Long-term outcome of female dogs treated for intramural ectopic ureters with cystoscopic-guided laser ablation.
Journal
Veterinary surgery : VS
ISSN: 1532-950X
Titre abrégé: Vet Surg
Pays: United States
ID NLM: 8113214
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
revised:
13
05
2021
received:
02
12
2020
accepted:
22
07
2021
pubmed:
6
8
2021
medline:
26
11
2021
entrez:
5
8
2021
Statut:
ppublish
Résumé
To report the complications and long-term outcome of female dogs with intramural ectopic ureter(s) (iEU) undergoing cystoscopic-guided laser ablation (CLA) and determine the effect of post-CLA neutering on urinary continence. Retrospective clinical study. Thirty-four client-owned dogs. Medical records of female dogs that had iEU-CLA were reviewed. A 10-point continence score was assigned before, immediately after, and at a minimum of 12 months postprocedure via owner telephone contact. Neutering status prior to and postprocedure was recorded. Continence scores increased in all dogs after CLA (p < .0001, mean duration of follow-up: 63.9 ± 5.7 months) with an increase of the median score from 2 (preprocedure) to 10 (postprocedure). A urethral tear occurred in 2/34 dogs immediately after the procedure, successfully managed conservatively. Mild hematuria was present in 2/34, lasting less than 48 h. Postoperative urinary tract infections were documented in 6/34 dogs. Two dogs died of urinary-related issues at 1 and 5 months after CLA. Complete and near-complete urinary continence (scores 9 and 10/10) was achieved in 26/32 dogs including 3 dogs requiring medical (2) or surgical interventions (1). Post-CLA neutering did not affect continence scores (p = .44). A large proportion of dogs regained and maintained full continence after CLA alone. Subsequent medical or surgical therapy allowed further improvements when needed. Post-CLA neutering did not negatively impact urinary continence score. The beneficial effect of iEU-CLA in female dogs is long standing and not affected by postprocedural neutering.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1449-1462Informations de copyright
© 2021 American College of Veterinary Surgeons.
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