Progressive urethral dilation in male horses undergoing perineal urethrotomy for cystolith removal: 22 cases
•Twenty-two geldings underwent perineal urethrotomy for removal of cystoliths.•Perineal urethrotomy facilitated urethral dilation using customized dilators.•Urethral dilation allowed for the simultaneous introduction of multiple instruments.•Urethral dilation allowed removal of cystoliths up to 90 m...
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Published in: | Journal of equine veterinary science Vol. 131; p. 104955 |
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Abstract | •Twenty-two geldings underwent perineal urethrotomy for removal of cystoliths.•Perineal urethrotomy facilitated urethral dilation using customized dilators.•Urethral dilation allowed for the simultaneous introduction of multiple instruments.•Urethral dilation allowed removal of cystoliths up to 90 mm.•No post-operative complications were recorded.
This retrospective case series describes the use of progressive urethral dilation in 22 client-owned male horses undergoing perineal urethrotomy (PU) for cystolith removal. Medical records of horses undergoing PU and urethral dilation for treatment of cystolithiasis were reviewed. Dilation of the pelvic urethra was performed following PU and using customized dilators with the same length (30cm) and with various outer diameters (25 to 45mm). Analyzed data included: signalment, cystolith size, renal ultrasound findings, method used for cystolith removal, diameter of urethral dilators, intra- and post-operative complications, and hospitalization time. Cystolith size ranged between 37mm and 90mm. Dilation of the pelvic urethra was as follows: 35mm (n=8), 25mm (n=6), 39mm (n=3), 33mm (n=2), 28mm (n=2) and 45mm (n=1). In 6 cases, the cystolith was removed without fragmentation. In the remaining 16 horses, lithotripsy was performed with forceps (n=9) or a pneumatic scaler (n=7). In 15 horses a retrieval device was used to aid in calculi removal. Hospitalization time ranged between 1 and 5 days. Intra-operative complications occurred in one horse. No post-operative complications were recorded. Follow-up information was available for 21 horses (range 1-8 years). Urethral dilation via PU may be a viable option for cystolith removal in male horses. |
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AbstractList | •Twenty-two geldings underwent perineal urethrotomy for removal of cystoliths.•Perineal urethrotomy facilitated urethral dilation using customized dilators.•Urethral dilation allowed for the simultaneous introduction of multiple instruments.•Urethral dilation allowed removal of cystoliths up to 90 mm.•No post-operative complications were recorded.
This retrospective case series describes the use of progressive urethral dilation in 22 client-owned male horses undergoing perineal urethrotomy (PU) for cystolith removal. Medical records of horses undergoing PU and urethral dilation for treatment of cystolithiasis were reviewed. Dilation of the pelvic urethra was performed following PU and using customized dilators with the same length (30cm) and with various outer diameters (25 to 45mm). Analyzed data included: signalment, cystolith size, renal ultrasound findings, method used for cystolith removal, diameter of urethral dilators, intra- and post-operative complications, and hospitalization time. Cystolith size ranged between 37mm and 90mm. Dilation of the pelvic urethra was as follows: 35mm (n=8), 25mm (n=6), 39mm (n=3), 33mm (n=2), 28mm (n=2) and 45mm (n=1). In 6 cases, the cystolith was removed without fragmentation. In the remaining 16 horses, lithotripsy was performed with forceps (n=9) or a pneumatic scaler (n=7). In 15 horses a retrieval device was used to aid in calculi removal. Hospitalization time ranged between 1 and 5 days. Intra-operative complications occurred in one horse. No post-operative complications were recorded. Follow-up information was available for 21 horses (range 1-8 years). Urethral dilation via PU may be a viable option for cystolith removal in male horses. This retrospective case series describes the use of progressive urethral dilation in 22 client-owned male horses undergoing perineal urethrotomy (PU) for cystolith removal. Medical records of horses undergoing PU and urethral dilation for treatment of cystolithiasis were reviewed. Dilation of the pelvic urethra was performed following PU and using customized dilators with the same length (30cm) and with various outer diameters (25 to 45mm). Analyzed data included: signalment, cystolith size, renal ultrasound findings, method used for cystolith removal, diameter of urethral dilators, intra- and post-operative complications, and hospitalization time. Cystolith size ranged between 37mm and 90mm. Dilation of the pelvic urethra was as follows: 35mm (n=8), 25mm (n=6), 39mm (n=3), 33mm (n=2), 28mm (n=2) and 45mm (n=1). In 6 cases, the cystolith was removed without fragmentation. In the remaining 16 horses, lithotripsy was performed with forceps (n=9) or a pneumatic scaler (n=7). In 15 horses a retrieval device was used to aid in calculi removal. Hospitalization time ranged between 1 and 5 days. Intra-operative complications occurred in one horse. No post-operative complications were recorded. Follow-up information was available for 21 horses (range 1-8 years). Urethral dilation via PU may be a viable option for cystolith removal in male horses. This retrospective case series describes the use of progressive urethral