Text book of veterinary medicine, Volume 3 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 3 (of 5)
Law, James
Veterinary medicine
This occurs most commonly in oxen from obstruction of the urethra by a
calculus. Similar obstruction in the horse causes most acute symptoms,
calling for immediate relief, and rupture is a comparatively rare
occurrence. Pench mentions a case resulting from a fall during an attack
of colic, and with a full bladder. It has happened during lithotrity, or
lithotomy, and even during parturition. Perforation by parasites has
been noted and in one case by an osseous tumor of the pubic symphysis.
In horses a fatal result is prompt, in cattle from 6 to 48 days.
Treatment surgical.
EVERSION OF THE BLADDER.
This is really invagination into the female urethra and bladder. It has
only been seen in mares, and then by reason of the extreme dilatability
of the urethra. A pyriform, red, perhaps rugose tumor shows between the
lips of the vulva, during straining. It is covered by mucosa, and on its
upper surface near to its neck are two small orifices from which urine
oozes or comes in jets during active expulsive efforts. It soon becomes
muco-purulent on the surface, and even excoriated. Urine escaping
continuously trickles down the thighs with much fœtor. It occurs
especially during violent expulsive efforts as in parturition or
constipation.
_Treatment_ essentially surgical consists in uniform compression to
expel blood and exudate followed by the pushing of the fundus through
the bladder and urethra. The more recent the case, the easier is the
process. Pressecq claims to have cured an obstinately recurring case, by
cauterizing the urethra up to the cervix vesicæ with a round iron rod an
inch in diameter. The resulting loss of substance, with the neoplasia
and constriction effectually prevented renewed eversion even during
parturition. Other veterinarians have successfully excised the bladder,
but this entailed incontinence and constant offensive soaking of the
thighs with urine.
HERNIA OF THE BLADDER.
This is commonly seen in the mammalian female in connection with rupture
of the floor of the vagina during dystokia. It has also been observed
without such lesion in both male and female dogs and horses, the bladder
forming a cystocele of the vagina, or bulging between the anus and the
ischium.
_Diagnosis_ is confirmed by careful palpation through the rectum. The
folding of the bladder backward obstructs the exit of urine.
_Treatment_, essentially surgical, might include replacing of the organ
and suturing of the wound, or, in the absence of a wound, evacuation of
the bladder by a hypodermic needle, and replacing by palpation through
the vagina or rectum. Sometimes suture of the vulva is desirable.
ANOMALIES OF THE BLADDER.
=Persistent urachus.= Seen in the new born and mainly in males.
Antiseptic closure is essential after having ascertained that the
urethra is pervious.
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