Modified Proximal Perineal Urethrostomy (MPPU) using Novel   Direct Guided Urethral Catheterisation Technique for Early Management of Obstructive Urolithiasis in Male Goats

Sudheesh S Nair; Soumya Ramankutty; Anvitha Hansoge; M. K. Narayanan; C. B. Devanand

doi:10.5455/ijlr.20200607052239

Authors

Sudheesh S Nair Assistant Professor, Department of Veterinary Surgery and Radiology, College of Veterinary and Animal Sciences, Mannuthy, Kerala Veterinary and Animal Sciences University, Thrissur, Kerala, INDIA
Soumya Ramankutty Assistant Professor, Department of Veterinary Surgery and Radiology, College of Veterinary and Animal Sciences, Mannuthy, Kerala Veterinary and Animal Sciences University, Thrissur, Kerala, INDIA
Anvitha Hansoge M.V.Sc Resident, Department of Veterinary Surgery and Radiology, College of Veterinary and Animal Sciences, Mannuthy, Kerala Veterinary and Animal Sciences University ,Thrissur, Kerala , INDIA
M. K. Narayanan Associate Professor, Department of Veterinary Surgery and Radiology, College of Veterinary and Animal Sciences, Mannuthy, Kerala Veterinary and Animal Sciences University, Thrissur, Kerala, INDIA
C. B. Devanand Professor and Head, Department of Veterinary Surgery and Radiology, College of Veterinary and Animal Sciences, Mannuthy, Kerala Veterinary and Animal Sciences University, Thrissur, Kerala, INDIA

DOI:

https://doi.org/10.5455/ijlr.20200607052239%20%20%20%20%20

Keywords:

Guided Urethral Catheterisation, Goat, K-Wire, Modified Proximal Perineal Urethrostomy (MPPU), Obstructive Urolithiasis, Struvite Crystals, Stent Catheter

Abstract

A novel direct guided urethral catheterisation technique was developed aiding the existing modified proximal perineal urethrostomy (MPPU) procedure for the management of obstructive urolithiasis in male goats. This novel technique is performed using a modified stent catheter to directly access the perineal urethra through a unique site at about two to three cm below the anus and between the pin bones by gentle urethral puncture. Six cases of obstructive urolithiasis by struvite stones in goats were successfully managed by this technique and full functional regaining of urethra was achieved by third post-operative week without any complication. This article puts on record, the first-time documentation of a unique direct guided catheterisation technique which is a modification of existing MPPU procedure for early management of obstructive urolithiasis in goats.