Peer-reviewed veterinary case report
Filly with urinary incontinence - new surgery helped
By Jones, Andrew R E & Ragle, Claude A·Published in Journal of the American Veterinary Medical Association·2018·View original on PubMed →
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Original publication title: A minimally invasive surgical technique for ureteral ostioplasty in two fillies with ureteral ectopia.
- Species:
- horse
Plain-English summary
Two young female horses, one 3 months old and the other 1 month old, were brought in because they were leaking urine and had skin irritation from the urine. The first horse had a problem with one of her ureters (the tubes that carry urine from the kidneys to the bladder) being in the wrong place, while the second horse had issues with both ureters and her kidneys. Both horses underwent a special surgery to correct the position of their ureters using a minimally invasive technique. After the surgery, both fillies were able to urinate normally and did not have any more leaking for the follow-up periods of 20 months and 9 months, respectively. This surgical approach was effective in treating their condition.
Abstract
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 performed under cystoscopic guidance. Laparoscopic scissors (horse 1) or a vessel-sealing device (horse 2) was introduced, and the tissue separating the intramural portion of the ureter from the urethra and bladder was cut longitudinally in a cranial direction toward the trigone. After surgery, both horses were continent and voided normal streams of urine for the duration of the follow-up periods of 20 and 9 months for horse 1 and horse 2, respectively. CLINICAL RELEVANCE Cystoscopically guided ureteral ostioplasty provided an effective and minimally invasive surgical treatment option for correction of ureteral ectopia in 2 fillies.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/30451615/