Chronic urinary bladder torsion causing urinary incontinence in a cat

James, Daniel; Collins, David; Johnson, Philippa J.; Marchevsky, A. M.

doi:10.1177/2055116915603384

Cited by 5 publications

(16 citation statements)

References 15 publications

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“…Urinary incontinence in cats has been associated with over 43 congenital or acquired disorders affecting the spinal cord, urinary bladder, urethra, or reproductive tract . However, descriptions of disorders associated with UI in cats often have been limited to anecdotal case reports or selected case series.…”

Section: Introductionmentioning

confidence: 99%

Retrospective analysis of diagnoses and outcomes of 45 cats with micturition disorders presenting as urinary incontinence

Lonc

Kaneene

Carneiro

et al. 2019

Veterinary Internal Medicne

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Background: In contrast to dogs, the causes and outcomes of urinary incontinence (UI) in cats are largely unknown.Objectives: To determine the causes, identify comorbid conditions, and assess outcomes of cats with micturition disorders presenting as UI.Animals: Forty-five cats with UI.Methods: Retrospective study. Medical records of cats presented from January 2006 to December 2017 were searched using 45 keywords related to UI. History, presenting complaint, and physical examination findings were used to confirm a diagnosis. Cases were categorized based on functional and anatomic localizations.Results: Forty-five cats met inclusion criteria. Spinal cord disease was the most common cause of UI (n = 18), followed by urethral (n = 17), bladder (n = 9), and ureteral (n = 1) disorders. Proportions of voiding and storage phase disorders were similar (53% and 47%, respectively). However, voiding-phase disorders were observed more frequently in males and younger-aged cats (P < .03). Urinary tract infection was detected in 11 of 28 (39%) cats. Outcomes were available in 38/45 cases; 16 cats (42%) regained continence, 3 (8%) improved with treatment, and 19 (50%) remained incontinent or were euthanized. Multiple variable logistic regressions indicated that spinal cord disease was significantly more likely to be associated with poor outcomes compared to bladder or urethral disorders (P < .04).Conclusions and Clinical Importance: Urinary incontinence in cats was associated with a variety of congenital and acquired disorders that affected both phases of micturition with similar frequency. Incontinent cats with spinal cord disorders were common and warrant a more guarded prognosis than do cats with bladder or urethral disorders. K E Y W O R D S bladder, ectopic ureter, FIC, spinal cord disease, ureter, urethra, urethral sphincter mechanism incompetence, urinary tract infection 1 | INTRODUCTION Urinary incontinence (UI) is encountered uncommonly in cats, 1,2 andclinical observations indicate that the frequency and causes of UI in Abbreviations: FeLV, feline leukemia virus; FIC, feline idiopathic cystitis; IQR, interquartile range; IVDD, intervertebral disk disease; UI, urinary incontinence; USMI, urethral sphincter mechanism incontinence; UTI, urinary tract infection.

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Section: Introductionmentioning

confidence: 99%

Retrospective analysis of diagnoses and outcomes of 45 cats with micturition disorders presenting as urinary incontinence

Lonc

Kaneene

Carneiro

et al. 2019

Veterinary Internal Medicne

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“…) or secondary to omental adhesion between uterine stump and urinary bladder (James et al . ). This condition has also been described in dogs following surgical repair of a traumatic pubic fracture (Thieman & Pozzi ) and as an anatomopathological finding in a patient suffering from neurogenic urinary bladder atony (Glińska et al .…”

Section: Discussionmentioning

confidence: 97%

“…UBT, at level of the urinary bladder neck, has been previously described in a dog and in a cat as a complication of ovariohysterectomy, likely due to misplacement of the bladder during abdominal closure (Pozzi et al . 2006 ) or secondary to omental adhesion between uterine stump and urinary bladder (James et al . 2015 ).…”

Section: Discussionmentioning

confidence: 99%

“…, Thieman & Pozzi , James et al . ), and only one isolated case has been described in humans (Markewitz & Badlani ). Regardless of the cause, UBT is considered as a surgical emergency because of the severe local and systemic effects caused by ischaemia and necrosis of the urinary bladder wall and urinary obstruction.…”

Section: Introductionmentioning

confidence: 99%

“…2006, Pozzi et al . 2006, Thieman & Pozzi 2010, James et al . 2015, and only one isolated case has been described in humans (Markewitz & Badlani 1983 ).…”

Section: Introductionmentioning

confidence: 99%

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Computed tomographic features of urinary bladder torsion in two dogs

Ricciardi¹,

Campanella²,

Martino³

2017

J of Small Animal Practice

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Urinary bladder torsion is rare in dogs. It is characterised by rotation of the organ along its longitudinal axis and is potentially life-threatening because of urinary flow obstruction with subsequent urine retention, hydroureter, hydronephrosis and azotaemia. This report describes the computed tomographic features of urinary bladder torsion in two dogs. In both cases, the hallmark indicative of torsion was the "whirl sign," originating from the twisted pelvic urethra and urinary bladder neck encircling the ureters, blood vessels and bladder ligaments in a characteristic spiral pattern. The imaging features correlated well with surgical findings, demonstrating high sensitivity of computed tomography in the preoperative diagnosis of urinary bladder torsion.

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Urinary bladder torsion in a dog with an extraluminal tumor of the bladder apex

Bourbos

Liotta²,

Piola³

et al. 2021

Vet Record Case Reports

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A 12‐year‐old, spayed female, Lagotto Romagnolo dog is referred because of acute onset of stranguria, dysuria and abdominal discomfort after jumping from a height. Clinical examination reveals mild abdominal pain with enlargement of the urinary bladder and no hematological abnormalities. Computer tomographic examination identifies a large eccentric soft tissue mass with smooth margins, which contacts the serosal layer of the urinary bladder apex. The urinary bladder is pear‐shaped, displaced laterally, and has a longitudinal spiral pattern (whirlpool sign) in the bladder neck area. Celiotomy reveals a mass attached to the apex of the urinary bladder, which has a clockwise 180° torsion with no signs of necrosis. Partial cystectomy, after detorsion, is performed, and bladder incision is closed routinely. Histopathologic evaluation reveals a grade 1 leiomyosarcoma. Although urinary bladder torsion has been reported in five dogs, neoplastic lesions have not previously described as a cause of torsion and should be included in the differential diagnosis.

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Chronic urinary bladder torsion causing urinary incontinence in a cat

Cited by 5 publications

References 15 publications

Retrospective analysis of diagnoses and outcomes of 45 cats with micturition disorders presenting as urinary incontinence

Retrospective analysis of diagnoses and outcomes of 45 cats with micturition disorders presenting as urinary incontinence

Computed tomographic features of urinary bladder torsion in two dogs

Urinary bladder torsion in a dog with an extraluminal tumor of the bladder apex

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