Background: Tube cystostomy, though a popular technique to relieve obstructive urolithiasis in ruminants with advantages of lower recurrences, preservation of the reproductive function of the animal and restoration of full urethral patency in successful cases, is time consuming and invasive. Tube cystostomy performed under ultrasound guidance is hypothecated to be technically easier, safer and quicker. Methods: Twelve bovine intact male calves of 3-9 months age with obstructive urolithiasis were divided into two groups of six animals each. One group was subjected to surgical and another ultrasound guided minimally invasive tube cystostomy through the inguinal approach. In group A animals, after exposing the bladder throughthe grid incision, the catheter was placed in the bladder lumen, using teat tumor extractor fixed in the eye of the Foley’s catheter. In group B animals tube cystostomy under ultrasound guidance was performed through in the skin. Incision was closed as per routine. Techniques were evaluated on the basis of various parameters like, technical feasibility, use of anesthesia, use of suture material, time taken for surgery, haematobiochemical parameters, time taken for normal urination, survival rate and intra and postoperative complications. Result: Ultrasound guided minimally invasive inguinal tube cystostomy technique was not only technically easier to perform but also required lesser time, lesser suture material with quicker onset of normal urination Obstruction of catheter occurred in one animal of each group. Survival rate of 67% without any complication was recorded in both groups.
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