Peer-reviewed veterinary case report
Laparoscopic removal of a bladder urolith in a standing horse.
- Journal:
- Journal of the American Veterinary Medical Association
- Year:
- 2013
- Authors:
- Lund, Caleb M et al.
- Affiliation:
- Department of Veterinary Clinical Sciences · United States
- Species:
- horse
Plain-English summary
An 11-year-old Arabian gelding was having trouble urinating, with symptoms like blood in the urine, straining to urinate, and needing to go frequently for about a week. A firm round mass was found in his bladder, which was identified as a bladder stone through further tests. The veterinarians used a special minimally invasive technique to remove the stone while the horse was standing, using sedation and local anesthesia. After the surgery, the horse's urination returned to normal within five days, and he was back to his usual activities three weeks later. Overall, the treatment was successful, with no complications during or after the procedure.
Abstract
CASE DESCRIPTION: An 11-year-old Arabian gelding was evaluated for hematuria, stranguria, and pollakiuria that had been observed for 1 week. CLINICAL FINDINGS: Transrectal palpation revealed a 5-cm firm round mass in the urinary bladder. Cystoscopy and transrectal ultrasonography confirmed the diagnosis of urinary bladder urolithiasis. TREATMENT AND OUTCOME: A multiportal transparalumbar fossa laparoscopic approach was selected for cystotomy and urolith removal. Cystotomy and urolith removal was performed with sedation and local anesthesia with the horse standing. No perioperative complications were observed. Urination returned to normal 5 days after surgery. The horse returned to its previous level of activity at 3 weeks after surgery. CLINICAL RELEVANCE: Findings suggested that minimally invasive transparalumbar fossa laparoscopic approach can be successfully used for cystotomy and urolith extraction in standing horses; this avoids the disadvantages of conventional laparocystotomy for removal of large uroliths in male equids and the potential complications of general anesthesia and recovery. The technique provided excellent viewing and access to the bladder, permitting extraction of the urolith and secure closure of the cystotomy with minimal tension and tissue trauma to the bladder.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/24134584/