the opposite side of the cloaca from the hemipenes. Palpate them in an effort to stretch them out. At the same time, attempt to push the hemipene vback into the cloacal vent. After you have got the pene as far back in as possible, liberally spread the paste onto the remaining pene. This will hopefully help toshrink the pene, and allow the animal to pull the hemipene back into the body.

    If it is still hanging out tomorrow, we will apply the same treatment, untilthe problem is resolved. I will update everyone over the course of the next week, as to the outcome of this event. My plan at the moment is to remove him from the breeding program, unless he appears to be normal after a minimum of 3 weeks, and I can manually evert his penes, and he retracts them on his own. I will keep a record here as to how the progress goes over the next month ( and intonext season if need be).

    I hope this may help someone one day with what I deem as a rare occurance. Specail thanks to Sean and Adam for the wisdom.

    Signed,
    Dr. Tim (LOL)
  • 03-20-2009, 09:32 PM
    littleindiangirl
    Re: Prolapsed Hemipene!
    Great post Tim, I hope things clear up by tomorrow. :gj:
  • 03-20-2009, 09:52 PM
    Slim
    Re: Prolapsed Hemipene!
    Great information Tim. I hope the little dude makes a full recovery.
  • 03-20-2009, 09:58 PM
    Spaniard
    Re: Prolapsed Hemipene!
    Awsome post thanks a lot Tim. Special thanks to your medical consults as well... hehe
  • 03-20-2009, 10:29 PM
    mechnut450
    Re: Prolapsed Hemipene!
    I hope everythign goes well . but you must inform your snake the blue pill was not for him :rolleye2:
  • 03-20-2009, 10:29 PM
    Beardedragon
    Re: Prolapsed Hemipene!
    I hope he gets better! And clip those nails...
  • 03-20-2009, 10:36 PM
    Ladydragon
    Re: Prolapsed Hemipene!
    wow. hope the little dude recovers soon.
  • 03-20-2009, 10:42 PM
    muddoc
    Re: Prolapsed Hemipene!
    Quote:

    Originally Posted by Beardedragon View Post
    I hope he gets better! And clip those nails...

    Thanks Matt. Those nails are for removing stuck sheds. So they typically stay a bit long.
  • 03-21-2009, 12:03 AM
    frankykeno
    Re: Prolapsed Hemipene!
    I hope he makes a full recovery and thanks Tim for the educational thread.

    You know it's funny but I remember reading a book years ago about a country vet and one of his "cures" for prolapsed uterus in sows after they gave birth was to pour sugar on the organ to help shrink it before manipulating it back inside the animal. Hope it works on snakes too.
  • 03-21-2009, 01:20 AM
    kc261
    Re: Prolapsed Hemipene!
    I hope the sugar does its job and he is able to retract it!
  • 03-21-2009, 01:25 AM
    Boanerges
    Re: Prolapsed Hemipene!
    That's a shame!!! Good luck!!!
  • 03-21-2009, 09:11 AM
    muddoc
    Re: Prolapsed Hemipene!
    As of this morning, his hemipene is still exposed. However, it has only been about 12 hours. The color seems to have turned to a paler pink, which indicates the blood draining out to me, and it seems to have shrunk some. So, I applied another treatment of sugar paste, and will watch it throughout the day.

    Another update this evening.
  • 03-21-2009, 06:29 PM
    frankykeno
    Re: Prolapsed Hemipene!
    Hoping for the best!
  • 03-21-2009, 07:29 PM
    Peter Williams
    Re: Prolapsed Hemipene!
    I recall in RDR's youtube video where one of his pastel het lavender albino males had a prolapsed rectum, he said he used Preparation H to get the rectum to back in when the male had done it in the past. However he did end up sending him to Scott Stahl (on reptile radio 03/29/09) to get fixed up. I know it is designed to treat hemmorhoids, which is likely why it worked on the snakes rectum, but perhaps it works on the same principle? By sucking the water out of the tissue and making it go back in? The reason I say this is because perhaps it would be better to use a cream as opposed to a rough sugar paste. I know I would prefer the former...

