Peer-reviewed veterinary case report
Horse having trouble urinating? A new stent helped
By Baltrimaite, Milda et al.Ā·Published in Journal of veterinary internal medicineĀ·2024Ā·University College Dublin School of Veterinary MedicineĀ·View original on PubMed ā
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Original publication title: Treatment of a urethral stricture by image-guided placement of a custom-made absorbable stent in a standing, sedated horse.
- Species:
- horse
Plain-English summary
A 10-year-old Irish Sport Horse gelding had trouble urinating after complications from anesthesia led to repeated catheterizations. He showed signs of painful urination and frequent trips to the bathroom, which were caused by a urethral stricture (narrowing of the urethra). After other treatments didn't help, a special absorbable stent was placed in his urethra using imaging guidance. This procedure allowed him to urinate normally, and follow-up exams showed that the stent dissolved as expected, leaving his urethra clear. Nine months later, the horse was back to his usual athletic activities without any urinary issues.
People also search for: horse urinary problems Ā· urethral stricture treatment in horses Ā· horse catheter complications
Abstract
A 10-year-old Irish Sport Horse gelding developed complications from a general anesthesia resulting in sling support and recurrent urinary catheterization. The horse subsequently presented signs of dysuria and pollakiuria, was diagnosed with sabulous cystitis, and developed a urethral stricture from the repeated catheterizations, which was confirmed on urethroscopy. Clinical signs persisted despite conservative management with topical corticosteroids and urethral bougienage with balloon dilators. An image-guided approach was used to treat the stricture with a custom-made polydioxanone stent placed in the urethra after which the horse was able to void normally and fully empty his bladder. Repeat urethroscopy and ultrasonography 6 months after the procedure showed the stent to have completely reabsorbed with urethra remaining patent. Nineten months after the procedure, the owner reports the horse remaining at his intended level of athletic performance with no dysuria.
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Search related cases āOriginal publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/39262299/