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.
Gronwall R, Price G.To determine the rate of urine flow and thus urinary excretion in the horse from untimed urine samples alone, the flow rate, creatinine concentration, osmolarity, and refractive index of 228 quantitatively collected urine samples were determined in 53 experiments on 12 healthy Thoroughbred mares. Forty samples were collected after water-induced diuresis; 11 samples were collected after furosemide-induced diuresis. Flow rates, which ranged from 1.2 to 84.5 ml/min, could be predicted from the urinary creatinine concentration. Correlation of urinary flow with urinary creatinine concentration acco...
Lees P, Maitho TE, Taylor JB.A clinical dose rate (4.4 mg/kg bodyweight) of phenylbutazone was administered intravenously and orally to six Welsh mountain ponies to provide data on the pharmacokinetics and bioavailability of the drug. In three, three-year-old ponies, clearance of the drug from plasma after intravenous administration was almost twice as rapid as in three ponies aged eight to 10 years. After oral administration, plasma phenylbutazone levels were greater in the older ponies, the area under the plasma concentration time curve being almost twice as high. This did not result from more efficient absorption but f...
Holt PE, Pearson H.The presenting signs, treatment and postoperative progress of 13 horses with vesical and urethral calculi are reviewed. Single, discrete stones were present in 10 animals in which the results of treatment were generally good. In three horses with sabulous cystic deposits, urolithiasis was associated with bladder paralysis and the response to treatment was poor.
Richardson DW, Kohn CW.The case records of 22 foals with uroperitoneum were reviewed. The most common cause was a defect in the urinary bladder. A sex predilection for males was apparent. Clinical signs were tachycardia, tachypnea, and abdominal distention. The history pertaining to micturition was variable. Hyponatremia, hypochloremia, and hyperkalemia were marked. A reliable means of diagnosis was considered to be the demonstration of a wide disparity in serum and peritoneal fluid creatinine values. Surgical repair was successful in 11 of 18 cases, although surgical and anesthetic complications were common. Some o...
Rumbaugh GE, Carlson GP, Harrold D.Total daily 24-hour urinary output was obtained from 11 healthy horses fed alfalfa hay with free access to salt during periods of high environmental temperatures. Daily urinary volume averaged 15.6 L, with mean specific gravity of 1.028, osmolality of 1,040 mOsm/kg, and urinary flow rate of 1.24 ml/kg/hr. Total 24-hour sample collections of urine were also obtained from horses held without access to feed or water for periods of 24, 48, and 72 hours during high environmental temperatures. Average urine production under these conditions was 6.3 L during the 1st day; 3.2 L, the 2nd day; and 3.0 L...
Zatzman ML, Clarke L, Ray WJ, Garner HE, Traver D.Simultaneous renal clearances of inulin (CIN), p-aminohippurate (CPAH), and creatinine (CCR) were measured in hydrated mares (6 ponies and 2 horses). The CIN and CPAH were determined during steady-state infusion at 3 different infusion rates. A 6-fold change in plasma IN concentration did not produce alteration in CIN, nor was there a difference between the ponies and horses (P greater than 0.2). The overall average (mean +/- SEM) was 190.6 +/- 5.89 ml . min-1 . 100 kg of body weight-1. There was no difference noted between simultaneous CIN and CPAH. Clearance of PAH remained essentially const...
Attenburrow DP, James ED.URINARY incontinence has been reported in mares suffering
from equid herpesvirus infection (Greenwood and Simson 1980)
and in a foal (Ordidge 1976). Observations on a pony mare (122
cm high) which showed gross urinary incontinence after the
onset of a severe respiratory disorder are described here.
Shults T, Kownacki AA, Woods WE, Valentine R, Dougherty J, Tobin T.In horses given (rapid IV) methylphenidate (Ritalin, alpha-phenyl-2-piperidinacetic acid methyl ester; 0.70 mg/kg), plasma concentrations of the drug decreased rapidly at first, with an apparent alpha half-life of about 19 minutes, and then more slowly, with an apparent beta half-life of about 2.4 hours. These data were well fitted by a 2-compartment open model. In blood, about 40% of the methylphenidate present was in the plasma fraction, and of this, about 80% was plasma-protein bound. If given by subcutaneous or IM injection, plasma concentrations of methylphenidate peaked in about 1 hour a...
