Complications of Urinary Surgery

Steward, Sara K.T.; Rubio‐Martínez, Luis M.

doi:10.1002/9781119190332.ch43

Cited by 2 publications

(1 citation statement)

References 58 publications

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“…The most common complication of urinary surgery is a recurrence of uroperitoneum due to dehiscence of the suture or failure to completely suture the tear ( Hardy, 1998 ), incontinence, infection, urine scalding, and fistulas ( Steward and Rubio-Martinez, 2021 ). Bladder atony, renal failure, intestinal adhesions, peritonitis, and pleural effusion are less frequently reported sequelae ( Ford et al , 2022 ).…”

Section: Discussionmentioning

confidence: 99%

Management of uroperitoneum through combination of conservative and surgical treatments in two colts

Montano,

Forni,

Lanci

et al. 2023

Open Vet J

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Background: Ruptures of the urinary bladder and urachus are the most frequent cause of uroperitoneum in foals. Surgical correction is often the first treatment choice, however nonsurgical methods, such as urine removal via urinary catheters and abdominal drains, have been successfully performed in foals. Case Description: Two foals were referred to the Equine Perinatology Unit for suspicion of uroperitoneum. Diagnosis was confirmed by hematobiochemical and ultrasound examinations, thus cystorrhaphy and cystoplasty were attempted. Surgeons found a lesion in the dorsocranial margin of the bladder (Case 1) and a tear in the pelvic urethra (Case 2); in the first case the defect was routinely repaired, while the last lesion was impossible to repair due to its localization. A urinary catheter was left in place in both cases. Uroperitoneum recurred 72 hours after the surgery in both foals: a second surgical correction was not recommended due to the localization of the tears and conservative treatment, with the placement of a 32F chest tube in the most ventral part of the abdomen, was preferred. Abdominal drains were removed 5-7 days after surgery, while urinary catheters were left in place for up to 7-8 days. Colts’ conditions improved during hospitalizations. Two months after bladder surgery, Case 1 was euthanized due to multiple adhesions between the small intestine and the abdominal wall. Case 2 was still alive one year post-operatively. Conclusion: Although it cannot be considered the first choice for treatment of uroperitoneum in the foal, nonsurgical treatment was successful in both cases in the short-term follow-up. However, the prognosis should be cautious due to the risk of long-term complications. Conservative management may be used to manage bladder/urethral tears that cannot be solved by surgery.

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Section: Discussionmentioning

confidence: 99%

Management of uroperitoneum through combination of conservative and surgical treatments in two colts

Montano,

Forni,

Lanci

et al. 2023

Open Vet J

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Complications des chirurgies urogénitales du mâle

Lallemand

2022

NPV équine

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Les chirurgies urogénitales du cheval mâle, hormis la castration, concernent principalement les chirurgies du pénis, de l’urètre et de la vessie. Les complications les plus fréquentes communes aux chirurgies de ces 3 structures sont notamment les saignements et hémorragies, les œdèmes et la déhiscence de plaie, comme de nombreuses autres chirurgies. Les complications plus spécifiques sont les irritations cutanées causées par l’urine pour les chirurgies du pénis et de l’urètre ; les obstructions urinaires, notamment s’il y a développement de sténoses urétrales qui peuvent être favorisées par l’aspect spiculé des calculs urinaires ; et les récidives tumorales lors de traitement de tumeurs. La meilleure stratégie reste la prévention, en particulier en soignant la réalisation des procédures chirurgicales. Une hémorragie sévère postopératoire pourra nécessiter une reprise chirurgicale, de même que les sténoses urétrales.

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Complications of Urinary Surgery

Cited by 2 publications

References 58 publications

Management of uroperitoneum through combination of conservative and surgical treatments in two colts

Management of uroperitoneum through combination of conservative and surgical treatments in two colts

Complications des chirurgies urogénitales du mâle

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