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Topic:Urinary Health

Urinary health in horses encompasses the study of the equine urinary system, which includes the kidneys, ureters, bladder, and urethra. This system is responsible for filtering blood, removing waste products, and regulating fluid and electrolyte balance. Conditions affecting urinary health can range from infections and obstructions to renal dysfunction and urolithiasis. Monitoring urinary health involves assessing clinical signs, conducting urinalysis, and utilizing imaging techniques. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, physiology, pathophysiology, and clinical management of urinary health issues in horses.
Equine Idiopathic Hemorrhagic Cystitis: Is It Idiopathic or More Likely to Be Exercise-Associated?
Journal of equine veterinary science    April 4, 2019   Volume 78 6-9 doi: 10.1016/j.jevs.2019.03.212
Barton AK, Kershaw O, Gruber AD, Gehlen H.Recently, a syndrome called "equine idiopathic hemorrhagic cystitis" was described and clinical features compared with bladder neoplasia. In this case report, we describe a case of hemorrhagic cystitis with a favorable outcome in a high-performance dressage horse, in which exercise intensity might be the etiologic factor for the development of bladder-wall hyperplasia and hematuria. A 14-year-old Warmblood gelding was presented with a history of hematuria of 2-day duration. The high-level dressage horse had performed on the previous 3 weekends and was trained at least three times a week at per...
A minimally invasive surgical technique for ureteral ostioplasty in two fillies with ureteral ectopia.
Journal of the American Veterinary Medical Association    November 20, 2018   Volume 253, Issue 11 1467-1472 doi: 10.2460/javma.253.11.1467
Jones ARE, Ragle CA.CASE DESCRIPTION 2 fillies, aged 3 months and 1 month, were examined because of urinary incontinence and urine scalding. CLINICAL FINDINGS In horse 1, ultrasonography did not reveal any structural abnormalities of the kidneys; however, unilateral ureteral ectopia was diagnosed cystoscopically. In horse 2, CT revealed bilateral nephropathy, bilateral distended ureters (up to 3.6 cm in diameter), and bilateral ureteral ectopia. Cystoscopy revealed intramural ureteral ectopia with abnormally caudally positioned ureteral ostia in both horses. TREATMENT AND OUTCOME Ureteral ostioplasty was performe...
Effect of urine contamination on stallion semen freezing ability.
Theriogenology    May 17, 2018   Volume 117 1-6 doi: 10.1016/j.theriogenology.2018.05.010
Ellerbrock RE, Honorato J, Curcio BR, Stewart JL, Souza JAT, Love CC, Lima FS, Canisso IF.Urospermia is a common ejaculatory dysfunction of stallions. Current practice suggests that urine contaminated semen should not be used for cryopreservation. The aim of this study was to determine effects of urine contamination on semen freezing. Sixty-five ejaculates from eight stallions were divided into no urine (CONT), low (20% urine, LOW), and high (50% urine, HIGH) samples. Semen was extended with a commercial cooling extender, cushion-centrifuged, resuspended to 200 million/mL in a commercial egg-yolk based extender, and cryopreserved in liquid nitrogen. A subset of ejaculates (n = ...
Elevated urinary excretion of free pyridinoline in Friesian horses suggests a breed-specific increase in collagen degradation.
BMC veterinary research    April 25, 2018   Volume 14, Issue 1 139 doi: 10.1186/s12917-018-1454-8
Saey V, Tang J, Ducatelle R, Croubels S, De Baere S, Schauvliege S, van Loon G, Chiers K.Friesian horses are known for their high inbreeding rate resulting in several genetic diseases such as hydrocephaly and dwarfism. This last decade, several studies focused on two other presumed hereditary traits in Friesian horses: megaoesophagus and aortic rupture. The pathogenesis of these diseases remains obscure but an important role of collagen has been hypothesized. The purpose of this study was to examine possible breed-related differences in collagen catabolism. Urinary specimens from Friesian (n = 17, median age 10 years old) and Warmblood horses (n = 17, median age 10 years...
