Mares and horses are integral components of equine studies, focusing on the reproductive and behavioral aspects of equine biology. Mares, or adult female horses, play a significant role in breeding programs and are often studied for their reproductive physiology, gestation, and maternal behaviors. Horses, as a broader category, encompass both sexes and all age groups, providing a comprehensive view of equine anatomy, physiology, and behavior. Research in this area often investigates the differences and similarities between mares and other horses in terms of hormonal cycles, reproductive health, and social interactions. This page compiles peer-reviewed studies and scholarly articles that explore the biological and behavioral characteristics of mares and horses, offering insights into their roles in equine science and management.
Stewart DR, Stabenfeldt GH, Hughes JP.Plasma relaxin concentrations were measured hourly by radio immunoassay in 4 pregnant mares from 11 days before until 4 days after natural foaling. Pre-partum levels ranged from 4 to 7 ng/ml without any surge until the second stage of labour when they increased rapidly to about 11 ng/ml. In 3 of these mares, relaxin activity declined immediately after the expulsion of the placenta and was below detectable levels within 36 h. In the other mare relaxin activity did not fall until after the mechanical removal of the placenta 7 h after foaling. Eight mares were induced to foal by the administratio...
Weitkamp LR, MacCluer JW, Guttormsen S, McKnight J, Wert N, Witmer J, Boyce P, Egloff J.Reproductive performance of 10 Standardbred stallions was related to the probability that the embryo resulting from a given mating would be heterozygous for transferrin or plasma esterase. Fertility, measured by foaling rate per insemination or by foaling rate per year, showed a highly significant regression on the probability of offspring heterozygosity for transferrin and, to lesser extent, for esterase. Substantial differences between stallions in the slope of the regression line and no deficiency of foals homozygous for either protein suggests that the relationship to fertility is indirect...
Kydd J, Miller J, Antczak DF, Allen WR.The maternal immunological response to the developing equine fetus was investigated in 69 pregnancies of various genotypes. In normal intraspecies horse pregnancy (N = 16), 94% of mares produced strong cytotoxic antibody responses to paternal histocompatibility antigens which were first detectable between 44 and 70 days after ovulation. In all other types of pregnancy examined (intraspecies donkey, N = 19; interspecies mule, N = 6; interspecies hinny, N = 2; extraspecies horse-in-donkey, N = 3; and extraspecies donkey-in-horse, N = 21), antibody production was observed less frequently, and som...
Chevalier F, Palmer E.Ultrasonic echography in the mare allows pregnancy diagnosis as early as Day 14 after ovulation. In the 1980 and 1981 breeding seasons, a total of 7438 examinations of 4688 mares were performed on several farms with the same apparatus. The accuracy of positive pregnancy diagnosis was estimated to be greater than 95% and of non-pregnancy diagnosis greater than 84%. When abnormal pictures of vesicles are found, it has to be decided whether it is a conceptus or a cystic structure. Most small vesicles do not develop, whereas large ones, deformed shapes, presence of some echoes, or a division insid...
Zavy MT, Sharp DC, Bazer FW, Fazleabas A, Sessions F, Roberts RM.Uterine secretions were obtained on Days 4, 8, 12, 14, 16, 18 and 20 of the oestrous cycle and early pregnancy. Acid phosphatase activity was significantly affected by day of the cycle, reaching a maximum at days 12-14 during the luteal phase and then declining to almost undetectable levels, by Day 20. In pregnant animals, activity continued to increase beyond Day 14. Two-dimensional polyacrylamide gel electrophoresis showed that albumin was a major component. However, a number of unique proteins of non-serum origin appeared in mid-cycle but had disappeared by Day 20. One of these was a basic ...
Saltiel A, Calderon A, Garcia N, Hurley DP.Ovarian activity, as measured by the presence of small (10-15 mm diam.), medium (15-30 mm) and large (greater than 30 mm) follicles, corpora haemorrhagica and corpora lutea (CL), was determined in a total of 3584 ovaries during 1 year using post-mortem specimens. There were significant correlations of the incidence of ovulated follicles (ovulations), large and medium follicles (P less than 0 . 001) and of the mean number of small follicles (P less than 0 . 05) per mare with respect to season. The yearly averages of ovulated, large and medium follicles were 30 . 1, 13 . 9 and 73 . 9%, respectiv...
