Urolithiasis in 20 guinea pigs (cavia porcellus)

(Fehr, M., S. Rappold, Urolithiasis bei Meerschweinchen, Tieraerztliche Praxis, 1997, 5, 543-7).


Key words: Urolithiasis - Guinea pig - Cystic and urethral calculi

Summary: Urolithiasis in 20 guinea pigs (cavia porcellus)
During 1989 to 1996 20 cases of urolithiasis in guinea pigs were diagnosed. 15 (75%) of the animals were female, the mean age of guinea pigs with urolithiasis was 4.6 years. In five males and two females cystic calculi were diagnosed, in 13 female guinea pigs calculi were located in the urethra near the ostium urethrae externum. Three urethral calculi were removed by forceps, one by palpation manipulation, the rest surgically by cystotomy or urethrotomy. According to the results of infrared spectroscopy, calculi consisted of two or more minerals. Except of two all stones contained calcium carbonate, 12 calcium phosphate and three calcium oxalate. In 10 cases the calculi contained masses of struvite. Urethral calculi should be considered in the differential diagnosis of female guinea pigs in cases of hematuria and in cases of unremarkable clinical examination.

 

Material and methods

In the clinic for small animals in the veterinarian university of Hannover clinical symptoms, x-ray results, age and sex of the patients, that were found in connection with urolithiasis in guinea pigs in the years 1989 - 1996, were collected.

The remove of the uroliths occured by all animals in common anaesthesia (ketamin- hydrochlorid 20 mg/kg + Xylacin 2 mg/kg and inhalation of Isoflurane/Oxygenium). Localisation, method of removal and ingredients of the uroliths were found out. For analysis of the uroliths they were dried at max. 37 degrees Celsius and then quantitative analysed by infrared spectroscopie.

Results

Five of the affected animals were male, 15 (75%) female, the mean age was 4,6 years (min 2 years, max 8 years). Symptoms were anorexia (8 animals), bloody urine or pain in passing water (6 animals). The owners of 3 guinea pigs noticed swellings in vulval region, two animals suffered with chronical diarrhoea, one guinea pig was introduced with motorical inturbances. There was no preliminary report of 4 animals. 12 of the guinea pigs showed noticeable signs of emaciation.

9 of the 20 calculi were found by palpation, 20 radiological and 8 sonografical.

The uroliths of the 5 male guinea pigs were located in the bladder. The female animals showed 13 urethral- and two bladderstones.

bladderstone, male guinea pig, 3 years

laterolateral X-ray of a male guinea pig, 3 years, urinary calculus

All animals were examined in common anaesthesia. Three of the urethral stones could be removerd with a sharp spoon or foreign body pliers, one stone left spontaneously after palpation, the other 16 stones were removed surgically by cysthotomie or by urethrotomie. 19 of 20 concrements had a rough surface, colours varied between white, gray, beige and light brown. Apart from patient nr. 7 (80% calcium phosphate) and patient nr. 20 (struvite 60%, calcium oxalate 40%) all stones had a part of calcium carbonate (min 40%, max 90%, average 66,7%). As another component of 10 of these 18 uroliths was found a part of struvit (magnesium- ammonium- monohydrate) of 35-60 % (average 42,5%). The concrements, that contained struvit, were all found in the urethra. 12 of 20 urinary calculi contained a part of calcium phosphate (apatit) (min 5%, max 80%, average 25,8%), 3 of 20 stones contained calcium oxalat (5, 20, 40%)

Localisation and composition of urinary calculi at the "Klinik für kleine Haustiere" of the "Tierärztliche Hochschule Hannover" from 1989-1996

patient
nr.

age

sex

localisation

substance (%)

calcium-
carbonate

Mg-ammonium-
phosphate (struvit)

calcium-
phosphate

calcium-
oxalate

1 8 m bladder 80   20  
2 5 f urethra 80   20  
3 5 f bladder 70   30  
4 6 f bladder 80   20  
5 2 m bladder 90   10  
6 6 f urethra 45 50 5  
7 4 m bladder     80 20
8 7 f urethra 60 35   5
9 3 f urethra 50 50    
10 2 f urethra 60 40    
11 4 f urethra 70   30  
12 3 m bladder 70   30  
13 4 f urethra 70 30    
14 7 f urethra 40 40 20  
15 4 m bladder 85   15  
16 2 f urethra 60 40    
17 6 f urethra 55 45    
18 3 f urethra 65 35    
19 6 f urethra 70   30  
20 5 f urethra   60   40

m=male, f=female

 

Discussion

Contrary to the opinion, we found in literature, that bladderstones in guinea pigs are very rare, in own examinations over a period of 8 years urinary calculi in 20 guinea pigs were proved. In a retrospective study Peng et al. examined systematically the organs of deceased or euthanized guinea pigs of a breeding farm. This way they could find urinary calculi in 5 female and 1 male of 170 (96 female, 74 male) guinea pigs. This would correspond to an incidence of about 1.3 - 5.2% and lies in a range comparable to the dog. Fundamentally it is to notice in the assessment of the incidence of urolithiasis, that spontaneously left stones very rare are remarked by the owners of the animals. So these calculi are not correctly recordable.