Behr MJ, Hackett RP, Bentinck-Smith J, Hillman RB, King JM, Tennant BC.Rupture of the urinary bladder was diagnosed in 4 neonatal male foals. Marked hyponatremia, hypochloremia, and hyperkalemia developed in all 4 cases, and the electrolyte abnormalities were considered to be of potential diagnostic value. Blood urea nitrogen concentration was normal or only slightly higher than normal in 3 of 4 cases and therefore was not a reliable diagnostic test.
Littlejohn A, Virlas D.Five doses of sodium cacodylate (194 mg) were administered intravenously to two horses at two-day intervals. The arsenic content of daily urine samples was determined for five days after the final dose, by which time urinary arsenic concentrations were close to those of control samples. It was considered that these results reflected a common property of organic arsenicals viz. more rapid excretion by mammals than is the case with inorganic arsenic compounds.
Roberts MC.Two young ponies had the prescrotal portion of their penises accidentally amputated during castration. They both developed ascending urinary tract infections over the next 4 weeks. One pony had a necrotising cystitis and pyelonephritis, the other improved markedly after a urethrostomy had been performed but was destroyed several months later.
Porcelli G, Marini-Bettolo GB, Croxatto HR, Di Jorio M.Kallikrein was purified from horse kidney by several steps of chromatographic procedure and by affinity chromatography on Sepharose-Concanavaline. Horse urinary kallikrein was previously purified by DE-32 hydroxylapatite and by Sephadex G-100 gel filtration. On the purified final sample of renal and urinary kallikrein the aminoacid composition and the gel electrophoretic molecular weight were determined. The ratio in micronMoles between each aminoacid residue of both hydrolyzed renal and urinary kallikrein of horse is about 1,00 +/- 0,30. Except for Pro, 1/2 Cys and basic aminoacid residues a ...
Chapman DI, Whiteside J.A radioimmunoassay method has been developed that enables the administration of therapeutic doses of synthetic corticosteroids to be detected in horse urine. Fourteen proprietary preparations of these steroids have been given by intramuscular injection to ponies and thoroughbreds. The administration of some preperations could still be detected six days after a single intramuscular injection of a therapeutic dose. The route of injection of dexamethasone-21-sodium phosphate, whether intramuscular, intravenous or intra-articular, did not appear to alter the length of time over which the steroid o...
Moss MS.A review is presented of published and some unpublished work dealing with aspects of drug clearance from horses. This work includes plasma half-lives and urinary clearance times for specified drugs, as well as a consideration of more general factors likely to influence these values. The review is presented primarily as a guide to the veterinary surgeon in practice, to assist in the drug therapy of horses without contravening the Rules of Racing relating to doping.
Roberts BL, Blake JW, Tobin T.Horses pretreated with 6.6 mg/kg of phenylbutazone were injected with 1 mg/kg of furosemide intravenously. Furosemide had no clinically significant effect on either plasma levels or plasma half-life of phenylbutazone. Furosemide reduced urinary levels of phenylbutazone 18-fold to concentrations which may result in inconsistent drug detection in routine screening tests. The results show that it is not possible to monitor compliance with phenylbutazone medication rules by means of urinalysis alone if the use of furosemide is permitted. Furosemide treatment, however, does not interfere with monit...
Firth EC.A case of vesical calculus in which haematuria was not a presenting sign is described. Methods of removal of vesical calculi are discussed. In this case, urethral sphincterotomy facilitated delivery.
Palmer E, Jousset B.Eight mares were observed clinically for 14 months to detect oestrus and ovarian activity, and assays of urinary oestrogens and plasma progesterone were performed. Cyclical ovarian activity occurred during 60% of the experimental period. Persistent luteal activity was found over 20% of the period and for the rest of the time activity was absent. Cyclical activity was characterized by the alternation of periods of low and high progesterone levels corresponding to the follicular and luteal phases of the ovarian cycle. During the follicular phase, urinary oestrogen levels increased to a maximum o...
Schmidt AR.A 5-MHz transducer was used transrectally to image palpable structures in the caudal portion of abdominal and pelvic cavities of 12 horses. In 8 healthy horses, structures scanned transrectally included the left kidney, spleen, urinary bladder, urethra, accessory sex organs in the male, portions of the intestinal tract, caudal portion of the aorta, and iliac arteries, and, in small horses, the cranial mesenteric artery. The transrectal technique was used to evaluate these structures in 4 horses with clinical signs indicating intrapelvic or intra-abdominal disease. Seemingly, transrectal ultras...