Leishman D, Miller RB, Doig PA.The density of uterine glands, height of surface epithelium, numbers of hemosiderin laden macrophages, inflammatory cells and layers of periglandular fibrosis were evaluated in uterine biopsies from 40 mares. These features were found to be highly variable in normal equine endometrium. Minor pathological changes appeared to be masked by this normal variability. Atrophy of uterine glands was recognized in mares which had been barren for more than three years. No significant differences were found between barren and normal mares in the height of epithelium, number of hemosiderin laden macrophage...
Acland HM, Allen PZ, Kenney RM.Twenty-three of 24 mares were infected experimentally with contagious equine metritis organisms by intrauterine inoculation, and killed 2-116 days later. From mares killed within 14 days after infection the organism could be recovered from many sites in the uterus, and most sites in the cervix, a few sites in the vagina and oviduct and from one clitoral sinus. At this time the endometrial folds were swollen and there were 10-20 ml of fluid in the uterus. In mares killed after 14 days, the organism was recovered from the ovarian surface (1 mare), oviduct (4 mares), uterus (2 mares) and the clit...
Turner JE, Irvine CH.Administration to mares of the anabolic steroid, methandriol, at the maximum recommended dose (300 mg every 3 weeks) for 1 1/2 years had no effect on reproductive characteristics except for suppression of GnRH-induced LH release and a tendency to suppress basal LH levels and the height of the ovulatory LH surge. A 4-fold increase in dosage caused marked suppression of basal LH, the LH surge, and GnRH-induced LH release. Other reproductive responses were minimally affected. There were no behavioural effects, and no changes in weight occurred when mares were compared with matched controls. Small...
Alexander S, Irvine CH.Mares were bled once daily throughout a cycle, or 3 times daily from the first day of oestrus to the 2nd day after ovulation. LH was measured by heterologous radioimmunoassay and by an in-vitro bioassay based on LH-stimulated testosterone production by mouse Leydig cells. The patterns of bio- and immuno-active LH during the oestrous cycle were similar but not identical, so that in both groups of mares the ratio of biological: immunological (B:I) activity during the LH surge was significantly higher before than after ovulation (P less than 0 . 001). Considerable individual variation in cycle me...
Berglund LA, Sharp DC, Vernon MW, Thatcher WW.Uterine flushings were obtained through the cervix (Method A) and through the wall of the uterus after hysterectomy (Method B) of ovariectomized Pony mares after s.c. injection of oestrogen for 1 week and progesterone for 2 weeks (Exp. 1). Non-pregnant and pregnant mares were flushed by Method A on Day 14 after ovulation and the flushings compared with those of non-pregnant mares injected i.v. with flunixen meglumine, a prostaglandin synthetase inhibitor, shortly before flushing (Exp. 3). Uterine flushings were also collected by Methods A and B from non-pregnant and pregnant Pony mares on Day ...
Kindahl H, Knudsen O, Madej A, Edqvist LE.Blood samples from 4 mares during the late luteal phase, oestrus, early pregnancy and up to about 150 days of gestation were analysed for 15-keto-13,14-dihydroprostaglandin F-2 alpha (PGFM), progesterone, PMSG and oestrone sulphate by radioimmunoassays. During the late luteal phase, at the time of corpus luteum regression and decreasing progesterone levels, PGFM peaks were recorded. During early pregnancy (i.e. from mating and up to about Day 30) no such peaks were detected. After mating the progesterone levels increased and remained high throughout the observation period. During the oestrous ...
Seamans KW, Sharp DC.Follicular aromatase activity during sexual resurgence after the winter anoestrus was investigated in 3 groups of 5 Pony mares. Group ET was studied during the early transition period, Group LT in late transition and Group C in full breeding condition. Granulosa and theca cells were incubated for 3 h with 3H-labelled androstenedione or progesterone. Analysis of the free oestrogenic products was by high performance liquid chromatography (HPLC) and recrystallization revealed highly variable oestrogen production in both cell types from mares in all 3 groups. Only oestrone and oestradiol peaks wer...
