Pararectal cystotomy for urolith removal in nine horses.
OBJECTIVE
To report outcome of horses after standing pararectal cystotomy for removal of uroliths.


METHODS
Case series.


METHODS
Horses (n=9) with cystic calculi.


METHODS
Medical records (December 1998-May 2007) of horses with cystic calculi that had standing pararectal cystotomy were reviewed. Signalment; urolith number, size, and type; surgical technique; sedation and analgesia protocols; intra- and postoperative complications and outcome were analyzed.


RESULTS
Uroliths (mean diameter, 6.37 cm; median, 6 cm; range, 3-10 cm) were removed intact without need for fragmentation. Eight (89%) horses had no complications and 1 horse (11%) developed persistent drainage from the perineal incision and incisional healing was prolonged. The complications resolved after wound revision, and although cystoscopy showed absence of uroliths, the clinical signs associated with cystitis recurred.


CONCLUSIONS
Cystic calculi can be removed safely in standing horses using a pararectal approach. The procedure was well tolerated and no serious complications were encountered.


CONCLUSIONS
Pararectal cystotomy allows removal of cystic calculi in standing sedated horses. The technique may offer an economic advantage over approaches that require general anesthesia.
Abuja
Gustavo A
GA
Department of Clinical Sciences, Tufts University Cummings School of Veterinary Medicine, North Grafton, MA 01536, USA.
García-López
José M
JM
Doran
Richard
R
Kirker-Head
Carl A
CA
D000818:Animals; D053715:Cystotomy / Q000379:methods / Q000662:veterinary*; D006734:Horse Diseases / Q000601:surgery*; D006736:Horses / Q000601:surgery; D008297:Male; D011182:Postoperative Care / Q000662:veterinary; D011187:Posture; D016896:Treatment Outcome; D001744:Urinary Bladder Calculi / Q000601:surgery / Q000662:veterinary*