Howard RD, Pleasant RS, May KA.Transendoscopic pulsed dye laser lithotripsy was effective in the treatment of calcium carbonate urothlithiasis in 2 adult geldings. Perineal urethrotomy provided convenient access for standing transendoscopic lithotripsy and evacuation of a large cystic calculus in one gelding. In the second horse, an obstructive urethral calculus was fragmented and removed by a transurethroscopic approach. Pulsed dye laser lithotriptor is effective in fragmentation of the most common form (calcium carbonate) of uroliths in horses and may be performed in standing horses with reduced surgical invasiveness and ...
Chapman DI, Whiteside J.A radioimmunoassay method has been developed that enables the administration of therapeutic doses of synthetic corticosteroids to be detected in horse urine. Fourteen proprietary preparations of these steroids have been given by intramuscular injection to ponies and thoroughbreds. The administration of some preperations could still be detected six days after a single intramuscular injection of a therapeutic dose. The route of injection of dexamethasone-21-sodium phosphate, whether intramuscular, intravenous or intra-articular, did not appear to alter the length of time over which the steroid o...
McKinnon AO, Belden JO.A surgical technique involving reconstruction of the caudal vaginal vault was used to correct vesicovaginal reflux in 32 of 34 mares. After surgery, 22 of 24 mares became pregnant, and embryos were harvested for transfer from 6 of the other 10 mares. It was concluded that the procedure was safe and efficacious.
Stephen J, Harty M, Hollis A, Yeomans J, Corley K.An 11-year-old mare presented 36 hours after foaling with a ruptured bladder. Uroperitoneum was diagnosed on ultrasound and from the creatinine concentration of the peritoneal fluid. Bladder endoscopy demonstrated tissue necrosis and a rent in the dorsocranial aspect of the bladder. Following stabilisation, including abdominal drainage and lavage, the mare was taken to standing surgery. Under continuous sedation and epidural anaesthesia, and after surgical preparation, a Balfour retractor was placed in the vagina. Using sterile lubricant and moderate force, it was possible to insert a hand int...
Ternisien T, Dunn M, Vachon C, Manguin E, Bonilla AG, Jean D.Three client-owned horses diagnosed with obstructive ureteral stones were referred and treated in a minimally invasive manner by retrograde ureteroscopy in conjunction with electrohydraulic lithotripsy (EHL) or laser Holmium:YAG lithotripsy (HYL). For all 3 horses, additional tests revealed variable degrees of azotemia and ureteral obstruction. Ultrasound examination (2 horses) revealed a loss of cortico-medullary distinction consistent with a chronic nephropathy. Ultrasound-guided biopsy of the right kidney in 1 horse revealed moderate glomerulosclerosis and lymphoplasmacytic nephritis. A sta...
van den Berg IS.An apparatus for collection of free-flow urine from female horses is described. This apparatus is a modification of a similar device described previously. It allows the collection of voided urine from adult female horses without confining them to metabolic stables or resorting to invasive procedures like bladder catheterisation. It is relatively easy to use after a short adaptation period.
Textor JA, Goodrich L, Wion L.An 8-hour-old Standardbred filly was evaluated because of an enlarging umbilical mass and stranguria. It was suspected that the mass was the urinary bladder; this was confirmed on surgical exploration of the abdomen. Despite a normal umbilical ring, the bladder had descended and partially everted through its urachal communication with the umbilical stalk. Partial cystectomy and umbilical resection were performed and resulted in an excellent clinical outcome. Evagination of the urinary bladder via the umbilicus has rarely been described in human infants, and, to our knowledge, it has not been r...
Costa G, Labadia A, Garcia-Sacristan A.The effects of verapamil, a calcium antagonist agent, were studied on smooth muscle preparations of the lower urinary tract of horses. Verapamil (2 X 10(-4) to 2 X 10(-8) M) relaxed the ureter, urethra and urinary bladder preparations contracted by potassium (127 mM), L-noradrenaline (2 X 10(-5) M), histamine (2 X 10(-5) M) and acetylcholine (2 X 10(-5) M). These results allow the conclusion that verapamil has a dose-dependent relaxing effect on smooth muscle of the lower urinary tract.
Koenig J, Hurtig M, Pearce S, Henderson J, Morris T.Prolonged postoperative recuperation time and restricted exercise were circumvented by using ballistic shock wave lithotripsy to break up an 8-cm diameter vesical calculus and by flushing out the sand-like residue under epidural anesthesia with the horse standing. Recovery was uneventful.
