{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T07:24:19Z","timestamp":1761895459541},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2012,3,29]],"date-time":"2012-03-29T00:00:00Z","timestamp":1332979200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To report use of transendoscopic electrohydraulic shockwave lithotripsy for fragmentation of urinary calculi in horses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animals<\/jats:title><jats:p>Male horses (n = 21).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fragmentation of cystic calculi (median, 6 cm diameter; range, 4\u201311 cm diameter) was achieved by transurethral endoscopy in standing sedated horses using an electrohydraulic shockwave fiber introduced through the biopsy channel of an endoscope. The fiber was advanced until it contacted the calculus. Repeated activation of the fiber was used to disrupt the calculus into fragments &lt;1 cm diameter. Visibility within the bladder was maintained by repeated lavage with saline solution.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Complete calculus removal was achieved in 20 horses (95%) with mean total surgical time of 168.6 minutes (range, 45\u2013450). In the 20 horses with single calculi, 1\u20136 sessions were required to completely fragment the calculus. Except for 1 horse, in which perineal urethrotomy was eventually performed for complete fragment removal, fragments calculi were excreted via the urethra. Postoperative complications included hematuria because of severe mucosal erosion (n = 2), dysuria because of a trapped urethral fragment (2), small amount of urinary debris (1). One horse was euthanatized because of bladder rupture. Complete clearance of calculi and urinary debris was confirmed endoscopically 20 (3\u201345) days after the last session. Telephone follow\u2010up (mean, 18.8 months; range, 7\u201324 months) revealed that horses had returned to previous activity levels without recurrence of clinical signs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Transendoscopic electrohydraulic lithotripsy appears to be an effective method for fragmentation of low\u2010density calcium carbonate cystic calculi in male horses.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1532-950x.2012.00977.x","type":"journal-article","created":{"date-parts":[[2012,4,3]],"date-time":"2012-04-03T12:03:33Z","timestamp":1333454613000},"page":"620-624","source":"Crossref","is-referenced-by-count":15,"title":["Endoscopic\u2010Assisted Electrohydraulic Shockwave Lithotripsy in Standing Sedated Horses"],"prefix":"10.1111","volume":"41","author":[{"given":"Michael","family":"R\u00f6cken","sequence":"first","affiliation":[{"name":"Veterinary Clinic Starnberg Starnberg Germany"},{"name":"Department of Equine Surgery, School of Veterinary Medicine Justus\u2010Liebig University Giessen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anton","family":"F\u00fcrst","sequence":"additional","affiliation":[{"name":"Equine Department Section Surgery Vetsuisse\u2010Faculty University of Zurich Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Kummer","sequence":"additional","affiliation":[{"name":"Equine Department Section Surgery Vetsuisse\u2010Faculty University of Zurich Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gesine","family":"Mosel","sequence":"additional","affiliation":[{"name":"Veterinary Clinic Starnberg Starnberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theo","family":"Tschanz","sequence":"additional","affiliation":[{"name":"Veterinary Clinic Niederlenz Switzerland,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph J.","family":"Lischer","sequence":"additional","affiliation":[{"name":"Equine Clinic Berlin University Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,3,29]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"229","volume-title":"Equine diagnostic surgical laparoscopy","author":"Ragle C","year":"2002"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.1992.tb00011.x"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2042-3292.1994.tb01129.x"},{"key":"e_1_2_5_5_1","first-page":"268","article-title":"Cystic calculi in the horse","volume":"6","author":"DeBowes R","year":"1984","journal-title":"Comp Contin Educ Pract Vet"},{"key":"e_1_2_5_6_1","doi-asserted-by":"crossref","first-page":"418","DOI":"10.2460\/javma.1995.207.04.0418","article-title":"Perineal urethrotomy