Treatment of a urethral stricture by image‐guided placement of a custom‐made absorbable stent in a standing, sedated horse

Author:

Baltrimaite Milda1ORCID,Kearney Clodagh1,O'Brien Anne1,Duggan Michael1,Cuq Benoît2ORCID

Affiliation:

1. Section of Equine Clinical Studies Anaesthesia and Diagnostic Imaging, University College Dublin School of Veterinary Medicine Dublin Ireland

2. Section of Small Animal Clinical Studies University College Dublin School of Veterinary Medicine Dublin Ireland

Abstract

AbstractA 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.

Publisher

Wiley

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