Ex vivo comparison of single-layer and double-layer laparoscopic closure of equine bladders with 2 types of barbed sutures.
Veterinary surgery : VS    October 3, 2017   Volume 46, Issue 8 1145-1153 doi: 10.1111/vsu.12719
Major DS, Duff AH, Cohen ND, Hardy J.To compare laparoscopic single-layer versus double-layer closure of experimental, full-thickness incisions in adult equine urinary bladders using unidirectional and bidirectional barbed suture. Methods: Experimental, ex vivo, surgical study. Methods: Thirty adult equine cadaver urinary bladders. Methods: Bladders were randomly divided into 5 groups (n = 6): intact controls, bladders sutured with unidirectional or bidirectional barbed suture in a single-layer closure, and bladders sutured with unidirectional or bidirectional barbed suture in a double-layer closure. A 5-cm apical incision wa...
Transurethral removal of a cystic urolith in a mare using a laparoscopic specimen pouch.
Australian veterinary journal    April 27, 2017   Volume 95, Issue 5 174-177 doi: 10.1111/avj.12580
Williamson AJ, McKinnon AO.Cystic urolithiasis is the most common form of urolithiasis reported in horses. In contrast to the gelding or stallion, clinical disease is less common in the mare and manual removal techniques are possible because of their shorter, wider urethral anatomy. However, these manual removal techniques can be traumatic and are limited by the size of the urolith. This report describes the use of a commercial laparoscopic specimen pouch to remove a cystic urolith in a mare. Conclusions: This approach may allow the extraction of larger uroliths per urethra in the mare, while affording some protection t...
Effects of vaginal conjugated equine estrogens and ospemifene on the rat vaginal wall and lower urinary tract.
Biology of reproduction    April 11, 2017   Volume 96, Issue 1 81-92 doi: 10.1095/biolreprod.116.144428
Maldonado PA, Montoya TI, Acevedo JF, Keller PW, Word RA.Although the positive effects of vaginal estrogens and the selective estrogen receptor modulator, ospemifene (OS), on the vaginal epithelium are well recognized, less is known regarding the effects of these therapies on the lower urinary tract or vaginal muscularis. Clinical evidence suggests that vaginally administered estrogen may improve overactive bladder-related symptoms. The objective of this study was to compare the effects of OS, vaginal conjugated equine estrogens (CEE), or both on the vaginal wall and lower urinary tract in a rat model of menopause. Contractile force of the bladder n...
Science-in-brief: Clinical highlights from 50th Congress of the South African Equine Veterinary Association 2017.
Equine veterinary journal    April 8, 2017   Volume 49, Issue 3 266-268 doi: 10.1111/evj.12678
Miller SM, Spargo KE.No abstract available
Creatinine concentrations of accumulated intrauterine fluid to confirm the clinical diagnosis of urometra in mares.
The Veterinary record    March 7, 2017   Volume 180, Issue 12 304 doi: 10.1136/vr.104115
Schnobrich MR, Gordon DL, Scoggin CF, Bradecamp EA, Canisso IF.Urine pooling, as a persistent condition, is a cause of infertility in mares due to endometrial inflammation and sperm toxicity. Identification of urometra can be challenging in mares presenting with the condition intermittently, or when urine flows into the uterus but is undetectable in the vagina. Currently, there are no reported objective methods to confirm the clinical diagnosis of urine contamination in intrauterine-fluid accumulations. Since creatinine is present in high concentrations in urine and does not diffuse across cell membranes, creatinine concentration should be increased in ma...
Doping control analysis of lithium in horse urine and plasma by inductively coupled plasma mass spectrometry.
