Postoperative outcomes of 12 cats with ureteral obstruction treated with ureteroneocystostomy.
Journal
Veterinary surgery : VS
ISSN: 1532-950X
Titre abrégé: Vet Surg
Pays: United States
ID NLM: 8113214
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
09
03
2019
revised:
21
09
2019
accepted:
18
10
2019
pubmed:
1
8
2020
medline:
29
12
2020
entrez:
1
8
2020
Statut:
ppublish
Résumé
To report complications and long-term outcomes of cats with benign ureteral obstruction treated with ureteroneocystostomy and to determine the effects of double pigtail catheter (DPT) placement on postoperative outcomes. Retrospective study. Twelve client-owned cats with ureteral urolithiasis treated with ureteroneocystostomy. Records were reviewed for signalment, location of the obstruction, diagnostic tests, surgical technique, perioperative complications, long-term measurements of kidney function, and survival. Cats were divided into two groups; in one group, a DPT was placed at the time of ureteroneocystostomy, and, in the other group, a DPT was not placed at the time of ureteroneocystostomy (NDPT). A DPT was placed in six of 12 cats. The NDPT group included four cats with temporary catheters and two cats with no catheter. Median creatinine concentration decreased from 10.4 mg/dL (range, 1.6-20.3) to 2.2 mg/dL (range, 1.1-3.6) at the time of discharge (P = .015) in all cats. Two cats in the NDPT group required revision surgery for uroabdomen. Eleven cats were discharged from the hospital. Long-term complications (hematuria, pollakiuria, urinary tract infections) were more common in the DPT group (P = .047). Seven cats were alive a median of 329 days (range, 8-1772) after surgery. Median creatinine concentration was 2.0 mg/dL (range, 0.6-6.4) at a median of 157 days (range, 43-1772) after surgery. Ureteroneocystostomy resulted in acceptable long-term outcomes in 11 of 12 cats. The placement of a DPT did not influence the long-term outcome in this small population. Ureteroneocystostomy with or without intraoperative placement of a DPT should be considered to relieve benign ureteral obstructions in cats.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1418-1427Informations de copyright
© 2020 The American College of Veterinary Surgeons.
Références
Kyles AE, Hardie EM, Wooden BG, et al. Management and outcome of cats with ureteral calculi: 153 cases (1984-2002). J Am Vet Med Assoc. 2005;226:937-944.
Kyles AE, Stone EA, Gookin J, et al. Diagnosis and surgical management of obstructive ureteral calculi in cats: 11 cases (1993-1996). J Am Vet Med Assoc. 1998;213:1150-1156.
Roberts SF, Aronson LR, Brown DC. Postoperative mortality in cats after ureterolithotomy. Vet Surg. 2011;40:438-443.
Culp WT, Palm CA, Hsueh C, et al. Outcome in cats with benign ureteral obstructions treated by means of ureteral stenting versus ureterotomy. J Am Vet Med Assoc. 2016;249:1292-1300.
Wormser C, Clarke DL, Aronson LR. Outcomes of ureteral surgery and ureteral stenting in cats: 117 cases (2006-2014). J Am Vet Med Assoc. 2016;248:518-525.
Berent AC, Weisse CW, Todd K, Bagley DH. Technical and clinical outcomes of ureteral stenting in cats with benign ureteral obstruction: 69 cases (2006-2010). J Am Vet Med Assoc. 2014;244:559-576.
Horowitz C, Berent AC, Weisse CW, Langston C, Bagley D. Predictors of outcome for cats with ureteral obstructions after interventional management using ureteral stents or a subcutaneous ureteral bypass device. J Feline Med Surg. 2013;15:1052-1062.
Kulendra NJ, Syme H, Benigni L, Halfacree Z. Feline double pigtail ureteric stents for management of ureteric obstruction: short- and long-term follow-up of 26 cats. J Feline Med Surg. 2014;16:985-991.
Manassero M, Decambron A, Viateau V, et al. Indwelling double pigtail ureteral stent combined or not with surgery for feline ureterolithiasis: complications and outcome in 15 cases. J Feline Med Surg. 2014;16:623-630.
