Peer-reviewed veterinary case report
Laparoscopic repair of ruptured urinary bladder in a stallion.
- Journal:
- Journal of the American Veterinary Medical Association
- Year:
- 2002
- Authors:
- Walesby, Honor A et al.
- Affiliation:
- Veterinary Teaching Hospital and Clinic · United States
- Species:
- horse
Plain-English summary
A 12-year-old stallion was having trouble urinating frequently, so he was examined under general anesthesia. During this exam, the veterinarians found that his urinary bladder was fine, but after he woke up, he showed signs that it had actually ruptured. They confirmed this with another examination and decided to use a special surgical technique called laparoscopy, which allows for better access and viewing of the bladder without making a large incision. This method led to a successful repair of the bladder with no complications, and the stallion healed quickly and comfortably. Overall, the treatment worked well for this horse.
Abstract
A 12-year-old stallion was evaluated because of pollakiuria; endoscopy of the urinary tract during general anesthesia revealed that the urinary bladder was intact. After recovery, the stallion developed clinical and biochemical signs of bladder rupture, which was confirmed by endoscopy. Cystoplasty in adult stallions represents a unique surgical dilemma; the large distance between the incision site and the bladder necessitates the repair be accomplished under maximum tension with minimal exposure. Because traditional surgical approaches through ventral midline or paramedian incisions provide limited access and viewing, laparoscopy was used to provide a definitive diagnosis, good viewing, easy access, tension-free dissection, and a secure repair. Lack of surgical complications and postoperative discomfort, rapid and uncomplicated healing, and patient-client satisfaction make laparoscopic cystoplasty the preferred method for surgical repair of ruptured urinary bladder in adult stallions.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/12494972/