Buccal mucosal urethroplasty for treatment of recurrent hemospermia in a stallion

Hackett, Eileen S.; Bruemmer, J.E.; Hendrickson, Dean A.; McCue, Patrick M.

doi:10.2460/javma.235.10.1212

Cited by 10 publications

(3 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4 A stallion with recurrent hemospermia secondary to a urethral rent was treated with a PU and application of a buccal mucosal graft to the urethral rent successfully. 16 Laser treatment alone failed to resolve hemospermia in one stallion; however, successfully resolved hemospermia recurrence in 4 stallions when combined with CS. 15 Chemical cauterization using 4% Policresulen, a polycondensation product of meta-cresolsulfonic acid and phenol used as a topical hemostatic and antiseptic (Albocresile 360 mg/g, Takeda Pharma…”

Section: Outcomementioning

confidence: 87%

“…Alternative surgical options reported are direct suturing of the urethral defect via a PU with urethroscopy guidance, laser application to the edges of the defect combined with PU and buccal mucosal urethroplasty combined with PU. 4,15,16 Diagnostic approach to horses presenting with hematuria or hemospermia is based on the identification of different degrees of blood in the ejaculate or urine, followed by visualization of a urethral rent by urethroscopy. 8,17 In horses affected with hematuria/hemospermia, clinical examination is generally unremarkable with the occasional presence of mild anemia on laboratory analysis of blood.…”

Section: Indicationsmentioning

confidence: 99%

See 1 more Smart Citation

Perineal urethrostomy in the male horse: a review of the indications, surgical technique, outcome, and complications

Ruiz

Arroyo

2023

View full text Add to dashboard Cite

Perineal urethrostomy is a surgical technique performed for temporary or permanent urine diversion from the penile urethra in male patients with obstructive urinary outflow disease, extensive trauma or invasive tumor affecting penis and prepuce, to access the urethra or bladder to remove uroliths, and to treat horses affected with hemospermia or hematuria secondary to urethral rents. Perineal urethrostomy has been advocated as the treatment of choice in geldings where hematuria does not resolve with conservative treatment and in stallions with hemospermia caused by urethral defects. Most cases of geldings with hematuria are resolved with a single perineal urethrostomy surgery; however, stallions with hemospermia might need a second surgery. Perineal urethrostomy also enables access to the urinary bladder in male horses with cystoliths following minimal dissection and without accessing the abdominal cavity. The most common complications directly related to this surgery are hemorrhage, urine scalding, and urethral stricture at the surgical site. The aim of this article is to review comprehensively the indications for perineal urethrostomy surgery, illustrate the surgical technique approach, and discuss outcomes and complications.

show abstract

Section: Outcomementioning

confidence: 87%

Section: Indicationsmentioning

confidence: 99%

Perineal urethrostomy in the male horse: a review of the indications, surgical technique, outcome, and complications

Ruiz

Arroyo

2023

View full text Add to dashboard Cite

show abstract

“…One such stallion was eventually treated with a buccal mucosal graft to eliminate recurrent haemospermia (Hackett et al . ).…”

Section: Introductionmentioning

confidence: 97%

Laser treatment of urethral defects in geldings and stallions used as the primary treatment or in combination with a temporary subischial incision: Eight cases (2003–2011)

Madron

Schleining

Caston

et al. 2013

Equine Veterinary Education

View full text Add to dashboard Cite

Summary Two geldings with haematuria and 6 stallions with haemospermia presented for evaluation between 2003 and 2011 to the Iowa State University Lloyd Veterinary Medical Center. Both geldings presented for haemorrhage at the end of urination. All stallions presented for evaluation of infertility following natural service or artificial insemination that was related to haemospermia. Urethroscopy identified a urethral defect in all 8 horses. Both geldings possessed a urethral rent. One stallion possessed a urethral varicosity while the remaining 5 possessed a urethral rent. Two geldings and 2 stallions received only laser treatment. The remaining 4 stallions received concurrent laser treatment with a temporary subischial incision (TSI) into the corpus spongiosum penis. All 6 stallions received 8 weeks of sexual rest after the completion of the surgical/laser treatment. Laser treatment alone was successful in resolving haematuria in one of 2 geldings. In the stallion group, all 4 horses with a urethral rent receiving laser treatment concurrent with a TSI resolved haemospermia. Of the remaining stallions, one with a urethral varicosity resolved clinical signs with only laser treatment and one stallion with a urethral rent received only laser treatment and haemospermia recurred. We conclude that laser treatment of a urethral rent in geldings can result in resolution of haematuria. Laser treatment used in combination with a TSI may result in improved success when compared to surgery alone. Laser treatment alone can result in resolution of a urethral varicosity.

show abstract

Hemospermia

McCue¹

2021

Equine Reproductive Procedures

View full text Add to dashboard Cite

Buccal mucosal urethroplasty for treatment of recurrent hemospermia in a stallion

Abstract: Buccal mucosal urethroplasty resulted in a favorable outcome in a stallion with recurrent hemospermia. Buccal mucosal urethroplasty may be a useful surgical option in stallions that have hemospermia secondary to a urethral defect and do not heal with sexual rest alone.

Cited by 10 publications

References 15 publications

Perineal urethrostomy in the male horse: a review of the indications, surgical technique, outcome, and complications

Perineal urethrostomy in the male horse: a review of the indications, surgical technique, outcome, and complications

Laser treatment of urethral defects in geldings and stallions used as the primary treatment or in combination with a temporary subischial incision: Eight cases (2003–2011)

Hemospermia

Contact Info

Product

Resources

About