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
Main Authors: Sassot, Lucas Nolazco, Ragle, Claude, Pentzke-Lemus, Ligia, Jones, Andrew Richard Ellis, Farnsworth, Kelly
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01-12-2023
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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.
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
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  givenname: Claude
  orcidid: 0000-0001-7522-5536
  surname: Ragle
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  givenname: Ligia
  surname: Pentzke-Lemus
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  givenname: Andrew Richard Ellis
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  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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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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StartPage 104955
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
URI https://dx.doi.org/10.1016/j.jevs.2023.104955
https://www.ncbi.nlm.nih.gov/pubmed/37866799
https://www.proquest.com/docview/2880820970
Volume 131
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