Peer-reviewed veterinary case report
Treatment of a urethral stricture by image-guided placement of a custom-made absorbable stent in a standing, sedated horse.
- Journal:
- Journal of veterinary internal medicine
- Year:
- 2024
- Authors:
- Baltrimaite, Milda et al.
- Affiliation:
- University College Dublin School of Veterinary Medicine
- Species:
- horse
Plain-English summary
A 10-year-old Irish Sport Horse gelding had some complications after undergoing general anesthesia, which led to the need for extra support and repeated urinary catheterizations. This caused him to have trouble urinating and to need to go to the bathroom more often. After trying some treatments that didn't work, the veterinarians used a special imaging technique to place a custom-made stent in his urethra to help with the blockage. After the procedure, the horse was able to urinate normally, and follow-up checks showed that the stent had dissolved and the urethra was clear. Nineteen months later, the owner reports that the horse is still performing well in his activities without any issues.
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 →Original publication: https://pubmed.ncbi.nlm.nih.gov/39262299/