Bader H.A total of 23 mares were inseminated once within 0-6 h after clinical detection of ovulation, 14 with fresh and 9 with deep-frozen semen containing 0.1 x 10(9) to 4.7 x 10(9) motile spermatozoa. Within these two groups, the mares were slaughtered 2, 4 or 6 h after insemination and their genital tracts removed. The utero-tubal junction, isthmus and ampulla ipsilateral to the ovary in which ovulation occurred were flushed separately for sperm recovery. In 1 or 2 mares of each group, the uterine horn and corpus uteri, the cervix and vagina were also flushed. Tissue samples were collected from the...
Blue MG, Brady AA, Davidson JN, Kenney RM.Forty uterine fluid samples were obtained during oestrus and dioestrus of successive cycles from 4 mares classified as resistant to bacterial infection of the uterus. The flushings were assayed for peroxidase activity and ability to influence phagocytosis by polymorphonuclear neutrophils. Uterine fluid volumes and protein concentrations and serum oestrogen values were similar during oestrus and dioestrus. Serum progesterone concentrations were depressed during oestrus. Equine neutrophils adherent to glass slides were exposed to a genital strain of Streptococcus zooepidemicus suspended in salin...
Roser JF, Evans JW, Mikuckis GM, Adams TE, Hughes JP.As quantified by Scatchard analysis, a 27 000 g crude luteal membrane fraction contained a single population of unoccupied LH receptors characterized by high affinity, ka = 0.647 +/- 0.158 X 10(11) M-1 and low binding capacity, Rt = 4.91 +/- 0.78 X 10(-11) M/mg membrane fraction. Acceptable hormonal specificity, reversibility, saturability, high affinity and tissue specificity indicated that the binding protein was a physiological receptor. To ensure that the methods used for Scatchard analysis were valid, hCG was characterized for specific activity and maximum bindability, non-specific bindin...
Wilks CR, Barton MD, Allison JF.Immune responses to Rhodococcus equi were assayed in mares and foals on 7 studs in south-eastern Australia using skin test reactivity to the intradermal injection of culture filtrate and an indirect fluorescent antibody test. The prevalence of positive skin-test reactions did not differ between studs with a history of R. equi disease and those without but there were more mares with high antibody titres on studs with a disease history. A leucocyte extract prepared from mares that were skin-test positive was evaluated for its ability to protect foals exposed to experimental or natural challenge:...
Mitchell G, Liu IK, Perryman LE, Stabenfeldt GH, Hughes JP.Immunoglobulin concentrations were compared in serum and in saline uterine washings from 10 normal mares and 7 subfertile mares with chronic endometrial pathology. Samples were collected in dioestrus and in oestrus. For each immunoglobulin class (IgA, IgG, IgG(T), IgM) the results were expressed as a percentage of total immunoglobulin present in uterine washings or serum. Comparison was also made between changes in immunoglobulin concentrations between dioestrous and oestrous uterine samples, and uterine immunoglobulin concentrations between groups of mares. There was significantly more IgA in...
Ganjam VK, McLeod C, Klesius PH, Washburn SM, Kwapien R, Brown B, Fazeli MH.The reaction between ovarian hormones and experimental uterine infection (Streptococcus zooepidemicus) was investigated in 3 groups, each containing 6 ovariectomized mares. Group 1 served as controls ('anoestrus'), Group 2 mares were injected with oestrogen ('oestrus') and Group 3 with progesterone ('dioestrus') over a period of 5 weeks. All mares received an intrauterine inoculation of the bacteria 1 week after the start of hormonal treatment, and the results of the challenge were examined by endometrial biopsy and swabs once weekly. At the end of Week 1 no bacteria were recovered from the ma...
Britton BA.Cervical and endometrial swabs were taken from 7 mares at various stages of the oestrous cycle. There was no consistent pattern of cell change throughout the cycle. The dominant cell in smears from normal mares was the columnar epithelial cell, especially in smears obtained during oestrus. A ciliated columnar epithelial cell was found much less frequently but appeared more often in smears before oestrus. Endometrial biopsies were also collected from 7 mares at intervals 2-3 weeks over an 8-month period from the beginning of spring to the end of autumn. There was no obvious change in the endome...
Kilmer DM, Sharp DC, Berglund LA, Grubaugh W, McDowell KJ, Peck LS.Melatonin concentrations in intact (N = 3) and sham-operated (N = 3) mares during March were greater (P less than 0 . 05) during the night than during the day, but this pattern was not seen in 3 mares from which the superior cervical ganglia had been removed bilaterally. When 4 Pony mares were exposed to a photoperiod of 10L:14D for 3 weeks and then to continuous darkness (0L:24D) for another 3 weeks, melatonin levels were greater (P less than 0 . 05) at the end of the 0L:24D period than during the earlier period and still displayed rhythmic fluctuations but were no longer co-ordinated with eq...
