Bladder emptying depends on the proper functioning of the muscular bladder wall, which contracts down with urination. When a horse cannot empty their bladder for an extended period of time, the stretch on the bladder wall damages the bladder.
Sabulous cystitis is inflammation of the bladder characterized by the accumulation of a thick layer of calcium carbonate sludge at the bottom of the bladder. The presence of this sludge is an indicator of underlying bladder wall muscular dysfunction that is usually caused by nerve damage, which can happen from physical trauma or neurologic disease. The presence of the sludge itself also contributes to the problem by causing inflammation and preventing complete evacuation.
Temporarily, the sludge can be removed using bladder catheterization and flushing. There are a variety of variations on how this is done, but the idea is to remove as much of the sludge as possible until bladder function returns. Long-term successful treatment depends on identifying and treating the underlying condition.
Other Diagnoses Considered
Treatments May Include
Prognosis & Relevant Factors
The prognosis is in generally poor, but depends on successful treatment of the underlying disorder.
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Skills I might need
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