
Key Takeaway:
- Crested gecko prolapse is a condition where internal organs or hemipenes of the gecko protrude through the cloaca due to various reasons like parasites, injuries, straining, genetics, improper diet, or stress.
- Treatment involves gentle repositioning of the prolapsed tissue, applying topical ointments, keeping the gecko in a warm and humid environment, monitoring for recurrence, and seeking veterinary care if necessary.
- Preventing prolapse involves having a proper diet, hydration, and environment, avoiding handling and stress, and addressing the underlying cause.
- The cost of treatment can range from several hundred to several thousand dollars.
Crested gecko prolapse is a condition where the internal organs of a crested gecko, such as the intestine, hemipenes, rectum, or bladder, protrude through the cloaca (the opening at the base of the tail where the discharge of the digestive, urinary, and reproductive system occurs).
This article will look at the various causes of prolapse in crested geckos and how this condition can be treated.
Hemipenis Anatomy
The hemipenis is a part of the reproductive anatomy of male crested geckos. It is one of two elongated structures that are located inside the cloaca and used for mating and fertilization.
Each hemipenis has a rounded, bulbous tip that is used to deposit sperm into the female during mating.

The hemipenis is covered in spines or ridges that help it grip the female during mating and prevent slippage.
The hemipenis is not always visible, but it can sometimes be seen protruding from the cloaca during courtship or when the gecko is stressed.
It is important to avoid handling or stressing a male crested gecko, as this can cause hemipenal prolapse, which can be uncomfortable or painful for the gecko and may require veterinary treatment.
Causes Of Crested Gecko Prolapse

There are several possible causes of crested gecko prolapse, including:
Parasites
Parasites, such as mites or ticks, can irritate the cloaca, leading to prolapse.
Injuries
Physical injuries, such as a fall or being dropped, can cause prolapse.
Straining
Straining due to constipation or egg-laying can also cause prolapse.
Genetics
Some crested geckos may have a genetic predisposition to prolapse.
Improper diet
Improper diet and hydration, such as a diet that is too low in fiber or insufficient water intake, can lead to constipation and straining, which can cause prolapse.
Stress
Stress caused by handling or other environmental factors can also contribute to prolapse.
It is important to address the underlying cause of prolapse in order to prevent a recurrence. In many cases, maintaining good husbandry practices and avoiding stress can help prevent prolapse.
If a crested gecko does experience prolapse, it is important to seek veterinary care as soon as possible to avoid complications.
How To Treat Crested Gecko Prolapse
The treatment for crested gecko prolapse typically involves the following steps:
Gentle Repositioning
The prolapsed tissue should be gently pushed back into place. This can usually be done by a veterinarian or experienced reptile keeper.
Topical Ointment
Once the tissue is repositioned, a topical ointment or Vaseline can be applied to the area to help keep it in place.
Support
The gecko should be kept in a warm, humid environment and should be offered a soft substrate, such as a paper towel or coconut coir, to prevent further irritation or injury to the affected area.
Monitoring
The gecko should be monitored for any signs of recurrence or complications, such as infection or dehydration.
Veterinary Care
In severe cases, surgery may be required to correct the prolapse and prevent a recurrence. A veterinarian with experience in reptile medicine should perform any necessary procedures.

It is important to seek veterinary care as soon as possible if a crested gecko experiences prolapse.
Delaying treatment can result in complications and may make it more difficult to treat the condition successfully.
In addition to treating the prolapse, it is important to address the underlying cause to prevent a recurrence.
This may involve changing the gecko’s diet, improving its living conditions, or avoiding handling or stress.
Crested Gecko Prolapse Treatment Cost
The cost of treating crested gecko prolapse in the United States can vary depending on several factors, including the severity of the prolapse, the location of the veterinary clinic, and the types of treatments or procedures required.
In general, the cost of treating crested gecko prolapse can range from several hundred to several thousand dollars, depending on the extent of the treatment required.
The initial consultation fee with a reptile veterinarian can typically range from $50 to $150.
The cost of any necessary procedures, such as repositioning the prolapsed tissue, applying topical ointments, or performing surgery, can range from a few hundred to several thousand dollars.
In addition to the cost of the treatment itself, there may be additional costs for medications, laboratory tests, or follow-up visits.
If you are concerned about the cost of treatment, it may be helpful to discuss your options with a reptile veterinarian and explore different payment options, such as veterinary financing or payment plans.
How To Prevent Crested Gecko Prolapse
There are several steps that can be taken to help prevent crested gecko prolapse:
Proper diet
Ensure that the gecko is being fed a balanced diet that includes a variety of fresh fruits and vegetables and that provides adequate fiber to prevent constipation.
Hydration
Provide fresh, clean water at all times and ensure that the gecko is drinking enough water to stay hydrated.

Proper environment
Maintain a warm and humid environment that is appropriate for crested geckos. A temperature range of 72-75°F and relative humidity of 60-80% is ideal.
Substrate
Provide a soft substrate, such as coconut coir or paper towels, to prevent injury or irritation to the cloaca.
Avoid handling
Minimize handling of the gecko to reduce stress. If handling is necessary, be gentle and avoid gripping the tail, which can put pressure on the cloaca and increase the risk of prolapse.
Parasite control
Regularly check the gecko for any signs of parasites, such as mites or ticks, and take appropriate measures to control them if necessary.
Veterinary care
Regular check-ups with a reptile veterinarian can help identify any potential health issues, including prolapse, early on and allow for prompt treatment.
By maintaining a healthy diet, and environment, and reducing stress, owners can help reduce the risk of crested gecko prolapse and ensure their pets’ health and well-being.
If a crested gecko does experience prolapse, it is important to seek veterinary care as soon as possible to avoid complications.
Summary
Crested gecko prolapse is a treatable and preventable condition. With proper husbandry and minimal stressors, you can prevent prolapse of your crested gecko’s tissues.
Additionally, monitoring the health of your crested gecko regularly will allow you to identify any early signs of prolapse and get quick treatment.