    Obviously I am most definately a n00b at stuff like this, I would never doubt anything you do Tim, and I would certainly trust advice from Sean and Adam, but I just thought I would share my two cents.

    For anyone interested in seeing the videos:
    YouTube - Prolapsed Rectum In A Ball Python
    YouTube - Prolapsed Rectum - " All Healed Up"
  • 03-22-2009, 10:27 AM
    muddoc
    Re: Prolapsed Hemipene!
    Thanks for the videos Peter. I have not had any luck so far. I have pushed his hemipene back in another three times, and applied the sugar water. He still continues to leave it everted. He may be making a trip to LSU soon. I'll keep you guys in the loop.
  • 03-22-2009, 12:23 PM
    nwheat
    Re: Prolapsed Hemipene!
    I've had this issue with my geckos a couple of times.

    The first time, I tried a sugar paste, honey, and prep H. Prep H seemed to help somewhat, but not enough. I took him in to the vet where she tried reinserting the hemipene, but it would not stay in place. She add a stitch on one side - this made defecation messy for a while, but he wasn't eating much during this time anyway. She also gave me some pain/swelling medication for him. I've used that in a number of cases - works great on the swelling aspect. Everything stayed where it was supposed to when the stitch came out and we were able to save the hemipene.

    The second time Prep H was enough to do the job and no vet visit was required.

    Good luck with him!
  • 03-22-2009, 08:47 PM
    muddoc
    Re: Prolapsed Hemipene!
    Well,
    here is the update from tonight. Thanks for the post Nancy, you will find many similarities in this post.

    Sean came by this evening, to pick up some equipment. While here was here, I asked him to look at the Bee before I sent him to Havier at LSU. Sean looked, and asked fora probe set. With the help of the probe set and some fancy manuvering, he was able to get the hemipene back into the tail. After returning it, we put a bandaid on it. The first thing I asked was about defecation. Sean said thatv the vet would probably sew it shut anyway. At worst, he would have some waste backed up when I remove the band-aid. We'll just have to watch him, and help to palpate any built up waste out after we remove the band-aid (in about 7b days). The band-aid looks a little tight, but I will probably put a new one on tomorrow, and loosen it if it looks like it is healing and staying in place. I'll keep up. Here is the pick.

    http://www.baileyreptiles.com/pics/penefix3.jpg
  • 03-22-2009, 09:10 PM
    SatanicIntention
    Re: Prolapsed Hemipene!
    Hey Tim, after you take the bandaid off, I would see if you can pack some hemmorhoidal ointment in there and then put a non-stick gauze pad on top, then wrap with vet wrap. The vet wrap is a bit more breathable and won't constrict the vessels to the tail. :)
  • 03-23-2009, 01:28 PM
    muddoc
    Re: Prolapsed Hemipene!
    Thanks for the tips Becky. Does the vet wrap work that good? I would think they could roll it off too easily.
  • 03-23-2009, 01:40 PM
    Freakie_frog
    Re: Prolapsed Hemipene!
    Wow Tim frist of all I'm sorry to hear that the little boy is doing poorly. I will have to say though that over the last year or so you have become quite the home vet.