Nicoli S, Morello E, Martano M, Pisoni L, Buracco P. Double-J ureteral stenting in nine cats with ureteral obstruction. Vet J. 2012;194:60-65.
Steinhaus J, Berent AC, Weisse CW, et al. Clinical presentation and outcome of cats with circumcaval ureters associated with a ureteral obstruction. J Feline Med Surg. 2015;29:63-70.
Zaid MS, Berent AC, Weisse C, Caceres A. Feline ureteral strictures: 10 cases (2007-2009). J Feline Med Surg. 2011;24:660-795.
Lulich JP, Berent AC, Adams LG, Westropp JL, Bartges JW, Osborne CA. ACVIM small animal consensus recommendations on the treatment and prevention of uroliths in dogs and cats. J Vet Intern Med. 2016;30:1564-1574.
Livet V, Pillard P, Goy-Thollot I, et al. Placement of subcutaneous ureteral bypasses without fluoroscopic guidance in cats with ureteral obstruction: 19 cases (2014-2016). J Feline Med Surg. 2017;19(10):1030-1039.
Deroy C, Rossetti D, Ragetly G, Hernandez J, Poncet C. Comparison between double-pigtail ureteral stents and ureteral bypass devices for treatment of ureterolithiasis in cats. J Am Vet Med Assoc. 2017;251:429-437.
Berent AC, Weisse CW, Bagley DH, Lamb K. Use of a subcutaneous ureteral bypass device for treatment of benign ureteral obstruction in cats: 174 ureters in 134 cats (2009-2015). J Am Vet Med Assoc. 2018;253:1309-1327.
Clarke DL. Feline ureteral obstructions. Part 2: surgical management. J Small Anim Pract. 2018;59:385-397.
Yakoubi R, Lemdani M, Monga M, Villers A, Koenig P. Is there a role for alpha-blockers in ureteral stent related symptoms? A systematic review and meta-analysis. J Urol. 2011;186:928-934.
Lange D, Bidnur S, Hoag N, Chew BH. Ureteral stent-associated complications-where we are and where we are going. Nat Rev Urol. 2015;12:17-25.
Matthews K. Ureters. In: Johnston SA, Tobias KM, eds. Saunders Veterinary Surgery: Small Animal. 2nd ed. St Louis, MO: Elsevier Saunders; 2018:2202-2218.
Kyles AE, Hardie EM, Wooden BG, et al. Clinical, clinicopathologic, radiographic, and ultrasonographic abnormalities in cats with ureteral calculi: 163 cases (1984-2002). J Am Vet Med Assoc. 2005;226:932-936.
Aronson LR, Cleroux A, Wormser C. Use of a modified Boari flap for the treatment of a proximal ureteral obstruction in a cat. Vet Surg. 2018;7:578-585.
Noël SM, Claeys S, Hamaide AJ. Surgical management of ectopic ureters in dogs: clinical outcome and prognostic factors for long-term continence. Vet Surg. 2017;46:631-641.
Reichler IM, Specker CE, Hubler M, Boos A, Haessig M, Arnold S. Ectopic ureters in dogs: clinical features, surgical techniques and outcome. Vet Surg. 2012;41:515-522.
Aronson LR, Kyles AE, Preston A, Dobratz KJ, Gregory CR. Renal transplantation in cats with calcium oxalate urolithiasis: 19 cases (1997-2204). J Am Vet Med Assoc. 2006;228:743-749.
Aronson LR, Philips H. Renal transplant. In: Johnston SA, Tobias KM, eds. Saunders Veterinary Surgery: Small Animal. 2nd ed. St Louis, MO: Elsevier Saunders; 2018:2263-2280.
Kerr WS. Effect of complete ureteral obstruction for one week on kidney function. J Appl Physiol. 1954;6:762-772.
Westropp JL, Delgado M, Buffington CA. Chronic lower urinary tract signs in cats-current understanding of pathophysiology and management. Vet Clin North Am Small Anim Pract. 2019;49:187-209.