Surgical management of chronic recurrent genital prolapse in cows

Four non-descript cows suffering from chronic recurrent genital prolapse not responding to medical as well as endocrine therapy were treated surgically by pervaginal ovariohysterectomy. The cows had swollen and thickened hanging cervico-vaginal mass and had history of chronic recurrence at every oestrous in earlier phase, which later became fibrous and irreducible. The cows were subjected to ovariohysterectomy including resection of affected cervico-vaginal prolapsed mass through vaginal approach under mild xylazine sedation and epidural analgesia in lateral recumbency. Following catheterisation of urethra, the prolapsed mass was resected and through this opening, both the ovaries and uterus were retrieved out. Utero-ovarian vessels were ligated and then ovaries, uterus as well as prolapsed mass of cervix and part of vagina were removed. The vagina was closed by continuous sutures using chromic catgut No. 1. All the cows had uneventful recovery. The details of peri-operative management and the surgical techniques are described.