Präpubische Urethrostomie bei einem Wiesenauer Minischwein mit Urolithiasis

Zusammenfassung

Ein 10-jähriges kastriertes, männliches Minischwein wurde aufgrund eines Tenesmus vesicae mit Anurie vorgestellt. Begleitsymptom war eine Tachypnoe. Röntgenologisch waren zahlreiche Harnsteine in Blase und Urethra nachweisbar. Über die Harnröhre konnte nicht katheterisiert werden, sodass eine Notfallzystostomie mit Einlegen eines Ballonkatheters durchgeführt wurde. Trotz Blasenspülung gelang es nicht die Harnröhrensteine so auszuspülen. Deswegen wurde ein präpubisches Urethrostoma angelegt. Das Tier erholte sich vollständig und setzt seither problemlos Urin über die urethrale Fistel ab. Prophylaktische Maßnahmen der Urolithiasis beinhalten unter anderem eine ausreichende Wasseraufnahme, eine ausgewogene Fütterung und balancierte Futterzusammensetzung sowie die Gewährleistung eines physiologischen Urin-pH-Werts.

Abstract

A 10-year-old castrated, male miniature pig was presented with tenesmus vesicae and anuria accompanied by tachypnea. Radiographs confirmed numerous uroliths within the bladder and urethra. The urethra was not amenable to catheterization, therefore, an emergency tube cystostomy was performed. Despite bladder irrigation the uroliths in the urethra were not removable. Consequently, a prepubic urethrostoma procedure was undertaken. The minipig fully recovered and has since been voiding urine via the urethral fistula uneventfully. Measures to prevent urolithiasis, among others, include an adequate water intake, a balanced feed and diet composition as well as maintaining a physiological urine pH.