Schumacher J, Wilson RC, Spano JS, Hammond LS, McGuire J, Duran SH, Kemppainen RJ, Hughes FE.Gentamicin sulfate-induced nephrotoxicosis was compared in 2 groups of horses fed different rations. Four horses were fed only alfalfa hay, and 4 other horses were fed only whole oats. Seven days after initiation of the diet, all horses were given gentamicin IV (5 mg/kg of body weight) every 12 hours for 22 days. Urinary gamma-glutamyl-transferase to urinary creatinine (UGGT:UCr) ratio was calculated daily, and serum concentration of gentamicin was measured at 1 and 12 hours after drug administration. Results indicated that horses fed oats had greater renal tubular damage than did horses fed a...
Delvescovo B.This article describes the most common causes of urine discoloration. The review includes a description of the most common disorders causing hematuria, highlighting clinical presentation, treatments, and pathophysiology. Causes of hemoglobinuria and myoglobinuria together with their mechanisms of renal injury are also reviewed.
Sanclemente JL, Ragle CA, Lund CM.A 12-year-old Friesian stallion was examined because of a 1-year history of preputial injury and urination through a urethrocutaneous fistula located at the midbody of the ventral aspect of the penis. Results: Physical examination revealed an opening with a clearly apparent mucocutaneous junction 12 cm from the distal opening of the urethra on the ventral left side of the penis. Endoscopic examination of the distal portion of the urethra confirmed a blind pouch with no communication with the fistula or proximal portion of the urethra. Results: A temporary perineal urethrostomy was performed wi...
Wooldridge AA, Seahorn TL, Williams J, Taylor HW, Oliver JL, Kim DY, Vicek TJ.A 2-year-old quarter horse gelding presented for evaluation of polyuria and polydipsia. Azotemia was detected on serum chemistry profile. Small, misshapen, hyperechoic kidneys with decreased corticomedullary demarcation, hydronephrosis, and a right nephrolith were noted ultrasonographically. The diagnosis of end-stage kidney disease and dysplasia was made histopathologically using ultrasound-guided biopsy. Two ureteroliths were found in the right ureter via cystoscopy, and a nephrolith was seen in the right kidney at necropsy. Clinical, ultrasonographic, and pathologic features of equine uroli...
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.
Kay AD, Lavoie JP.A technique was developed for recording urethral pressure profiles (UPP) in mares. Profiles were obtained from 12 clinically normal mares and from 3 mares with urinary incontinence. Variables measured on the profile included intravesicular pressure and maximal urethral closure pressure. The mean maximal urethral closure pressure of the incontinent mares was significantly less (P less than or equal to 0.001) than that of the normal mares. The technique is simple and reliable for objectively evaluating urethral pressures in mares.
Hahn K, Conze TM, Wollanke B, Distl O, Goehring LS, Witte TS.A 5-month-old draft horse filly was presented with incontinence and severe perivulvar dermatitis, which developed during the previous 2 months. Left-sided ectopic ureter entering in the caudal vaginal lumen, signs of cervix hypoplasia, and urine accumulation in the uterus were found during initial vaginal endoscopy. Therefore, a left ureter-nephrectomy was conducted under general anesthesia. Additionally, a cytogenetic examination was performed, which showed a XO monosomy with a 63,X/64,XX mosaic. This is the first case report presenting a chromosome abnormality in a draft horse filly combine...
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...
Mair TS, Osborn RS.X-ray diffraction crystallography was used to determine the crystalline composition of 18 equine urinary calculi, including stones originating in the kidney, bladder and urethra. Calcium carbonate in the form of calcite was found to be the major component in all calculi examined. Other components commonly found included weddellite and substituted vaterite. Urine deposits from a number of normal horses were also examined. The significance of these findings, as well as those from a number of previous reports, are discussed in relation to the possible aetiology of urolithiasis in the horse.
Fubini SL, Delco M.Urinary surgery in the horse may be challenging. More straightforward procedures, such as urinary bladder or urachal defects, do not usually require specialized equipment or imaging, although laboratory work is helpful. Congenital or acquired conditions of the ureters or kidneys may necessitate advanced diagnostic work-ups including advanced imaging /or and minimally invasive procedures. Some surgery of the lower urinary tract is done in the sedated, standing adult horse. Surgery involving the kidney typically requires general anesthesia. Laparoscopy and associated tools are frequently used. A...
Sassot LN, Ragle CA, Farnsworth KD, Heaton K, Jones ARE.Two mares, aged 15 and 21 years, were examined because of urinary incontinence, intermittent hematuria, and urine scalding. On admission of both horses, physical parameters were within normal limits and urine scalding of the skin at the ventral perineum was noted. Transrectal palpation and cystoscopy revealed a large type I cystolith (>10 cm) with associated hyperemia and focal ulceration of the bladder mucosa. In horse 1, hemogram, serum biochemical analysis, and renal ultrasound were not performed because of owner finances. In horse 2, results from hematological and serum biochemical analys...
