Abstract
Abstract
Surgery of obstructive urolithiasis in small ruminants is often unsatisfactory due to postoperative development of strictures. The present study aimed to establish an endoscopic technique for the placement of a transurethral urinary catheter into the bladder of rams. This catheter was used as a removable stent-like drainage. The procedure was performed in three sheep rams that were euthanized and placed for surgery in 45° Trendelenburg position. In one ram, cystotomy was performed via right paramedian laparotomy. A 3 mm flexible fiberscope was introduced into the urinary bladder and advanced via urethra to the tip of the penis. Placing a guide wire through the endoscopic working channel into the urethra enabled the retrograde insertion of a transurethral urinary catheter into the bladder. In two rams, retrograde insertion of a fiberscope was performed. Again, a guidewire was used to insert a balloon catheter into the bladder. Paramedian right laparotomy was performed to ascertain the correct position of the balloon. Both techniques, antero- and retrograde endoscopy, were possible and could be successfully performed. Mucous membranes and urinary microliths were easily observed. Repeated advancing of the endoscope or the catheter resulted in marked damage of the mucous membranes. The patency of the urethra may be restored by means of endoscopic placement of a transurethral catheter in male small ruminants. The applicability and clinical outcome of this procedure as well as the effects on stricture formation should be further examined with controlled clinical studies.
Publisher
Springer Science and Business Media LLC
Subject
General Veterinary,General Medicine
Reference20 articles.
1. Van Metre DC, Fubini SL. Ovine and caprine urolithiasis: another piece of the puzzle. Vet Surg. 2006;35:413–6.
2. Kümper H. Urolithiasis in male sheep and goats. Clinical picture, therapeutic possibilities and prognostic evaluation (in German). Tierarztl Prax. 1994;22:234–41.
3. Bani Ismail ZA, Al-Zghoul MF, Al-Majali AM, Khraim NM. Effects of castration on penile and urethral development in Awassi lambs. Bulg J Vet Med. 2007;10:29–34.
4. Crookshank HR, Robbins JD, Kunkel HO. Relationship of dietary mineral intake to serum mineral level and the incidence of urinary calculi in lambs. J Anim Sci. 1967;26:1179–85.
5. Nwaokorie EE, Osborne CA, Lulich JP, Fletcher TF, Ulrich LK, Koehler LA, Buettner MT. Risk factors for calcium carbonate urolithiasis in goats. J Am Vet Med Assoc. 2015;247:293–9.