To prevent recurrence of a perineal adenoma after surgical removal, what treatment can be used?

The recommended treatment to prevent recurrence of a perineal adenoma after surgical removal focuses on hormonal therapy because these tumors are often influenced by androgen levels. Perineal adenomas in male dogs are typically associated with testosterone, and their growth is stimulated by androgens.

Hormonal therapy, particularly the use of medications that lower testosterone levels (such as castration or administering estrogen), can significantly reduce the likelihood of recurrence. By addressing the underlying hormonal influences that promote tumor growth, this treatment aims to decrease the chance that the adenoma will return after surgical excision.

While other options like chemotherapy and radiation may be useful in treating different types of neoplasia, they are not standard methods for managing or preventing recurrence of perineal adenomas specifically. Antibiotics may be used in the event of an infection following surgery, but they do not have an impact on the tumor recurrence itself. Therefore, hormonal therapy stands out as the most appropriate choice for preventing recurrence of perineal adenoma after surgical removal.