12. Surgery of the urogenital tract in horses

Question 1

Name different surgeries of the urogenital tract:

Answer 1

1. Castration
2. Surgery of the kidney
3. Surgery of the uretjer
4. Surgery of the bladder
5. Surgery of the urethra

Question 2

When is castration indicated?

Answer 2

1. Poor genetics
2. When masculine behaviour becomes intolerable
3. When we want a taller horse -> delays the closure of the growth plates

Question 3

At which age would we perform castration?

Answer 3

Sport horse = yearling

Adult stallion = when fully grown, 3-4 years old

Question 4

Pre operative for castration:

Answer 4

1. AB, either IV or IM
2. Tetanus booster i already vaccinated,
   if not -> antitoxine IM

Question 5

Which different techniques exist for castration?

Answer 5

1. Standing: Open procedure
2. General anaesthesia: Closed/half closed or primary closure of the vaginal trunk

Question 6

Open procedure, castration:

Answer 6

Open up the vaginal trunk, stays open

Question 7

Closed, half closed, castration:

Answer 7

Scrotal/inguinal approach. We crush the M.cermaste and the ligament - The recommended technique

Question 8

Primary closure of the vaginal trunk, castration:

Answer 8

Inguinal approach.
Open the vaginal tunic, we remove the testivle + epididymus. We do ligatures and close

Question 9

Instruments of castration and what they do:

Answer 9

1. Emasculator = Crush and cut
2. Sand forecps = Crush

Question 10

For castration, how much lidocaine would you inject into each testicle?

Answer 10

10 ml in each