Equis ISSN 2398-2977

Perineum: urethrotomy

Contributor(s): David Moll, Graham Munroe, Rachel Murray

Introduction

  • This is typically performed as a temporary procedure for urinary diversion in male patients with obstructive urinary outflow disease.
  • In patients requiring chronic diversion, a permanent urethrostomy is created.

Uses

  • Access to small cystic or urethral calculi .
  • Treatment of hemospermia .
  • Diversion of urine flow from penile urethra for urethral lacerations , urethral urolithiasis and soft tissue extra-urethral compression.

Advantages

  • Can be performed in standing sedated horse.
  • Minimal specialist equipment required.

Disadvantages

  • Can lead to stricture or fistula formation.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Depends upon primary reason for urethrotomy/urethrostomy.

Further Reading

Publications

Refereed papers


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