Complications associated with perineal urethrotomy in 27 equids.
Abstract: To report the clinical findings, incidence of complications, and outcome associated with perineal urethrotomy in equids. Methods: Retrospective case series. Methods: Equids (n = 27). Methods: Medical records (January 2000 to December 2010) of equids that had a perineal urethrotomy were reviewed. Data retrieved and evaluated were breed, age, surgical technique, use of general anesthesia, complications, time from surgery to development of complications and their management, and outcome. Results: Perineal urethrotomy was performed for urolithiasis (n = 22), for treatment of urethral rents (3), severe balanoposthitis (1), and bladder atony caused by equine protozoal myeloencephalitis (1). The incidence of complications was 52%, including recurrence of urolithiasis in 5 (23%) equids. Horses that had postoperative cystoscopy and bladder lavage were significantly less like likely to have recurrence of urolithiasis (P = .039). Of equids that had postoperative indwelling urinary catheters, 75% developed complications. Conclusions: Perineal urethrotomy can be an effective for treatment of urolithiasis, hematuria, and urethral trauma. Postoperative cystoscopy and bladder lavage significantly reduced the incidence of postoperative recurrence of urolithiasis.
© Copyright 2014 by The American College of Veterinary Surgeons.
Publication Date: 2014-03-11 PubMed ID: 24617965DOI: 10.1111/j.1532-950X.2014.12169.xGoogle Scholar: Lookup
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- Journal Article
Summary
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This research is a retrospective study that investigates the clinical outcomes and complication rates of perineal urethrotomy, a surgical treament for urinary tract disorders, in horses during a decade-long period. The study makes significant findings, including the effectiveness of post-operative cystoscopy and bladder lavage in reducing recurrence of urinary stones.
Research Methodology
- The study uses a retrospective approach, where the researchers examined medical records from January 2000 to December 2010.
- The research encompasses 27 equids (horse family animals) that had undergone perineal urethrotomy during the given timeframe.
- The variables the researchers analyzed include breed, age, the specific surgical technique used, administration of general anesthesia, complications, the time from surgery to the occurence of complications, how complications were managed, and the final outcome.
Research Findings
- The surgical operation of perineal urethrotomy was mainly performed for treating urolithiasis (urinary stones), which accounted for 22 of the cases. Other reasons for the surgery included treating urethral injuries (3 cases), severe inflammation of the penis and prepuce (1 case), and bladder atony caused by a certain parasitic disease (1 case).
- 52% of the equids developed complications after the surgery. A significant complication was the recurrence of urolithiasis, noted in 23% of the animals.
- The study reveals certain postoperative measures significantly reduced the chance of complications. Horses that underwent postoperative cystoscopy (examination of the urinary tract) and bladder lavage (washout) were less likely to experience a return of urinary stones.
- However, a substantial 75% of equids that had a urinary catheter placed after surgery developed complications.
Conclusions
- The researchers conclude that perineal urethrotomy can be effectively used to treat urolithiasis, blood in urine, and urethral trauma in equids.
- They also highlight that conducting post-operative cystoscopy and bladder lavage significantly reduces the risk of post-operative return of urinary stones.
Cite This Article
APA
Kilcoyne I, Dechant JE.
(2014).
Complications associated with perineal urethrotomy in 27 equids.
Vet Surg, 43(6), 691-696.
https://doi.org/10.1111/j.1532-950X.2014.12169.x Publication
Researcher Affiliations
- William R. Pritchard Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California at Davis, Davis, California.
MeSH Terms
- Animals
- Horse Diseases / surgery
- Horses
- Male
- Perineum / surgery
- Postoperative Complications / veterinary
- Retrospective Studies
- Urethra / surgery
- Urolithiasis / surgery
- Urolithiasis / veterinary
- Urologic Surgical Procedures / veterinary
Citations
This article has been cited 3 times.- Quinn CT. Incidence of complications from perioperative urinary catheterisation in horses. Aust Vet J 2025 Jun;103(6):319-321.
- Baltrimaite M, Kearney C, O'Brien A, Duggan M, Cuq B. Treatment of a urethral stricture by image-guided placement of a custom-made absorbable stent in a standing, sedated horse. J Vet Intern Med 2024 Sep-Oct;38(5):2795-2800.
- Straticò P, Varasano V, Celani G, Suriano R, Petrizzi L. Long-Term Outcome of En Bloc Extensive Resection of the Penis and Prepuce Associated with a Permanent Perineal Urethrostomy in a Gelding Affected by Squamous Cell Carcinoma. Case Rep Vet Med 2016;2016:6989450.
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