Holmium: YAG laser lithotripsy for urolithiasis in horses

D. C. Grant, Joellen L Westropp, R. Shiraki, A. L. Ruby

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Background: Laser lithotripsy has been used as an alternative to surgical removal of uroliths. Objective: To describe the procedure and efficacy of laser lithotripsy for removal of lower urinary tract uroliths in horses. Additionally, the ultrastructure and the differences in mineralogy and microstructure from 1 successful and 1 unsuccessful laser lithotripsy case are described. Animals: Six client-owned horses with 7 episodes of naturally occurring urocystoliths, urethroliths, or both. Methods: Retrospective study of all horses treated between 2006 and 2008 by laser lithotripsy. All horses were sedated followed by laser lithotripsy. Quantitative urolith analysis was performed in all cases. Ultrastructure and microstructure analyses were performed on uroliths from 2 horses. Results: Procedural success was achieved in 5 of 7 laser lithotripsy procedures. No complications occurred as a result of laser lithotripsy. One horse developed uroabdomen likely as a result of manual lithotrite disruption of the bladder after failure of laser lithotripsy. There were differences in microstructure between 1 urolith that was successfully fragmented by laser lithotripsy and 1 urolith that was resistant to laser fragmentation. Conclusions and Clinical Importance: Laser lithotripsy is an effective procedure for removal of some urocystoliths, urethroliths, or both in horses.

Original languageEnglish (US)
Pages (from-to)1079-1085
Number of pages7
JournalJournal of Veterinary Internal Medicine
Volume23
Issue number5
DOIs
StatePublished - Sep 2009

Fingerprint

holmium
Laser Lithotripsy
Urolithiasis
Solid-State Lasers
bladder calculi
Horses
lasers
horses
microstructure
ultrastructure
urolithiasis
urinary tract
mineralogy
bladder
retrospective studies
Urinary Tract

Keywords

  • Calcium carbonate
  • Cystoscopy
  • Minimally invasive surgery
  • Urinary

ASJC Scopus subject areas

  • veterinary(all)

Cite this

Holmium : YAG laser lithotripsy for urolithiasis in horses. / Grant, D. C.; Westropp, Joellen L; Shiraki, R.; Ruby, A. L.

In: Journal of Veterinary Internal Medicine, Vol. 23, No. 5, 09.2009, p. 1079-1085.

Research output: Contribution to journalArticle

Grant, D. C. ; Westropp, Joellen L ; Shiraki, R. ; Ruby, A. L. / Holmium : YAG laser lithotripsy for urolithiasis in horses. In: Journal of Veterinary Internal Medicine. 2009 ; Vol. 23, No. 5. pp. 1079-1085.
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