Article Text

Long-term management of sabulous cystitis in five horses
  1. D. I. Rendle, BVSc, CertEM(IntMed), MRCVS1,
  2. A. E. Durham, BVSc, BSc, CertEP, DEIM, DipECEIM, MRCVS1,
  3. D. Lloyd, BVMS, CertES(Orth), MRCVS1,
  4. G. E. S. Summerhays, BVetMed, CertES(Orth), MRCVS1 and
  5. K. J. Hughes, BVSc, FACVSc, DipECEIM, MRCVS2
  1. 1 Liphook Equine Hospital, Forest Mere, Liphook, Hampshire GU30 7JG
  2. 2 Division of Companion Animal Sciences, University of Glasgow Veterinary School, Bearsden Road, Glasgow G61 1QH


Five horses with sabulous cystitis were managed for up to three years. They were treated by emptying the bladder through a urinary catheter and saline lavage with cytoscopic guidance to remove residual sabulous material. The cystitis was treated with antimicrobial and anti-inflammatory medications, and bethanechol chloride was also administered. Frequent catheterisation and emptying of the bladder was an alternative to regular cystoscopic examination with saline lavage but it resulted in the development of a urethral stricture in one case. Four of the horses returned to work and one was retired owing to persistent incontinence.

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