Drug testing and analysis    February 10, 2017   Volume 9, Issue 9 1407-1411 doi: 10.1002/dta.2159
Choi TLS, Wong JKY, Ho ENM, Kwok WH, Leung GNW, Curl P, Wan TSM.Lithium salts are commonly prescribed to treat bipolar disorder in humans. They are effective for the treatment of acute mania and the prophylaxis of manic relapses through long-term use. Although there is no reported legitimate therapeutic use of lithium in horses, its potential mood-stabilizing effect, low cost, and ready availability make lithium salt a potential agent of abuse in equine sports, especially for equestrian competition horses. Lithium can be found in soil, plants, and water, as such it is naturally present in the equine body, thus a threshold is necessary to control its misuse...
Experimental investigation of the structural behavior of equine urethra.
Computer methods and programs in biomedicine    January 20, 2017   Volume 141 35-41 doi: 10.1016/j.cmpb.2017.01.012
Natali AN, Carniel EL, Frigo A, Fontanella CG, Rubini A, Avital Y, De Benedictis GM.An integrated experimental and computational investigation was developed aiming to provide a methodology for characterizing the structural response of the urethral duct. The investigation provides information that are suitable for the actual comprehension of lower urinary tract mechanical functionality and the optimal design of prosthetic devices. Methods: Experimental activity entailed the execution of inflation tests performed on segments of horse penile urethras from both proximal and distal regions. Inflation tests were developed imposing different volumes. Each test was performed accordin...
Urinary effects of xylazine and general anesthesia in horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 2 107 doi: 10.1046/j.1467-2995.2002.00078_25.x
Watson ZE, Steffey EP, Van Hoogmoed LM, Snyder JR.No abstract available
Effect of xylazine and detomidine on urine production in horses deprived of food and water.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 2 107 doi: 10.1046/j.1467-2995.2002.00078_24.x
Nuñez Hernandez E, Steffey EP, Ocampo Camberos L, Rodriguez Monterde A, Garcia Lascurain AA.No abstract available
Detomidine reduces isoflurane anesthetic requirement (MAC) in horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 4 223-227 doi: 10.1046/j.1467-2995.2002.00107.x
Steffey EP, Pascoe PJ.To quantitate the dose- and time-related magnitude of the anesthetic sparing effect of, and selected physiological responses to detomidine during isoflurane anesthesia in horses. Methods: Randomized cross-over study. Methods: Three, healthy, young adult horses weighing 485 ± 14 kg. Methods: Horses were anesthetized on two occasions to determine the minimum alveolar concentration (MAC) of isoflurane in O and then to measure the anesthetic sparing effect (time-related MAC reduction) following IV detomidine (0.03 and 0.06 mg kg). Selected common measures of cardiopulmonary function, blood glucos...
Use of an Absorbable Urethral Stent for the Management of a Urethral Stricture in a Stallion.
Veterinary surgery : VS    August 25, 2016   Volume 45, Issue S1 O41-O48 doi: 10.1111/vsu.12530
Trela JM, Dechant JE, Culp WT, Whitcomb MB, Palm CA, Nieto JE.To describe the successful management of a urethral stricture with an absorbable stent in a stallion. Methods: Clinical report. Methods: Stallion with a urethral stricture. Results: A 12-year-old Thoroughbred breeding stallion was evaluated for acute onset of colic. Uroperitoneum because of presumptive urinary bladder rupture, with urethral obstruction by a urethrolith, was diagnosed. The uroperitoneum was treated conservatively. The urethrolith was removed through a perineal urethrotomy. Approximately 15 weeks after urethrolith removal, the stallion presented with a urethral stricture. The st...
Use of a laparoscopic specimen retrieval pouch to facilitate removal of intact or fragmented cystic calculi from standing sedated horses: 8 cases (2012-2015).
