Ureteropyeloscopic removal of a nephrolith from a 19 year old Hanoverian gelding.
Vet Surg
; 51 Suppl 1: O53-O59, 2022 Jul.
Article
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| MEDLINE
| ID: mdl-35535970
ABSTRACT
OBJECTIVE:
To describe the ureteropyeloscopic removal of a nephrolith in a horse. ANIMALS A 19 year old Hanoverian gelding with history of urolithiasis requiring surgical intervention. STUDYDESIGN:
Case reportMETHODS:
The horse presented with signs of abdominal straining and stranguria. A proximal urethral calculus was palpable externally within the perineal urethra. Perineal urethrostomy (PU) at the location of the urethral calculi was performed to remove the urethral obstruction. Left nephrolithiasis was then treated by endoscopic retrieval, inserting the endoscope through the PU. The procedures were performed over 2 consecutive days, with the horse standing and sedated. Medical therapy included antimicrobial and anti-inflammatory treatment.RESULTS:
The ureteropyeloscopic removal of a nephrolith from the left renal pelvis was completed. No complications were appreciated following the procedure, and the horse was able to return to athletic activity within 2 weeks. The horse had no further clinical signs referable to urinary dysfunction 7 months later.CONCLUSION:
Ureteropyeloscopic removal of a nephrolith from the renal pelvis is technically feasible in the equine patient and preserves function of the affected kidney. The availability of a treatment that maintains renal function is a distinct benefit over unilateral nephrectomy, particularly when treating a condition that frequently involves both kidneys.
Texto completo:
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Bases de datos:
MEDLINE
Asunto principal:
Obstrucción Uretral
/
Cálculos Renales
/
Urolitiasis
/
Enfermedades de los Caballos
Límite:
Animals
Idioma:
En
Revista:
Vet Surg
Año:
2022
Tipo del documento:
Article
País de afiliación:
Estados Unidos