    I hope that Seans fix work for ya in time to get it with that Blast. :D

    P.S. I'm in your neck of the woods the weekend of Passover..I need to stop by have a beer and catch up.
  • 03-24-2009, 01:35 PM
    muddoc
    Re: Prolapsed Hemipene!
    Ed,
    He has made it in with the Blast and copulated about 3 or 4 times. He has been in with about 7 girls this year (one of which will ovulate in the next week). So, at least if he doesn't ever decide to breed again, I may have a replacement for him in a couple months.
  • 03-24-2009, 05:06 PM
    West Coast Jungle
    Re: Prolapsed Hemipene!
    Thanks so much for sharing all this Tim. Always helps to hear how others have dealt with a situation.:salute:
    Hope the viagra wears off and he's back to normal in no time:gj:
  • 03-24-2009, 05:09 PM
    Freakie_frog
    Re: Prolapsed Hemipene!
    Quote:

    Originally Posted by muddoc View Post
    Ed,
    He has made it in with the Blast and copulated about 3 or 4 times. He has been in with about 7 girls this year (one of which will ovulate in the next week). So, at least if he doesn't ever decide to breed again, I may have a replacement for him in a couple months.

    WOW!!

    Sounds like your going to be hitting on some really cool stuff this year. Best of luck and thanks for sharing your experience. As always its sobering to see that someone shows how thing do happen.

    again thanks for shareing. :D
  • 03-30-2009, 08:07 PM
    muddoc
    Re: Prolapsed Hemipene!
    I just wanted to take a minute to post an update after a week has gone by. I removed his bandaid on Sunday, and placed him on some paper towels. I think I am going to leave him on the paper towels for at least a month to watch his healing process. After looking at him yesterday, I have decided to remove him from the breeding program for the remainder of the year for his safety. I have a female that has ovulated from him, and has 9 eggs. So, we may get a replacement for him, but just in case, I may need him next year. His hemipene looks pretty good, but doesn't look like it is fully inverted. I am really anticipating the next bowel movement, as I believe that pressure on the vent will give us some better understanding of what will happen next. I will post some more updates in the future if anything changes.

    p.s. I have not got up the courage yet to try and pop him and evert the pene, as I am not sure if it comes out, if it will go back in. Maybe after he has had several months to heal, we'll give it a try.

    Here is a pictureof him on Sunday evening.
    http://www.baileyreptiles.com/pics/penefix4.jpg
  • 03-30-2009, 08:36 PM
    West Coast Jungle
    Re: Prolapsed Hemipene!
    Nice work Tim, glad I'm not him, looks kinda sore.
  • 03-30-2009, 08:53 PM
    frankykeno
    Re: Prolapsed Hemipene!
    Awww poor fella, that does look sore. Glad he's in your capable hands though.
  • 04-02-2009, 10:46 PM
    hoax
    Re: Prolapsed Hemipene!
    Thanks for the information Tim! You should post your little @ home vet care on your website!

    Mike
  • 04-03-2009, 10:06 AM
    muddoc
    Re: Prolapsed Hemipene!
    Quote:

    Originally Posted by hoax View Post
    Thanks for the information Tim! You should post your little @ home vet care on your website!

    Mike


    Actually my lazy butt has been working on a Grace page for about 3 months now. It's about 80% complete, but I keep putting it off. As soon as I get the Grace page done, I will probably do one on this as well. I have long been wanting to add an Articles page to the website, so that I could have a little more content (i.e. Care Sheet, egg incubating, the breeding process, etc.) Hopefully I can have all of this new content and new page built on the site by the end of the year.
  • 04-03-2009, 10:29 AM
    Freakie_frog
    Re: Prolapsed Hemipene!
    Nice to see he's at least no dragging his stuff all the time..Hopefully a year of rest will fix him up. :D
  • 04-10-2009, 11:47 AM
    m0esgirl
    Re: Prolapsed Hemipene!
    did anyone else notice the nail trim? :D
  • 04-13-2009, 11:47 AM
    muddoc
    Re: Prolapsed Hemipene!
    Quote:

    Originally Posted by m0esgirl View Post
    did anyone else notice the nail trim? :D

    I'm glad somebody did. I tend to let my nails grow, it helps with shedding snakes that have issues.
  • 04-13-2009, 03:21 PM
    muddoc
    Re: Prolapsed Hemipene!
    By the way,
    I meant to post a bit of an update while I was veiwing this thread. This past Saturday, I di start to pop him, and got the hemipene to partially evert. I didn't want to apply to much pressure and get the full pene to evert, for fear of it staying exposed again. However, after I let the pressure off, his pene did retract back into the vent. SO, I look at that as positive progress. What little of the pene I could see, showed small traces of blood, and appeared to still be a bit raw. He did expel waste this past week into the tank in the form of uriates and fecal matter, so the pressure applied to the cloacal area didn't seen to have a negative impact.