for removal of cystic calculi in a gelding","volume":"207","author":"Hanson RR","year":"1995","journal-title":"J Am Vet Med Assoc"},{"key":"e_1_2_5_7_1","first-page":"301","article-title":"Laparo\u2010cystotomy for urinary calculus in a gelding","volume":"72","author":"Wright J","year":"1960","journal-title":"Vet Rec"},{"key":"e_1_2_5_8_1","first-page":"83","article-title":"Laparocystotomy in a gelding","volume":"76","author":"Williams K","year":"1964","journal-title":"Vet Rec"},{"key":"e_1_2_5_9_1","first-page":"345","article-title":"Surgical removal of equine uroliths via the laparocystotomy approach","volume":"139","author":"Lowe J","year":"1969","journal-title":"J Am Vet Med Assoc"},{"key":"e_1_2_5_10_1","first-page":"16","article-title":"Equine laparocystotomy","volume":"5","author":"Belling T Jr.","year":"1983","journal-title":"Equine Pract"},{"key":"e_1_2_5_11_1","first-page":"519","volume-title":"Handbuch pferdepraxis","author":"Sch\u00e4fer M","year":"1999"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950x.2004.04056.x"},{"key":"e_1_2_5_13_1","first-page":"884","volume-title":"Equine surgery","author":"Lillich JD","year":"2006"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0739(17)30109-8"},{"key":"e_1_2_5_15_1","first-page":"402","article-title":"Laparoskopisch gest\u00fctzte Zystotomie: ein Therapieverfahren bei der Urolithiasis des Pferdes","volume":"21","author":"R\u00f6cken M","year":"2005","journal-title":"Pferdeheilkunde"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2006.00163.x"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.1985.tb00896.x"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2042-3306.1988.tb01505.x"},{"key":"e_1_2_5_19_1","first-page":"185","article-title":"Ballistic shock wave lithotripsy in an 18 year old gelding","volume":"40","author":"Koenig J","year":"1999","journal-title":"Can Vet J"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1053\/jvet.2002.33480"},{"key":"e_1_2_5_21_1","first-page":"383","article-title":"Endoscopic lithotripsy of a urinary bladder calculus with the aid of a holmium\u2010YAG\u2010laser in a gelding","volume":"109","author":"Simhofer H","year":"2002","journal-title":"Dtsch Tier\u00e4rztl Wochenschr"},{"key":"e_1_2_5_22_1","first-page":"124","article-title":"Transurethrale endoskopisch gest\u00fctzte Operationstechniken bei Harnblasenerkrankungen des Pferdes","volume":"36","author":"R\u00f6cken M","year":"2008","journal-title":"Tier\u00e4rztliche Praxis"},{"key":"e_1_2_5_23_1","unstructured":"TschanzT LischerC: Endoscopic\u2010assisted electrohydraulic shockwave lithotripsy of calculi in the urinary bladder in standing sedated horses.Proceedings Annual Meeting of British Equine Veterinary Association Edinburgh UK 152"},{"key":"e_1_2_5_24_1","first-page":"145","article-title":"Endoscopic\u2010assisted electrohydraulic shockwave lithotripsy of calculi in the urinary bladder in standing sedated horses","author":"R\u00f6cken M","journal-title":"Proceedings, 19th Annual Scientific Meeting, ECVS Congress, Helsinki, Finland"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-5616(99)50017-X"},{"key":"e_1_2_5_26_1","article-title":"Complications associated with transurethral endoscopic\u2010assisted electrohydraulic lithotripsy for treatment of a bladder calculus in a gelding","author":"Reichelt U","journal-title":"Equine Vet Educ"},{"key":"e_1_2_5_27_1","unstructured":"ManskiD:Komplikationen der Harnblasensteinlithotripsie. Available athttp:\/\/www.Urologie-Lehrbuch.de\/Accessed June 16 2010"},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2010.00689.x"}],"container-title":["Veterinary Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1532-950X.2012.00977.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1532-950X.2012.00977.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T17:10:04Z","timestamp":1713805804000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1532-950X.2012.00977.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,3,29]]},"references-count":27,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2012,7]]}},"alternative-id":["10.1111\/j.1532-950X.2012.00977.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1532-950x.2012.00977.x","archive":["Portico"],"relation":{},"ISSN":["0161-3499","1532-950X"],"issn-type":[{"value":"0161-3499","type":"print"},{"value":"1532-950X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,3,29]]}}}