Schlüsselwörter

Minischwein - Harnsteine - Obstruktion - Zystostomie - Urethrostomie

Key words

Miniature pig - uroliths - obstruction - cystostomy - urethrostomy

Publication History

Received: 30 June 2021

Accepted: 03 December 2021

Article published online:
05 July 2022

• Literatur

• 1 Töpfer M, Hinzmann B, Kershaw O. et al. Adenokarzinom der Milchdrüse bei einem Göttinger Minipig. Tierarztl Prax Ausg G Grosstiere Nutztiere 2018; 46 (02) 102-107
• 2 Braun Jr WF, Casteel SW. Potbellied pigs: Miniature porcine pets. Vet Clin North Am Small Anim Pract 1993; 23 (06) 1149-1177
• 3 Busch B, Schlenker G. Artgemäße Haltung von Mini-Pigs. 94 ed. Bramsche: Tierärztliche Vereinigung für Tierschutz e. V. TVT; 2003
• 4 Harari O. Tube cystotomy for treatment of urethral calculi and obstruction in pet pigs. ISR J VET MED 2003; 109-111
• 5 Robinson MR, Norris RD, Sur RL. et al. Urolithiasis: not just a 2-legged animal disease. J Urol 2008; 179 (01) 46-52
• 6 Van Metre DC. Prevention of Urolithiasis in Livestock Colorado State University: Veterinary Extension, Colorado State University. 2007 [09.08.2019]. Available from: http://veterinaryextension.colostate.edu/menu2/smruminants.shtml
• 7 Chigerwe M, Shiraki R, Olstad EC. et al. Mineral composition of urinary calculi from potbellied pigs with urolithiasis: 50 cases (1982–2012). J Am Vet Med Assoc 2013; 243 (03) 389-393
• 8 Halland SK, House JK, George LW. Urethroscopy and laser lithotripsy for the diagnosis and treatment of obstructive urolithiasis in goats and pot-bellied pigs. J Am Vet Med Assoc 2002; 220 (12) 1831-1834
• 9 Rakestraw PC, Fubini SL, Gilbert RO. et al. Tube cystostomy for treatment of obstructive urolithiasis in small ruminants. Vet Surg 1995; 24 (06) 498-505
• 10 Tamilmahan P, Mohsina A, Karthik K. et al. Tube cystostomy for management of obstructive urolithiasis in ruminants. Vet World. 2014 7. 04
• 11 Fortier LA, Gregg AJ, Erb HN. et al. Caprine obstructive urolithiasis: requirement for 2nd surgical intervention and mortality after percutaneous tube cystostomy, surgical tube cystostomy, or urinary bladder marsupialization. Vet Surg 2004; 33 (06) 661-667
• 12 Beck AL, Grierson JM, Ogden DM. et al. Outcome of and complications associated with tube cystostomy in dogs and cats: 76 cases (1995–2006). J Am Vet Med Assoc 2007; 230 (08) 1184-1189
• 13 Cornell KK. Cystotomy, partial cystectomy, and tube cystostomy. Clin Tech Small Anim Pract 2000; 15 (01) 11-16
• 14 Johnson-Delaney CA. editor Disease of the urinary system of commonly kept rodents: Diagnosis and treatment. Seminars in avian and exotic pet medicine. 1998. Elsevier;
• 15 Haven M, Bowman K, Engelbert T. et al. Surgical management of urolithiasis in small ruminants. Cornell Vet 1993; 83 (01) 47-55
• 16 Fazili M, Malik H, Bhattacharyya H. et al. Minimally invasive surgical tube cystotomy for treating obstructive urolithiasis in small ruminants with an intact urinary bladder. Vet Rec 2010; 166 (17) 528-532
• 17 Mahajan A, Gupta AK, Bhadwal MS. et al. Occurrence and management of obstructive urolithiasis in ruminants. J Anim Res 2017; 7 (04) 723-731
• 18 May K, Moll H, Wallace L. et al. Urinary bladder marsupialization for treatment of obstructive urolithiasis in male goats. Vet Surg 1998; 27 (06) 583-588
• 19 May KA, Moll HD, Duncan RB. et al. Experimental evaluation of urinary bladder marsupialization in male goats. Vet Surg 2002; 31 (03) 251-258
• 20 Stone W, Bjorling D, Trostle S. et al. Prepubic urethrostomy for relief of urethral obstruction in a sheep and a goat. J Am Vet Med Assoc 1997; 210 (07) 939-941
• 21 Holtz W. Pigs and Minipigs. In: Hubrecht RC, Kirkwood J. editors The UFAW Handbook on the Care and Management of Laboratory and Other Research Animals. John Wiley & Sons; 2010: 473-494
• 22 Yeom S-C, Cho S-Y, Park C-G. et al. Analysis of reference interval and age-related changes in serum biochemistry and hematology in the specific pathogen free miniature pig. Lab Anim Res 2012; 28 (04) 245-253
• 23 Chigerwe M, Heller MC, Balcomb CC. et al. Use of a percutaneous transabdominal catheter for management of obstructive urolithiasis in goats, sheep, and potbellied pigs: 69 cases (2000–2014). J Am Vet Med Assoc 2016; 248 (11) 1287-1290
• 24 Coutant T, Dunn M, Montasell X. et al. Use of percutaneous cystolithotomy for removal of urethral uroliths in a pot-bellied pig. Can Vet J 2018; 59 (02) 159
• 25 Palmer JL, Dykes NL, Love K. et al. CONTRAST RADIOGRAPHY OF THE LOWER URINARY TRACT IN THE MANAGEMENT OF OBSRUCTIVE UROLITHIASIS IN SMALL RUMINANTS AND SWINE. Vet Radiol Ultrasound 1998; 39 (03) 175-180
• 26 Maes D, Vrielinck J, Millet S. et al. Urolithiasis in finishing pigs. Vet J 2004; 168 (03) 317-322
• 27 Langston C, Gisselman K, Palma D. et al. Diagnosis of urolithiasis. Compendium 2008; 30 (08) 447-450
• 28 Streeter RN, Washburn KE, McCauley CT. Percutaneous tube cystostomy and vesicular irrigation for treatment of obstructive urolithiasis in a goat. J Am Vet Med Assoc 2002; 221 (04) 546-549
• 29 Byl KM, Kruger JM, Kinns J, Nelson NC. et al. In vitro comparison of plain radiography, double-contrast cystography, ultrasonography, and computed tomography for estimation of cystolith size. Am J Vet Res 2010; 71 (03) 374-380
• 30 Ewoldt JM, Jones ML, Miesner MD. Surgery of obstructive urolithiasis in ruminants. Vet Clin North Am Food Anim Pract 2008; 24 (03) 455-465
• 31 Van Metre DC. Urolithiasis in small ruminants: Surgical and dietary management. Cornell Urolith Surg J. 2004
• 32 León J, Gill M, Cornick-Seahorn J. et al. Prepubic urethrostomy for permanent urinary diversion in two Vietnamese pot-bellied pigs. J Am Vet Med Assoc 1997; 210 (03) 366-368
• 33 Rinnovati R, Lambertini C, Spadari A. Proximal perineal urethrostomy technique for treatment of urethral stricture in a Vietnamese pot-bellied pig. Veterinaria (Cremona) 2017; 31 (05) 279-283