    I have one very important female that he was breeding this seaqson, and I think I might try to introduce him to just her after he has shed one time.

    I will post any further updates here as they occur.
  • 04-13-2009, 05:01 PM
    Larry Suttles
    Re: Prolapsed Hemipene!
    Great thread Tim. Some great info brother I appreciate you sharing it...
  • 04-14-2009, 02:11 PM
    muddoc
    Re: Prolapsed Hemipene!
    Quote:

    Originally Posted by Larry Suttles View Post
    Great thread Tim. Some great info brother I appreciate you sharing it...

    Thanks Brother. I hope noone ever has to use the info, but if they have something similar happen, at least it has been documented. I hope that if it ever arises for someone else, something in here proved to be helpful.
  • 04-27-2009, 02:59 AM
    DeepSouthSerpents
    Re: Prolapsed Hemipene!
    Hey thanks so much for this post, it really helped me because this happened to one of my snakes a couple days ago. I believe it happened while he was having a bowel movement and it just did not retract. And it scared me at first because I had heard of it but I had never seen it in any of my snakes. I tried to gently ease it back as much as possible and tonight it looks exactly like your last picture, with a little bit of it still being visible from the vent. I've given him several cold baths and have been using the sugar paste. I'm really anticipating his next bowel movement to see what happens. If it prolapses again, we're going to the vet :(
  • 04-27-2009, 06:51 AM
    frankykeno
    Re: Prolapsed Hemipene!
    Tim you're openess in sharing these situations is so valuable. It looks like it's also been timely for another member here facing a similar situation. I think you deserve an honorary vet license LOL.
  • 04-27-2009, 02:10 PM
    muddoc
    Re: Prolapsed Hemipene!
    Deep South,
    I am very happy to know that this has helped you. That is the point of the whole info sharing.

    Jo,
    Thanks for the honorary license, I will treasure it.

    Lastly, I thought I would post an update on my guy. Last week, I decided to fully evert his hemipenes, to see how they looked, and see if he would pull them fully back in. Well, they cam out fine, but the prolapsed pene looks alot whiter than the other one. I am not sure he got the blood flow back in that one. When I released the pressure, they both retracted with no issues. So, after that test, I decided that I would take the chance and put him in with on of the more important females from his line up this year (a big VPI Axanthic girl). Well, I am pleased to say that this morning he was breeding, although, as expected, he was using his "good" pene. So far, this whole thing has been a success. I will let everyone know how he is doing after he his done copulating. I believe that will be the last test.
  • 04-27-2009, 04:39 PM
    kylesreptiles
    Re: Prolapsed Hemipene!
    Glad to hear he is copulating. Hope all goes well
  • 04-27-2009, 05:26 PM
    AaronP
    Re: Prolapsed Hemipene!
    Good to hear he's breeding Tim!
  • 06-06-2009, 11:06 PM
    th3jok3r
    Re: Prolapsed Hemipene!
    lol so is that what we do if it last for more than 4 hours??!!? :rofl:
  • 02-03-2010, 01:04 AM
    kc261
    Re: Prolapsed Hemipene!
    Another thread reminded me of this guy, and I think you owe us one or 2 more updates on this one Tim!

    Was he fine after he was done copulating? And, did he successfully sire babies?
  • 02-03-2010, 04:48 PM
    muddoc
    Re: Prolapsed Hemipene!
    Casey,
    He did successfully sire 5 Bees last year, and is breeding with gusto this year. I have been able to confirm that he has used the pene that was damaged after it healed. He has used both penes this year.