Journal of the American Veterinary Medical Association    July 22, 2016   Volume 249, Issue 3 304-310 doi: 10.2460/javma.249.3.304
Katzman SA, Vaughan B, Nieto JE, Galuppo LD.OBJECTIVE To evaluate the use of a laparoscopic specimen retrieval pouch for removal of intact or fragmented cystic calculi from standing horses. DESIGN Retrospective case series. ANIMALS 8 horses (5 geldings and 3 mares) with cystic calculi. PROCEDURES Physical examination and cystoscopic, ultrasonographic, and hematologic evaluations of urinary tract function were performed for each horse. A diagnosis of cystic calculus was made on the basis of results of cystoscopy and ultrasonography. Concurrent urolithiasis or other urinary tract abnormalities identified during preoperative evaluation wer...
Ex Vivo Biomechanical Comparison of 4 Suture Materials for Laparoscopic Bladder Closure in the Horse.
Veterinary surgery : VS    March 25, 2016   Volume 45, Issue 3 374-379 doi: 10.1111/vsu.12455
Ruzickova P, Burns P, Piat P, Frasch MG, Beauchamp G, Elce YA.To compare a knotless, barbed suture to standard suture using laparoscopic suturing methods in an ex vivo model of equine bladder repair. Methods: Cadaveric study. Methods: Equine cadaver bladders (n=42). Methods: A 5-cm incision was created and repaired in a laparoscopic training box with 4 different suture materials. Groups 1 and 2 used 2-0 poliglecaprone and 2-0 glycomer knotless, barbed suture, respectively, placed using laparoscopic instruments. Groups 3 and 4 used 0 and 2-0 polyglyconate knotless, barbed suture, respectively, placed using an automated laparoscopic suturing device. All gr...
Experimental investigation of the biomechanics of urethral tissues and structures.
Experimental physiology    March 24, 2016   Volume 101, Issue 5 641-656 doi: 10.1113/EP085476
Natali AN, Carniel EL, Frigo A, Pavan PG, Todros S, Pachera P, Fontanella CG, Rubini A, Cavicchioli L, Avital Y, De Benedictis GM.What is the central question of this study? Prostheses for treatment of urinary incontinence elicit complications associated with an inadequate mechanical action. This investigation aimed to define a procedure addressed to urethral mechanical characterization. Experimental tests are the basis for constitutive formulation, with a view to numerical modelling for investigation of the interaction between the tissues and a prosthesis. What is the main finding and its importance? Horse urethra, selected for its histomorphometric similarity to human urethra, was characterized by integrated histologic...
Evaluation of in vitro inhibitory effect of enoxacin on Babesia and Theileria parasites.
Experimental parasitology    December 25, 2015   Volume 161 62-67 doi: 10.1016/j.exppara.2015.12.016
Omar MA, Salama A, Elsify A, Rizk MA, Al-Aboody MS, AbouLaila M, El-Sayed SA, Igarashi I.Enoxacin is a broad-spectrum 6-fluoronaphthyridinone antibacterial agent (fluoroquinolones) structurally related to nalidixic acid used mainly in the treatment of urinary tract infections and gonorrhea. Also it has been shown recently that it may have cancer inhibiting effect. The primary antibabesial effect of Enoxacin is due to inhibition of DNA gyrase subunit A, and DNA topoisomerase. In the present study, enoxacin was tested as a potent inhibitor against the in vitro growth of bovine and equine Piroplasms. The in vitro growth of five Babesia species that were tested was significantly inh...
Ultrasonographic Examination of the Equine Neonate: Thorax and Abdomen.
The Veterinary clinics of North America. Equine practice    November 28, 2015   Volume 31, Issue 3 515-543 doi: 10.1016/j.cveq.2015.09.004
Sprayberry KA.Diagnostic imaging can substantially augment physical examination findings in neonatal foals. Used in combination with radiography or as a stand-alone imaging modality, ultrasound evaluation of the thoracic and abdominal body cavities can be a high-yield diagnostic undertaking. Many of the conditions that afflict neonatal foals are highly amenable to sonographic interrogation, including pneumonia and other changes in the lungs associated with sepsis, systemic inflammatory response syndrome, multiple organ dysfunction, and prematurity; colic arising from medical and surgical causes; and urinary...
