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12 头患有会阴部或阴囊前尿道扩张的小牛行会阴尿道造口术加阴茎切除术与会阴尿道造口术的手术结果比较。

A comparison of surgical outcomes of perineal urethrostomy plus penile resection and perineal urethrostomy in twelve calves with perineal or prescrotal urethral dilatation.

作者信息

Marzok M A, El-Khodery S A

机构信息

Department of Veterinary Surgery, Faculty of Veterinary Medicine, Kafrelsheikh University, Kafr El-Sheikh 33516, Egypt ; Department of Surgery and Gynecology, Faculty of Veterinary Medicine, University of Tripoli, Tripoli, Libya.

Department of Internal Medicine and Infectious Diseases, faculty of Veterinary Medicine, Mansoura University, Mansoura 35516, Egypt ; Department of Internal Medicine, Faculty of Veterinary Medicine, University of Tripoli, Tripoli, Libya.

出版信息

Open Vet J. 2013;3(2):106-13. Epub 2013 Oct 13.

Abstract

The clinical diagnosis, ultrasonographic findings, surgical management, outcome, and survival rate of perineal or prescrotal urethral dilatation in 12 male calves are described. All calves were crossbred and intact males. The most noticeable clinical presentations were perineal (n= 10) or prescrotal (n= 2) swellings and micturition problems. The main ultrasonographic findings were oval shaped dilatation of the urethra in all animals with dimensions of 40-75 X 30-62 mm. The calves with perineal urethral dilatation were treated by perineal urethrostomy (n= 4) and partial penile transection including the dilated urethra and urethral fistulation (n= 6). Prescrotal urethral dilatations were treated by penile transection proximal to the dilatation site (n= 2). Cystitis and stricture of the urethra were recorded postoperatively for two of the calves that underwent perineal urethrostomy. Nine animals were slaughtered at normal body weight approximately 6-8 months after the surgical treatment. Three animals were slaughtered after approximately three to four months, two of them having gained insufficient body weight. Our study shows that ultrasonography is a useful tool for the diagnosis of urethral dilatation in bovine calves. Our study also shows that the partial penile transection may be a suitable and satisfactory choice of surgical treatment for correcting the urethral dilatation in bovine calves.

摘要

本文描述了12头雄性犊牛会阴或阴囊前尿道扩张的临床诊断、超声检查结果、手术治疗、预后及存活率。所有犊牛均为杂交且未阉割的雄性。最明显的临床表现为会阴肿胀(n = 10)或阴囊前肿胀(n = 2)以及排尿问题。超声检查的主要结果是所有动物的尿道呈椭圆形扩张,尺寸为40 - 75×30 - 62毫米。会阴尿道扩张的犊牛采用会阴尿道造口术治疗(n = 4),以及包括扩张尿道和尿道造瘘术的部分阴茎横断术治疗(n = 6)。阴囊前尿道扩张采用在扩张部位近端进行阴茎横断术治疗(n = 2)。接受会阴尿道造口术的两头犊牛术后记录有膀胱炎和尿道狭窄。9只动物在手术治疗后约6 - 8个月体重正常时被屠宰。3只动物在大约三到四个月后被屠宰,其中两只体重增加不足。我们的研究表明,超声检查是诊断犊牛尿道扩张的有用工具。我们的研究还表明,部分阴茎横断术可能是矫正犊牛尿道扩张的合适且令人满意的手术治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a90/4629617/058535d214a2/OpenVetJ-3-106-g001.jpg

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