    I actually have another male that is experiencing pene issues this year, but they are slightly different, and I haven't determined exactly what is going on, but I am working on repairing it. I may have to post up some more details about this other issue, if I ever find out exactly what is going on, and if the solutioon will fix it. I think he may be out for the whole season this year (it's a Pewter this time).

    With the above said, the lesson I have taken from this, is to check the cloaca and the overall pene health every time I pull the male from a tub. Just a quick look has helped me to id problems before the get worse, if one exists.
  • 02-03-2010, 10:55 PM
    kc261
    Re: Prolapsed Hemipene!
    Thanks for the update Tim! Good to hear that he is doing so well.
  • 05-02-2010, 08:27 PM
    Repsrul
    Re: Prolapsed Hemipene!
    I had a bit of a scare a couple of weeks ago when I was going to remove some males from the female tubs. My Butter male was sitting on top of the female and I noticed his hemipene was out. The first thought that went through my head was what is this knuckle head doing. As I look closer it just did not look right. I pick him up and oh no, he has a prolapsed hemipene. The first thing I did was remove all of the bedding from his enclosure and lined it with moist paper towels. I then cleaned the area of any debris. Then tried to remember where I saw someone post about a prolapsed hemipene.

    When I finally found it I did exactly what it said with the sugar and water. With in an hour he retracted his hemipene. I was relieved. I checked on him the next morning and he seemed fine. After a week I gently popped him and everything was back to normal even had a huge sperm plug. I guess I caught it in time. I check all of my Ball Pythons every day no matter what.

    I would like to say Thanks to Tim for this every informative post. It helped me out a ton. Here are a few pictures of his prolapsed hemipene:
    http://i181.photobucket.com/albums/x...emiPeni3-1.jpg

    http://i181.photobucket.com/albums/x...emiPeni2-1.jpg

    http://i181.photobucket.com/albums/x...emiPeni1-1.jpg
  • 05-02-2010, 09:00 PM
    loonunit
    Re: Prolapsed Hemipene!
    Can we have some more follow-up images please? Thanks!
  • 05-05-2010, 10:23 AM
    muddoc
    Re: Prolapsed Hemipene!
    Quote:

    Originally Posted by Repsrul View Post
    I had a bit of a scare a couple of weeks ago when I was going to remove some males from the female tubs. My Butter male was sitting on top of the female and I noticed his hemipene was out. The first thought that went through my head was what is this knuckle head doing. As I look closer it just did not look right. I pick him up and oh no, he has a prolapsed hemipene. The first thing I did was remove all of the bedding from his enclosure and lined it with moist paper towels. I then cleaned the area of any debris. Then tried to remember where I saw someone post about a prolapsed hemipene.

    When I finally found it I did exactly what it said with the sugar and water. With in an hour he retracted his hemipene. I was relieved. I checked on him the next morning and he seemed fine. After a week I gently popped him and everything was back to normal even had a huge sperm plug. I guess I caught it in time. I check all of my Ball Pythons every day no matter what.

    I would like to say Thanks to Tim for this every informative post. It helped me out a ton. Here are a few pictures of his prolapsed hemipene:

    You are very welcome. This is exactly why I like to post these crazy things. I always hope that my crazy stories can help someone else with similar problems. Congrats on catching it early and being able to utilize that male for the rest of the season. I hopoe you get some beautiful offspring from him this year.
  • 02-11-2013, 12:05 AM
    ChynaAndMike
    Re: Prolapsed Hemipene!
    HELP! PLEASE!
    I HAVE A BABY BOY, I BELIEVE HE IS ABOUT 8 MONTHS NOW, I (LIKE AN IDIOT) ALLOWED HIM TO BE PROBED TO DISCOVER HIS GENDER AT THE FLEA MARKER ABOUT 2 MONTHS AGO. SINCE HE HAS EATEN AND DEFECATED ABOUT THREE TIMES. ON HIS LAST FEEDING HE HAD DIARRHEA.
    MY BOYFRIEND TOLD ME ABOUT IT AND WHEN I CAME HOME TO CHANGE HIS NEWSPAPER BEDDING (WE RECENTLY CHANGED B/C WE HAD A BAD MOLD EXPERIENCE WITH SOME BEDDING THAT WE PURCHASED FROM A FAMILY FRIEND)
    UPON WASHING OUT HIS CAGE I NOTICED HIS BUT HAD A SMALL PINK BUBBLE.
    http://img.photobucket.com/albums/v1...210_205903.jpg
    http://img.photobucket.com/albums/v1...205_125544.jpg

    BECAUSE i'M EXTREMELY STUPID AND DIDN'T THINK TO LOOK HERE FIRST, I IMMEDIATELY DEFAULTED TO HAVE MY BOYFRIEND TAKE HIM TO THE PLACE I PURCHASED HIM AT TO HAVE THE "EXPERT TAKE A LOOK" HE ADVISED MY BF TO SOAK HIM IN WARM WATER FOR 30 MINUTES AND USE VASELINE/OLIVE OIL TO LUBRICATE HIS HEMIPENE AND GENTLY HELP THE SNAKE PUSH IT BACK IN. MYBOYFRIEND TRIED ... IT DIDN'T WORK.
    I CALLED THE VET, OF COURSE THEY WANT A RUMP, A MILLION BUCKS AND A HANDSHAKE, SO I CAN'T AFFORD TO HAVE HIM FIXED PROFESSIONALLY(AT LEAST NOT CURRENTLY) IN THE MEAN TIME THIS ALL HAPPENED LAST THURSDAY(3 DAYS AGO)
    HE'S BEEN CURLED UP IN HIS ENCLOSURE BEHIND A ROCK AND IT FINALLY HIT ME TO COME HERE.
    THIS IS WHAT HE LOOKED LIKE TODAY WHEN I GOT HOME
    http://img.photobucket.com/albums/v1...210_204321.jpg
    http://img.photobucket.com/albums/v1...210_205910.jpg
    http://img.photobucket.com/albums/v1...210_204409.jpg
    HE WOULDN'T KEEP STILL. BUT I FOUND POOP IN HIS ENCLOSURE
    I DIPPED HIS TAIL IN LUKEWARM WATER AND USED A FEW Q-TIPS TO CLEAN UP THE "LEFTOVERS" AND DEBRI, I REMOVED WHAT APPEARED TO BE A SCAB AS WELL
    http://img.photobucket.com/albums/v1...s/DSCF3206.jpg
    http://img.photobucket.com/albums/v1...210_205903.jpg
    I ALSO HAD BY BOYFRIEND BUY PAPER TOWELS AND STARTED TO MESSAGE HIM AS THIS ARTICLE STATES. IT LOOKS TO HAVE GONE IN SOME AND I CAN TELL HE'S TRYING TO PULL IT IN, SO I AM ABOUT TO MAKE THE SUGAR PASTE TO SHRINK IT SOME TO HELP HERE IS A BEFORE PICTURE
    http://img.photobucket.com/albums/v1...0_210002-1.jpg

    PLEASE WISH ME LUCK AND DON'T HESITATE TO GIVE ME ANY... I MEAN ANY ADVICE. I'VE HAD A CORN SNAKE BEFORE, BUT THIS IS HUGE FOR US. I APPRECIATE ALL HELP
  • 02-11-2013, 12:26 AM
    ChynaAndMike
    Re: Prolapsed Hemipene!
    I know this sounds silly, but am i supposed to rinse off the sugar paste immediately? If not, how long should it remain on before i rinse it?
    Quote:

    Originally Posted by muddoc View Post
    it's time for home veterinarian care part ii, with tim.
    Note: These episodes are not planned! Lol

    disclaimer: I did not act alone in this diagnosis. I consulted with two of my mentor home veternarians before applying this treatment (sean bradley and adam wysocki). The story is below.