What’s New in Old Horses? Postmortem Diagnoses in Mature and Aged Equids.
Veterinary pathology    October 12, 2015   Volume 53, Issue 2 390-398 doi: 10.1177/0300985815608674
Miller MA, Moore GE, Bertin FR, Kritchevsky JE.Postmortem findings in 241 equids admitted to a teaching hospital that were at least 15 years old at autopsy were reviewed (1) to determine disease prevalence, (2) to compare the cause of death (or euthanasia) in equids 15 to 19 years of age (n = 116) with that in equids ≥20 years of age (n = 125), and (3) to catalog coexisting lesions in equids with pituitary pars intermedia dysfunction (PPID). Breed and sex were evenly distributed between the age groups. Death or euthanasia was attributed to disease of the digestive system (41.5%), pituitary gland (12.9%), locomotor system (10.0%), nervous...
Imaging Diagnosis – Use of Multiphase Computed Tomographic Urography in the Diagnosis of Ureteral Tear in a 6-Day-Old Foal. Beccati F, Cercone M, Angeli G, Santinelli I, Pepe M.A 6-day-old foal was evaluated for depression and inappetence. After initial stabilization, the filly developed a hypochloremic metabolic alkalosis and persistent hypercreatinemia. Abdominal ultrasound revealed fluid accumulation around the left kidney and a well-defined rounded fluid filled structure dorsal to the urinary bladder. Computed tomography revealed a partial tear of the left ureter with distension of the retroperitoneal membrane. Exploratory celiotomy was performed to allow left kidney nephrectomy. At 6 months follow-up, the filly was growing normally without complications. Ultraso...
Diseases of the Equine Urinary System.
The Veterinary clinics of North America. Equine practice    May 26, 2015   Volume 31, Issue 2 377-387 doi: 10.1016/j.cveq.2015.04.005
McLeland S.Uncommon diseases of the equine urinary system span a variety of etiologies and frequently have nonspecific clinical presentations. Because of the infrequency of equine urinary disease and inconsistencies in clinical symptoms, diagnosis and subsequent treatment of urinary disease in this species may be challenging. This article reviews various diseases of the equine urinary system, morphologies, and potential discriminating clinical and clinicopathologic presentations to aid the clinician in determining a definitive diagnosis in practice.
[Feed management in horse husbandry].
Tijdschrift voor diergeneeskunde    October 3, 2014   Volume 139, Issue 9 43-45 
Errens AV.No abstract available
Oral and injectable synthetic progestagens effectively manipulate the estrous cycle in the Przewalski’s horse (Equus ferus przewalskii).
Animal reproduction science    April 8, 2014   Volume 148, Issue 1-2 42-52 doi: 10.1016/j.anireprosci.2014.03.018
Collins CW, Monfort SL, Vick MM, Wolfe BA, Weiss RB, Keefer CL, Songsasen N.To date, there has been limited research on manipulation of the estrous cycle in endangered equids. The objectives of this study were to assess the efficacy of using combinations of: (a) oral altrenogest and PGF2α, and (b) injectable altrenogest and PGF2α for manipulation of ovarian activity in Przewalski's mares. Reproductive cycles were monitored by assessing follicular changes with rectal ultrasound and changes in urinary steroid hormones. In Study 1, five cycling mares were treated with oral altrenogest (n=11 cycles) for 14 days. In Study 2, cycling mares were treated with oral altrenoge...
Ureteropyeloscopic anatomy of the renal pelvis of the horse.