Webel SK, Squires EL.The clinical effectiveness of the synthetic progestagen, altrenogest, was evaluated in field trials with 449 mares during the 1980 breeding season. An oral dose of 27 mg altrenogest was administered daily for 15 days. In the first trial treated mares were compared with controls, and in the second trial the effectiveness of treatment for prolonged or erratic spring oestrus was evaluated. Oestrus was suppressed in 94% of the treated mares in the first trial. The post-treatment response was related to the stage during the transition from winter anoestrus to the spring breeding season and degree o...
Roberts CJ.Manual crushing of one blastocyst performed on 181 bicornuate twin pregnancies between Days 24 and 45 has shown that the uncrushed blastocyst can either survive and develop normally to full term or may be rejected and resorbed like its crushed twin, depending mainly on the stage of pregnancy. Crushing, which causes rupture of fetal membranes, results in a rapid fall in the survival rate of the uncrushed blastocyst when performed after Day 31. In some mares rupture is not possible after Day 35 even if extreme pressure is used. Crushed, but unruptured, blastocysts mainly between Days 35 and 45 m...
Silver M, Fowden AL.The production of uterine PGFM during different dietary states has been investigated in pregnant mares in late gestation. Arterial and uterine venous plasma concentrations of PGFM rose when food was withdrawn for 12-30 h and the V-A difference widened significantly. There was an inverse correlation between the rise in PGFM and the fall in plasma glucose during a fast, and a significant decrease in the A-V plasma glucose differences across the uterus. Plasma PGFM and free fatty acid concentrations before and during food withdrawal were also correlated but no uterine A-V difference in free fatty...
Woods GL, Ginther OJ.The ability of a pituitary extract to induce ovulation and the effect of multiple ovulations on pregnancy rate and incidence of multiple fetuses were studied in seasonally anovulatory mares. The extract induced ovulation in 95% of mares having a greater than or equal to 25 mm follicle at the onset of treatment and in 64% the ovulations were multiple. The extract was less effective when the largest initial follicle was less than 25 mm. Approximately 50% of the treated mares that ovulated did not become pregnant or enter prolonged dioestrus before returning to an anovulatory condition. In treate...
Bosu WT, Van Camp SC, Miller RB, Owen RR.A five year prospective study of equine ovarian problems requiring surgical correction was undertaken at the Ontario Veterinary College. Thirty mares were studied, of which 14 had granulosa cell tumors, six were with anovulatory persistent follicular "structures", five had ovarian hemotoma, two presented ovarian hypoplasia and one each of ovarian dysgerminoma, teratoma and abscessation. The clinical signs manifested by the affected animals were varied. The affected ovaries were removed via flank or midline laparotomy or through colpotomy. Their morphology was studied and representative portion...
Driancourt MA, Mariana JC, Palmer E.In the middle of the breeding season, 16 pony mares (n = 4 per day) were slaughtered on four different days (days 6, 14, 17 and the preovulatory day) of the oestrous cycle, day 0 being the day of the last ovulation. All the ovaries were examined histologically; the number, size and atresia (defined by granulosa cell pyknosis) of all follicles larger than 1 mm in diameter were studied, using a Kryotome-video recorder-TV system. Follicular distribution of all the sizes studied (1-5 mm, 5-10 mm, greater than 10 mm in diameter) was very similar in the right and left ovaries. However, compared to t...
Pascoe RR.A total of 2187 Thoroughbred and Standardbred mares was examined over a 4-year period to determine the location of the fetus at 42 days, the location of the previous fetus as determined by examination 5-15 days after foaling, and pregnancy location the next season. Maiden mares showed 44 and 56% of pregnancies in the left and right horns respectively. No transuterine migration was observed in 139 maiden mares examined after their first foal. Lactating mares showed 62% implantations and full-term pregnancies on one side of the uterus with the next season's pregnancy being in the opposite uterin...
