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Buccal mucosal urethroplasty for treatment of recurrent hemospermia in a stallion

2009; American Veterinary Medical Association; Volume: 235; Issue: 10 Linguagem: Inglês

10.2460/javma.235.10.1212

1943-569X

Eileen S. Hackett, J.E. Bruemmer, Dean A. Hendrickson, Patrick M. McCue,

Genital Health and Disease

Description-An 11-year-old Quarter Horse stallion was admitted for intermittent hemospermia of 4 years' duration.A linear vertical defect had been detected endoscopically following multiple episodes of hemospermia on the caudodorsal convex surface of the urethra at the level of the ischial arch.When sexual rest alone did not result in complete healing of the urethral defect, a subischial urethrotomy and buccal mucosal urethroplasty were performed. The surgical site healed without complication. Four months of sexual rest was recommended after surgery. Repeat endoscopy at 4 months allowed inspection of the urethral graft site. Following endoscopic examination, resumption of semen collection was recommended on the basis of the apparent healing at the urethral defect site. Hemospermia did not reoccur following surgical repair.Buccal mucosal urethroplasty resulted in a favorable outcome in a stallion with recurrent hemospermia. Buccal mucosal urethroplasty may be a useful surgical option in stallions that have hemospermia secondary to a urethral defect and do not heal with sexual rest alone.