Delbeke FT, Debackere M.A gas chromatographic method to measure urinary levels of the central nervous system stimulant fencamfamine and some of its metabolites is described. When 100 mg fencamfamine was given orally to four horses the parent drug could not be detected in the urine. After enzymatic hydrolysis of the urine the major human metabolite, N-desethylated fencamfamine, only accounted for 1% of the dose in 12 h. The major equine metabolites were conjugated parahydroxylated compounds representing 18% of the dose. With regard to horse doping control and analysis, the injudicious use of human doping routine metho...
Babel I, Stella RC, Prado ES.Previous experiments indicated that horse urinary kallikrein (UK) hydrolyzes salminei- e and polyarginine, a but not polylysine. This paper reports the action of UK on bradykinyl-serine, methionyllysyl-bradykinin and lysyllysyl-bradykinin.
Morgan RA, Malalana F, McGowan CM.A 14-year-old Cleveland Bay cross gelding was presented with severe urinary incontinence that had been present for 1 year, and chronic polydipsia and polyuria over 4 years. Water intake had been recorded as 240 L over a 24-hour period. Results: The horse had marked urinary incontinence and polyuria and polydipsia. The urine was markedly hyposthenuric, but no abnormalities on urinalysis were detected. There were no other abnormal clinical or neurological signs. Haematological and serum biochemical examinations showed no abnormalities and ultrasonographic and endoscopic examination of the urinar...
Jose-Cunilleras E, Hinchcliff KW.Pharmacologic treatment of diseases of the urinary tract of horses is limited to administration of antibiotics for treatment of urinary tract infections (UTIs), administration of drugs that alter urine pH, administration of drugs that alter bladder smooth muscle function or urethral sphincter tone, and treatment of acute renal failure. The indications, mechanisms of action, pharmacokinetic characteristics, and adverse effects of these agents in each of these groups are discussed in this article. The use of the agents is discussed within the context of the pathophysiology of the disease being t...
Moss AL, Acutt EV, Ullal T, Applegate TJ, Hackett ES.To describe the ureteropyeloscopic removal of a nephrolith in a horse. Methods: A 19 year old Hanoverian gelding with history of urolithiasis requiring surgical intervention. Methods: Case report METHODS: The horse presented with signs of abdominal straining and stranguria. A proximal urethral calculus was palpable externally within the perineal urethra. Perineal urethrostomy (PU) at the location of the urethral calculi was performed to remove the urethral obstruction. Left nephrolithiasis was then treated by endoscopic retrieval, inserting the endoscope through the PU. The procedures were per...
Rumbaugh GE, Carlson GP, Harrold D.Total daily 24-hour urinary output was obtained from 11 healthy horses fed alfalfa hay with free access to salt during periods of high environmental temperatures. Daily urinary volume averaged 15.6 L, with mean specific gravity of 1.028, osmolality of 1,040 mOsm/kg, and urinary flow rate of 1.24 ml/kg/hr. Total 24-hour sample collections of urine were also obtained from horses held without access to feed or water for periods of 24, 48, and 72 hours during high environmental temperatures. Average urine production under these conditions was 6.3 L during the 1st day; 3.2 L, the 2nd day; and 3.0 L...
Glade MJ.In an attempt to validate the use of urinary creatinine concentration as an index of urinary flow rate, a series of timed quantitative urine collections were done on several groups of weanling and yearling ponies and Thoroughbreds. A total of 411 urine samples were generated by 19 ponies and 12 Thoroughbreds. Urinary flow rates and urinary creatinine concentrations were measured. When all the data were examined, urinary flow rates were independent of creatinine concentrations. However, for any given animal, daily urinary creatinine excretion was constant over several days, and urinary creatini...
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...
Dickey EJ, McKenzie H, Johnson A, Furr MO.Arginine vasopressin (AVP) is used in human medicine in the management of vasodilatory shock and cardiac arrest, but it is not widely used in equine neonatal intensive care because of concerns about potential side effects and suboptimal efficacy. This retrospective study reports the clinical use of AVP and norepinephrine (NE) in foals with refractory hypotension. Objective: To report the cardiovascular responses and fluid balance in critically ill, hypotensive foals receiving either NE or AVP. Methods: The medical records of neonatal foals (<7 days of age) from 2000 to 2007 admitted to the ...