    I went to the snake room this evening to put some males in with females. I got through about 15 pairings, and got to the last male. Skippy the bumblebee was scheduled togoin with the currently unnamed lemon blast female #2. Well, i slid out the tub and picked up skippy. Oh no. What is that. A prolapsed hemipene. What now?

    Unfortunately i did not get pictures of the scene when i first found it, but his hemipene was extremely engorged, and was very dry looking. Upon inspecting a little closer (which means touching it), the "scab", for lack of a better term, started to fall off. The scab casing came off pretty easily to reveal the soft tissue. However, this did leave a small bit of blood as well. The first step was to rinse it off, and try to get some water on it and remoisten it. I then emptied his tub of aspen bedding and replaced it with moist paper towels. This was to try and keep anything from aggravating the problem further, and keep his hemipene from drying out and falling off.

    At this point, i made my two phone calls (to the veteranarian mentors) and concocted a course of treatment, and of course got the camera for visual documentation of the event. Below are the pictures of the prolapsed hemipene.

    P.s. Sean said not to worry, that is why god gave them 2. However, we are going to try and save this one as well, and don't want any chance of infection from an exposed organ.

    http://www.baileyreptiles.com/pics/pene1.jpg

    http://www.baileyreptiles.com/pics/pene2.jpg

    the recommended treatment was as follows. Mix up a sugar/water paste. Meaning, do not dissolve all of the sugar, but make a very pasty concotion of water and sugar. Sugar is hydrophilic (meaning it loves water and absorbs as much as possible). Like when you leave a sucker in your mouth for a while, your inner cheeks get wrinkly. Sugar, like salt, is a dessicant, and will dry out tissue. After the paste is mixed, take the male by the tail, and palpate the animal backwards (from tail towards head). The reason for this, is the muscles that control the penes are on the opposite side of the cloaca from the hemipenes. Palpate them in an effort to stretch them out. At the same time, attempt to push the hemipene vback into the cloacal vent. After you have got the pene as far back in as possible, liberally spread the paste onto the remaining pene. This will hopefully help toshrink the pene, and allow the animal to pull the hemipene back into the body.

    If it is still hanging out tomorrow, we will apply the same treatment, untilthe problem is resolved. I will update everyone over the course of the next week, as to the outcome of this event. My plan at the moment is to remove him from the breeding program, unless he appears to be normal after a minimum of 3 weeks, and i can manually evert his penes, and he retracts them on his own. I will keep a record here as to how the progress goes over the next month ( and intonext season if need be).

    I hope this may help someone one day with what i deem as a rare occurance. Specail thanks to sean and adam for the wisdom.

    Signed,
    dr. Tim (lol)

  • 04-09-2014, 10:58 AM
    Murvel
    my males left hemipenes falls out when he is popping! what do i do? it dosent go out much its just like 1mm but still wants to know what is going on and what to do abaut it! Please help me!
  • 09-26-2014, 12:31 AM
    Running Elk
    Re: Prolapsed Hemipene!
    Quote:

    Originally Posted by ChynaAndMike View Post
    HELP! PLEASE!
    I HAVE A BABY BOY, I BELIEVE HE IS ABOUT 8 MONTHS NOW, I (LIKE AN IDIOT) ALLOWED HIM TO BE PROBED TO DISCOVER HIS GENDER AT THE FLEA MARKER ABOUT 2 MONTHS AGO. SINCE HE HAS EATEN AND DEFECATED ABOUT THREE TIMES. ON HIS LAST FEEDING HE HAD DIARRHEA.
    MY BOYFRIEND TOLD ME ABOUT IT AND WHEN I CAME HOME TO CHANGE HIS NEWSPAPER BEDDING (WE RECENTLY CHANGED B/C WE HAD A BAD MOLD EXPERIENCE WITH SOME BEDDING THAT WE PURCHASED FROM A FAMILY FRIEND)
    UPON WASHING OUT HIS CAGE I NOTICED HIS BUT HAD A SMALL PINK BUBBLE.
    http://img.photobucket.com/albums/v1...210_205903.jpg
    http://img.photobucket.com/albums/v1...205_125544.jpg