dilation in 22 client-owned male horses undergoing perineal urethrotomy (PU) for cystolith removal. Medical records of horses undergoing PU and urethral dilation for treatment of cystolithiasis were reviewed. Dilation of the pelvic urethra was performed following PU and using customized dilators with the same length (30cm) and with various outer diameters (25 to 45mm). Analyzed data included: signalment, cystolith size, renal ultrasound findings, method used for cystolith removal, diameter of urethral dilators, intra- and post-operative complications, and hospitalization time. Cystolith size ranged between 37mm and 90mm. Dilation of the pelvic urethra was as follows: 35mm (n=8), 25mm (n=6), 39mm (n=3), 33mm (n=2), 28mm (n=2) and 45mm (n=1). In 6 cases, the cystolith was removed without fragmentation. In the remaining 16 horses, lithotripsy was performed with forceps (n=9) or a pneumatic scaler (n=7). In 15 horses a retrieval device was used to aid in calculi removal. Hospitalization time ranged between 1 and 5 days. Intra-operative complications occurred in one horse. No post-operative complications were recorded. Follow-up information was available for 21 horses (range 1-8 years). Urethral dilation via PU may be a viable option for cystolith removal in male horses.This retrospective case series describes the use of progressive urethral dilation in 22 client-owned male horses undergoing perineal urethrotomy (PU) for cystolith removal. Medical records of horses undergoing PU and urethral dilation for treatment of cystolithiasis were reviewed. Dilation of the pelvic urethra was performed following PU and using customized dilators with the same length (30cm) and with various outer diameters (25 to 45mm). Analyzed data included: signalment, cystolith size, renal ultrasound findings, method used for cystolith removal, diameter of urethral dilators, intra- and post-operative complications, and hospitalization time. Cystolith size ranged between 37mm and 90mm. Dilation of the pelvic urethra was as follows: 35mm (n=8), 25mm (n=6), 39mm (n=3), 33mm (n=2), 28mm (n=2) and 45mm (n=1). In 6 cases, the cystolith was removed without fragmentation. In the remaining 16 horses, lithotripsy was performed with forceps (n=9) or a pneumatic scaler (n=7). In 15 horses a retrieval device was used to aid in calculi removal. Hospitalization time ranged between 1 and 5 days. Intra-operative complications occurred in one horse. No post-operative complications were recorded. Follow-up information was available for 21 horses (range 1-8 years). Urethral dilation via PU may be a viable option for cystolith removal in male horses. |
ArticleNumber | 104955 |
Author | Farnsworth, Kelly Jones, Andrew Richard Ellis Ragle, Claude Pentzke-Lemus, Ligia Sassot, Lucas Nolazco |
Author_xml | – sequence: 1 givenname: Lucas Nolazco surname: Sassot fullname: Sassot, Lucas Nolazco email: lucasnolazco@hotmail.com organization: Washington State University Veterinary Teaching Hospital, Pullman WA, US – sequence: 2 givenname: Claude orcidid: 0000-0001-7522-5536 surname: Ragle fullname: Ragle, Claude organization: Washington State University Veterinary Teaching Hospital, Pullman WA, US – sequence: 3 givenname: Ligia surname: Pentzke-Lemus fullname: Pentzke-Lemus, Ligia organization: Washington State University Veterinary Teaching Hospital, Pullman WA, US – sequence: 4 givenname: Andrew Richard Ellis surname: Jones fullname: Jones, Andrew Richard Ellis organization: Washington State University Veterinary Teaching Hospital, Pullman WA, US – sequence: 5 givenname: Kelly surname: Farnsworth fullname: Farnsworth, Kelly organization: Washington State University Veterinary Teaching Hospital, Pullman WA, US |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37866799$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1016/S0749-0739(17)30109-8 10.1053/jvet.2002.33480 10.1111/j.1532-950X.1981.tb00652.x 10.1111/j.1939-1676.2009.0348.x 10.2460/javma.249.3.304 10.2460/javma.2001.219.957 10.1016/S0737-0806(07)80577-6 10.1111/j.1532-950X.2006.00163.x 10.1111/eve.12843 10.1111/vsu.12530 10.1111/j.1532-950X.2012.00967.x 10.1038/nrurol.2013.275 10.1111/j.1532-950X.2010.00689.x 10.1111/j.2042-3306.1984.tb01844.x 10.1111/j.1532-950X.2012.00977.x 10.1159/000319501 10.1111/j.2042-3292.2012.00449.x 10.2460/javma.1998.212.10.1600 10.1111/j.1532-950x.2004.04056.x 10.1111/j.1532-950X.1992.tb00011.x 10.2460/javma.255.3.330 10.1111/j.1532-950X.2014.12169.x 10.1016/j.cveq.2007.09.003 10.1111/j.2042-3292.1994.tb01129.x |
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Keywords | Perineal urethrotomy Urethral dilation Urethra, Urinary bladder Cystolithiasis |
Language | English |
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Snippet | •Twenty-two geldings underwent perineal urethrotomy for removal of cystoliths.•Perineal urethrotomy facilitated urethral dilation using customized... This retrospective case series describes the use of progressive urethral dilation in 22 client-owned male horses undergoing perineal urethrotomy (PU) for... |
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SubjectTerms | Animals Cystolithiasis Dilatation - veterinary Horse Diseases - surgery Horses Male Perineal urethrotomy Retrospective Studies Urethra - surgery Urethra, Urinary bladder Urethral dilation Urinary Bladder Calculi - veterinary |
Title | Progressive urethral dilation in male horses undergoing perineal urethrotomy for cystolith removal: 22 cases |
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