Urinary calculi shall be found frequently in elder female guinea pigs. In own investigations the part of female animals is 75% (15/20), Peng et al. report about 5 female and one male guinea pig with urolithiasis. In dogs the risk of the male animal of getting urinary calculi is twice the size as the risk of females. Also in rabbits there are in female animals less stones found, probably because during pregnancy and lactation the greater need for calcium reduces the building up of stones. On the other side female animals shall of anatomic reason more often come down with infections of the urinary tract with the result of "inflammation stones". The average age in the own examinations was 4.6 years (min 2, max 8) (Hamel 4,5 - 7, Peng 3 years).

 

ventrodorsal x-ray , female guinea pig, 6 years, urethral calculus

 

The owners of only 6 sick guinea pigs in the own studies reported on haematuria, which in literature is described as pathognomonic for infections of the urinary tract, especially for urolithiasis in guinea pigs. In at least six guinea pigs with unspecific anorexia, urinary calculi were diagnosed after palpation of the cranial perivaginal region. In two animals a frequent production of soft faeces was noticed, this was caused perhaps by stone caused tenesms. Three cavy owners noticed stone caused swellings of the urethral mouth of their female guinea pigs. The ostium urethrae externum leads cranial of the vaginal opening, and it is normally covered by the praeputium clitoridis. In nine of the 13 animals with uroliths was, caused by the size of the stones, the orificium urethrae externum clear recognizable shifted to cranial and ventral.

Urethral stones of 3 guinea pigs were removed with a "sharp spoon" or "foreign body pliers". Alternative a break up of the stones could happen by ultrasound treatment at a frequence of 30 khz.

 

extirpation of an urethral stone, female guinea pig, 2 years old

 

The consistence of the stones was found by infrared spectroscopie. It is of interest, that in these examinations all stones consisted of two and more minerals. Against this in dogs more than 60%, in humans only 28% of the stones are monomineralic. The components of stones agree with those, described in literature, similar to rabbits, minerals containing calcium are predominant. 18 out of 20 uroliths contain a share of calcium carbonate of 66,7% (min 40%, max 90%), 12 of 20 a share of calcium phosphate of 25,8% (min 5%, max 80%), 3 of 20 a share of calcium oxalate of 20%(min 5%, max 40%). The buildt up of these 3 most important components of urinary calculi is favoured by a too good supply of minerals. Meyer et al. prove, that calcium and phosphate at a high percentage are absorbed (80 +- 8%, 50 +- 17%). Excess amounts of calcium and phosphor are renal excreted with the risk of building up concrements. Calcium oxalate is only found in 3 guinea pigs, 2/3 of human uroliths consist of calcium oxalates (whewellite and weddelite). Surprising is the great share of struvite in 10 of 20 guinea pigs (average 42,5%, min 35%, max 50%). All concrements with a share of struvite were found in the urethra near the ostium urethrae externum.

 

urethrotomie, urethral calculus, guinea pig, 6 years old

 

To what extent ascending infections are responsible for the beginning must be found in other examinations. Pure struvite- stones in humans are only buildt up by infections. For the beginning of these "infection- stones" urea splitting bacteria must be present. Kunstyr et al. (corynebacterium) and Okewole et al. (streptococcus pyogenes) report of uroliths caused by infections of the bladder. Different informations have been given to the incidence of infections of the bladder of guinea pigs. So Wood finds cystitis in 19 out of 500 guinea pigs of a breeding farm (incidence 0,6%). Because only female animals are affected, she assumes the influence of female hormones or pregnancy. Peng et al. find cystitis in 19 of 170 sections (incidence 11,2%). 17 of the 19 guinea pigs are female (89,4%).

 

cystotomie, bladderstone male guinea pig, 3 years

 

In all the examinations point out, that especially in female guinea pigs, urolithiasis must be expected sooner. Missing clinical or unspecific symptoms and the localisation of urinary calculi near ostium urethrae externum cause, that these concrements are not found until they have a certain size. In addition this region is often ignored in clinical examination, especially in palpation. In x-ray examination this region ist often covered by the lead glove of the fixating hands. In consequence especially in female guinea pigs with typical clinical or unclear symptoms this region should be exactly examinated.

 


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