Taylor TB, Pemstein R, Loy RG.Two trials were conducted to (1) determine the degree of control of ovulation achieved by treating mares in late winter with progesterone and oestradiol-17 beta combined after prior exposure to an artificially increased photoperiod, and (2) to examine the effectiveness of such a procedure incorporated into equine breeding farm management systems. Following a 15-day treatment of 150 mg progesterone and 10 mg oestradiol-17 beta daily with 10 mg PGF-2 alpha on the last day of steroid treatment, 27 of 31 mares ovulated on Days 8-14 after the last injection in one trial. Conception rate for mares m...
Shivers CA, Liu IK.Sera and follicular fluid from mares previously determined as having antibodies to the zona pellucida were exposed to porcine ovarian oocytes before insemination with boar spermatozoa in vitro. There was a dramatic decline in the number of spermatozoa bound to zonae compared to treatments with sera and follicular fluid from mares negative for zona antibodies. These data suggest that antibodies reactive with the zona pellucida may be responsible for reduced or even complete infertility in some mares. In a group of 50 randomly selected mares tested for antizona antibodies, 2 pregnant mares were ...
Maxwell JA.A 9-year-old mare exhibiting signs of colic late in pregnancy was presented. Uterine torsion was diagnosed and corrected by caesarean section. A live foal was delivered and the mare survived the surgical interference.
Meyers PJ, Bonnett BN, McKee SL.This prospective field study was designed to describe the incidence of early embryonic mortality (EEM) and factors associated with the cause of EEM on three equine breeding farms in Ontario during the 1989 breeding season. Early embryonic mortality was defined as the loss of a single embryo during the first 40 days of pregnancy (day 0 = day of ovulation or last breeding). Pregnancy diagnoses and subsequent embryonic losses were observed by serial trans-rectal ultrasonography between days 12-20 (PD1) and 21-30 (PD2), and by trans-rectal ultrasonography or palpation per rectum between days 31-40...
McKinnon AO, Brown RW, Pashen RL, Greenwood PE, Vasey JR.THE name inhibin was first used around 60 years ago for a water-soluble. non-steroidal, gonadal factor that would regulate follicle-stimulating hormone (FSH) secretion through negative feedback McUullagh 1930. Inhihin is now defined as a glycoprotein hormone, consisting of two dissimilar, disulphide-linked, subunits termed at and 13 1 Burger and Igarashi 1988). Effective methods for blocking inhibin production could provide useful means by which FSH secretion, and therefore ovarian function and fertility, could be improved in the female. Increased ovulation rates have been demonstrated in shee...
González G, Castro B, Massaldi H.Equine chorionic gonadotrophin (eCG) is a hormone of practical value in veterinary medicine and animal production. Here we report a novel preparation procedure based on its direct adsorption onto anionic-exchange resins in a batch-wise mode. The active plasma is previously conditioned to reduce pH and ionic strength to required levels. After the adsorption stage, a 90% recovery of the initial eCG is achieved, with a concentration factor of about 50 and an enrichment factor around 500, with high preservation of biological activity. Further purification is carried out by cation-exchange column c...
Garza F, Thompson DL, Mitchell PS, Wiest JJ.Five lighthorse mares were actively immunized against gonadotropin releasing hormone (GnRH) conjugated to bovine serum albumin (BSA) to study the involvement of GnRH in luteinizing hormone (LH) and follicle stimulating hormone (FSH) secretion following ovariectomy (OVX) and after administration of testosterone propionate (TP). Five mares immunized against BSA served as controls. Immunizations were started on November 1, and OVX was performed in June (d 1). All mares were treated with TP from d 50 to 59 after OVX. On the day of OVX, concentrations of LH were lower (P less than .05) in GnRH-immu...
Stecco R, Paccamonti D, Gutjahr S, Pinto CR, Eilts B.Oxytocin is released in response to teasing during both estrus and diestrus in mares, and at least during estrus, teasing results in an increase in electromyographic activity in the uterus. Exogenous oxytocin causes an increase in intrauterine pressure and prior studies have shown that this response is correlated to the day of the estrous cycle. To determine if teasing causes an increase in intrauterine pressure and if this response varies by day of the cycle, intrauterine pressure was measured while mares were teased with a stallion 2 days before ovulation, on the day ovulation was detected a...