Equine veterinary journal. Supplement    December 1, 2013   Issue 45 31-38 doi: 10.1111/evj.12167
Pasquel SG, Agnew D, Nelson N, Kruger JM, Sonea I, Schott HC.Although the equine renal pelvis and terminal recesses have been described post mortem, little information exists about the endoscopic appearance of these structures in the living horse for guiding ureteropyeloscopy. Objective: To further document the anatomy of the upper urinary collecting system, specifically the renal pelvis and terminal recesses, of the horse. Methods: Descriptive study of cadaver material. Methods: Kidneys were harvested from 10 horses. Magnetic resonance imaging was performed after distension of the renal pelvis with an elastomer casting material, followed by visual insp...
An unusual case of urinary retention and ulcerative cystitis in a horse, sequelae of pelvic abscessation, and adhesions.
The Canadian veterinary journal = La revue veterinaire canadienne    October 25, 2013   Volume 54, Issue 7 690-692 
Squinas SC, Britton AP.A 21-year-old Quarter horse gelding was presented with stranguria and incontinence of 10 days duration. Despite catheterization and antibiotic therapy, the horse was euthanized. Necropsy revealed posterior abdominal and pelvic abscessation with adhesions of the urinary bladder and severe ulcerative cystitis. . Un hongre Quarter horse âgé de 21 ans a été présenté avec de la strangurie et de l’incontinence depuis 10 jours. Malgré le cathétérisme et la thérapie antibiotique, le cheval a été euthanasié. La nécropsie a révélé un abcès pelvien avec des adhérences de la vessie ur...
Laparoscopic removal of a bladder urolith in a standing horse.
Journal of the American Veterinary Medical Association    October 19, 2013   Volume 243, Issue 9 1323-1328 doi: 10.2460/javma.243.9.1323
Lund CM, Ragle CA, Lutter JD.An 11-year-old Arabian gelding was evaluated for hematuria, stranguria, and pollakiuria that had been observed for 1 week. Results: Transrectal palpation revealed a 5-cm firm round mass in the urinary bladder. Cystoscopy and transrectal ultrasonography confirmed the diagnosis of urinary bladder urolithiasis. Results: A multiportal transparalumbar fossa laparoscopic approach was selected for cystotomy and urolith removal. Cystotomy and urolith removal was performed with sedation and local anesthesia with the horse standing. No perioperative complications were observed. Urination returned to nor...
Fresh and preserved green fodder modify effects of urinary acidifiers on urine pH of horses.
Journal of animal physiology and animal nutrition    March 30, 2013   Volume 98, Issue 2 239-245 doi: 10.1111/jpn.12071
Goren G, Fritz J, Dillitzer N, Hipp B, Kienzle E.Hay stabilises urine pH in horses. It is unknown whether this is an effect of structure or of chemical composition. In this study, four ponies (230-384 kg body weight [BW]) were fed six different diets with either a structure or a composition similar to hay with and without acidifiers in a cross-over experimental design in amounts to maintain body weight with the following main compounds: Fresh grass (GRASS), alfalfa hay (ALF), grass cobs (COBS), grass silage (SIL), straw (STR) or extruded straw (STRe) for 2 to 10 days. Urine pH was measured in all trials, blood pH, blood base excess and bicar...
Persistence and chronic urinary shedding of the aphthovirus equine rhinitis A virus.
Comparative immunology, microbiology and infectious diseases    November 24, 2012   Volume 36, Issue 1 95-103 doi: 10.1016/j.cimid.2012.10.003
Lynch SE, Gilkerson JR, Symes SJ, Huang JA, Hartley CA.Equine rhinitis A virus (ERAV) is a member of the Aphthovirus genus, and has many physical and structural similarities to the prototype Aphthovirus foot-and-mouth disease virus (FMDV). The pathogenesis of FMDV has been extensively studied, however, the similarities in the pathogenesis of ERAV and FMDV disease has not been well documented. This study describes and compares the pathogenesis of ERAV both in the natural host and a small animal model alternative (CBA mice). Distinct parallels in the pathogenesis of the acute infection of these two viruses are described where infection in the upper ...