Abstract
<jats:p>A 6-year-old Lipizzaner gelding used for carriage work was referred to the Equine Clinic of the Faculty of Veterinary Medicine, Timișoara, with penile swelling and ulcerative lesions unresponsive to five days of empirical treatment. Clinical examination identified a dorsal hematoma and circumferential ulcerative–necrotic lesions of the distal penile shaft and glans. The horse was sedated for drainage and local care. Approximately 100 mL of coagulated blood was aspirated, followed by irrigation, compression, and controlled retraction of the penis into the sheath. To maintain retraction and protect the healing tissue, a simple custom-made support device was constructed from a modified Duphaflyte® bottle, cotton padding, cohesive bandage, and transrectal gloves. Systemic therapy with penicillin–streptomycin and flunixin meglumine was administered for five days, while local treatment included cold-water hydrotherapy, heparin gel, diclofenac cream, and polyfloral honey. Progressive improvement was noted, with complete epithelialization and full functional recovery achieved within three weeks. This case demonstrates that conservative management combining timely drainage, consistent local care, and mechanical support can ensure excellent outcomes in penile trauma when vascular integrity is preserved. The successful use of an improvised Duphaflyte-based support device highlights the value of practical innovation and adaptability in equine clinical practice.</jats:p>