Vogelsang SG, Sorensen AM, Potter GD, Burns SJ, Kraemer DC.Embryos were collected nonsurgically on Day 7 or 8 after ovulation from 7 Quarter horse mares using a modified 30-ml Foley catheter to flush the uterine horn ipsilateral to the recent ovulation with 500 ml TCM-199 containing Hepes buffer. After collection, the uteri were infused with nitrofurazone to reduce the chances of infection due to the procedure. Eleven collections from 7 mares resulted in recovery of 9 embryos and nonsurgical transfer of 4 of these resulted in the birth of one foal. After collections, 8 oestrous cycles averages 22.75 days and 2 extended oestrous cycles were 43 and 59 d...
Van Niekerk CH, Morgenthal JC, Starke CJ.Two thoroughbred mares bearing twins as diagnosed by rectal palpation, were subjected to nutritional stress by drastically reducing the daily ration. This resulted in a marked reduction in plasma progestagen levels and the death of either one or both of the twin embryos.
Borst GH, Berghuis GA, Counotte GH.The concentration of progesterone in milk was determined in 327 mares to establish pregnancy in an early stage (sixteen days or more). The 5 ng/ml-level of progesterone as a threshold in the EIA-system used resulted in a very useful aid in the diagnosis of early pregnancy in mares. The results of testing were not in accordance with the confirmed reality in fourteen out of 327 mares (4.3 percent). The result of the test was false non-pregnant in five mares (1.5 percent) and false pregnant in nine mares (2.8 percent).
Davicco MJ, Faulconnier Y, Coxam V, Dubroeucq H, Martin-Rosset W, Barlet JP.There is a high incidence of bony pathology in race horses. Thus, plasma GH, IGF-1, osteocalcin (OC), calcium (Ca) and inorganic phosphorus (P) concentrations were measured in 12 healthy Selle Français foals and their dams during the first five months after birth. Plasma IGF-1 and OC concentrations were higher in foals than in mares (336 +/- 25 vs 230 +/- 18 ng/ml, P < 0.05; 52.5 +/- 3.2 vs 4.9 +/- 0.1 ng/mg, P < 0.01, respectively). A significant positive linear relationship could be established between these two parameters in foals (IGF-1 = 19 + 0.619 OC; P < 0.05). Another strikin...
Easley KJ.Infertility in the mare associated with VVR must be managed as a complex problem. A complete reproductive evaluation of the mare is required to establish the cause of VVR in order for proper therapy to be recommended. Establishing a prognosis for the mare's future breeding soundness is important to the horse owner and breeding manager. VVR is almost always associated with other reproductive problems and must be dealt with in view of this.
Watson ED, Dixon CE.The distribution of T lymphocytes and of cells bearing MHC Class II antigens in the endometrium of the mare was studied using an avidin-biotin-peroxidase staining method. The cells within the endometrium which expressed MHC Class II were macrophages, lymphocytes, monocytes, dendritic cells, epithelial cells and endothelial cells. MHC Class II expression increased significantly (P < 0.05) in the luminal epithelium and tended (P = 0.0573) to increase in the subepithelial layers during oestrus. Numbers of T lymphocytes did not differ between oestrus and dioestrus. MHC Class II expression and T...
Wittek T, Sobiraj A.In the present study the concentrations of L-carnitine (total carnitine, free carnitine, and acyl carnitine) and several parameters of the lipid metabolism were measured during the estrus in 10 broodmares. The carnitine concentrations varied in a wide range between the mares. The differences of the mean carnitine concentrations during the estrus did not reach the level of significance (P < 0.05). There was no relationship between the concentrations of total and free carnitine to the follicle size; however, the concentration of acyl carnitine was significantly correlated (r = -0.42). Because...
Schumacher J, Hanrahan L.An excessively long ileal stump, the result of a previous jejunocecostomy, had intussuscepted into the cecum and subsequently obstructed the cecocolic orifice of a 12-year-old Quarter Horse mare. Clinical signs were dehydration, ileus, and endotoxemia. The diagnosis was made at necropsy.
Sloet van Oldruitenborgh-Oosterbaan MM, Kalsbeek HC.A 14-year-old Friesian breeding mare had strangury, depression, inappetence, neutrophilia and uraemia. Its urine had a low specific gravity and contained protein, blood cells and bacteria. Rectal examination showed that both kidneys and ureters were enlarged. Post mortem examination confirmed the diagnosis of pyelonephritis and revealed that small tumours in the vulva were probably the cause of the uropathy.