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膀胱包皮吻合术治疗山羊梗阻性尿路结石

Vesicopreputial anastomosis for the treatment of obstructive urolithiasis in goats.

作者信息

Cypher Elizabeth Erin, van Amstel Sarel R, Videla Ricardo, Force Clark Kyle, Anderson David E

机构信息

Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, Tennessee.

出版信息

Vet Surg. 2017 Feb;46(2):281-288. doi: 10.1111/vsu.12615.

DOI:10.1111/vsu.12615
PMID:28146287
Abstract

OBJECTIVE

To describe a novel surgical technique for the correction of recurrent obstructive urolithiasis in male goats.

STUDY DESIGN

Clinical case series.

ANIMALS

Castrated male goats (n = 4).

METHODS

Medical records of male goats having undergone vesicopreputial anastomosis (VPA) as a treatment for obstructive urolithiasis were reviewed for history, signalment, clinical signs, and intraoperative and postoperative complications. Long-term follow-up (≥12 months) was obtained by telephone interview with owners or by clinical examination.

RESULTS

All goats had undergone at least one surgical procedure (median, 2.5, range 2-4) to correct obstructive urolithiasis before undergoing VPA. Postoperative complications included premature removal of the tube from the bladder (1 goat), bacterial cystitis (2), and abscess formation (1). One goat suffered stricture of the anastomosis site 3 months following the original procedure and underwent a second VPA and 1 goat died 7 months after surgery due to severe, acute hydronephrosis and renal failure. Long-term survival ≥12 months was good with 3/4 goats (75%) or 3/5 VPA procedures (60%) having unobstructed urine flow at 12 months.

CONCLUSION

Vesicopreputial anastomosis is a feasible surgical procedure for the correction of recurrent obstructive urolithiasis in male goats and one that can result in a favorable clinical outcome. Further investigation in a larger population of goats is warranted for the evaluation of the suitability of VPA in male goats with obstructive urolithiasis.

摘要

目的

描述一种用于矫正雄性山羊复发性梗阻性尿路结石的新型手术技术。

研究设计

临床病例系列。

动物

去势雄性山羊(n = 4)。

方法

回顾接受膀胱阴茎头吻合术(VPA)治疗梗阻性尿路结石的雄性山羊的病历,包括病史、特征、临床症状以及术中及术后并发症。通过与羊主电话访谈或临床检查进行长期随访(≥12个月)。

结果

所有山羊在接受VPA之前均至少接受过一次矫正梗阻性尿路结石的手术(中位数为2.5,范围为2 - 4次)。术后并发症包括导尿管过早从膀胱拔除(1只山羊)、细菌性膀胱炎(2只)和脓肿形成(1只)。1只山羊在初次手术后3个月出现吻合口狭窄,接受了第二次VPA手术,1只山羊在术后7个月因严重急性肾积水和肾衰竭死亡。长期存活≥12个月的情况良好,4只山羊中有3只(75%)或5次VPA手术中有3次(60%)在12个月时尿液通畅。

结论

膀胱阴茎头吻合术是矫正雄性山羊复发性梗阻性尿路结石的一种可行手术方法,可产生良好的临床效果。有必要对更多数量的山羊进行进一步研究,以评估VPA在患有梗阻性尿路结石的雄性山羊中的适用性。

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