    BECAUSE i'M EXTREMELY STUPID AND DIDN'T THINK TO LOOK HERE FIRST, I IMMEDIATELY DEFAULTED TO HAVE MY BOYFRIEND TAKE HIM TO THE PLACE I PURCHASED HIM AT TO HAVE THE "EXPERT TAKE A LOOK" HE ADVISED MY BF TO SOAK HIM IN WARM WATER FOR 30 MINUTES AND USE VASELINE/OLIVE OIL TO LUBRICATE HIS HEMIPENE AND GENTLY HELP THE SNAKE PUSH IT BACK IN. MYBOYFRIEND TRIED ... IT DIDN'T WORK.
    I CALLED THE VET, OF COURSE THEY WANT A RUMP, A MILLION BUCKS AND A HANDSHAKE, SO I CAN'T AFFORD TO HAVE HIM FIXED PROFESSIONALLY(AT LEAST NOT CURRENTLY) IN THE MEAN TIME THIS ALL HAPPENED LAST THURSDAY(3 DAYS AGO)
    HE'S BEEN CURLED UP IN HIS ENCLOSURE BEHIND A ROCK AND IT FINALLY HIT ME TO COME HERE.
    THIS IS WHAT HE LOOKED LIKE TODAY WHEN I GOT HOME
    http://img.photobucket.com/albums/v1...210_204321.jpg
    http://img.photobucket.com/albums/v1...210_205910.jpg
    http://img.photobucket.com/albums/v1...210_204409.jpg
    HE WOULDN'T KEEP STILL. BUT I FOUND POOP IN HIS ENCLOSURE
    I DIPPED HIS TAIL IN LUKEWARM WATER AND USED A FEW Q-TIPS TO CLEAN UP THE "LEFTOVERS" AND DEBRI, I REMOVED WHAT APPEARED TO BE A SCAB AS WELL
    http://img.photobucket.com/albums/v1...s/DSCF3206.jpg
    http://img.photobucket.com/albums/v1...210_205903.jpg
    I ALSO HAD BY BOYFRIEND BUY PAPER TOWELS AND STARTED TO MESSAGE HIM AS THIS ARTICLE STATES. IT LOOKS TO HAVE GONE IN SOME AND I CAN TELL HE'S TRYING TO PULL IT IN, SO I AM ABOUT TO MAKE THE SUGAR PASTE TO SHRINK IT SOME TO HELP HERE IS A BEFORE PICTURE
    http://img.photobucket.com/albums/v1...0_210002-1.jpg

    PLEASE WISH ME LUCK AND DON'T HESITATE TO GIVE ME ANY... I MEAN ANY ADVICE. I'VE HAD A CORN SNAKE BEFORE, BUT THIS IS HUGE FOR US. I APPRECIATE ALL HELP

    I would take him to the vet. If yours wants tons of money, I'd consider searching around.

    I had to take one of my snakes to the vet for a prolapsed hemipene, and the bill was less than $200. He was bought from a pet store, and his hemipene was prolapsed when I got him. It had been out for god knows how long, and had become infected, with necrotic flesh. I felt bad for him, plus he was a beautiful snake, so I bought him cheaply and promptly took him to the vet. They actually had to remove his hemipene, because it was so bad off. He has scar tissue, but he's otherwise healthy and happy now.

    The diarrhea is my biggest concern with your snake. His life may depend on a vet visit.
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