Ulceration in the proximal portion of the urethra as a cause of hematuria in horses: four cases (1978-1985).

Sudden onset of hematuria was associated with mucosal ulceration of the proximal portion of the urethra in 1 stallion and 3 geldings. Hematuria was observed characteristically and consistently at the end of urination. Mucosal ulceration was identified endoscopically in the proximal portion of the urethra at the level of the ischial arch. Biopsy of an ulcerated area of the proximal urethra in one gelding revealed transitional cell carcinoma. Treatment regimens varied from systemic antimicrobial and/or vasoactive therapy to diversion of urinary flow via a temporary perineal urethrostomy. Hematuria resolved in 14 to 24 days (average, 20 days) after treatment was begun, except in one gelding that died of undetermined causes during an initial examination. In the 3 remaining horses, hematuria had not recurred for up to 9 years (average, 1 year).