Buccal mucosal urethroplasty for treatment of recurrent hemospermia in a stallion

Case Description—An 11-year-old Quarter Horse stallion was admitted for intermittent hemospermia of 4 years' duration. Clinical Findings—A linear vertical defect had been detected endoscopically following multiple episodes of hemospermia on the caudodorsal convex surface of the urethra at the level of the ischial arch. Treatment and Outcome—When sexual rest alone did not result in complete healing of the urethral defect, a subischial urethrotomy and buccal mucosal urethroplasty were performed. The surgical site healed without complication. Four months of sexual rest was recommended after surgery. Repeat endoscopy at 4 months allowed inspection of the urethral graft site. Following endoscopic examination, resumption of semen collection was recommended on the basis of the apparent healing at the urethral defect site. Hemospermia did not reoccur following surgical repair. Clinical Relevance—Buccal mucosal urethroplasty resulted in a favorable outcome in a stallion with recurrent hemospermia. Buccal mucosal urethroplasty may be a useful surgical option in stallions that have hemospermia secondary to a urethral defect and do not heal with sexual rest alone.