Ectopic Ureters in Dogs: Clinical Features, Surgical Techniques and Outcome

Reichler, Iris M; Specker, Christine Eckrich; Hubler, M.; Boos, Alois; Haessig, Michael; Arnold, S.

doi:10.1111/j.1532-950x.2012.00952.x

Cited by 52 publications

(118 citation statements)

References 33 publications

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“…In the study of Reicher et al [2] related with EU cases, they indicated early start of UI, observation of a higher incidence of left unilateral EU and that urethra shaping of urethral opening is usually more common in females than in males; and the data were consistent with the data of our case.…”

Section: Discussionsupporting

confidence: 82%

“…Suspected bladder and urethral functional anomalies, such as USMI, have been reported in 75 to 89 percent of female dogs [5] and the most common clinical sign associated with EU was UTI [2] . Dilatation of the renal pelvis and hydroureter may be associated with maldevelopment of structures or acquired infection [16] .…”

Section: Discussionmentioning

confidence: 99%

“…It has been reported that Golden Retriever, Labrador Retriever, Siberian Husky, Newfoundland, and English Bulldog breeds were to be at risk include the EUs [1] . EUs are classified as extramural (eEU) or intramural (iEU) depending on their anatomic course in dogs [2,3] . EU may be associated with other urogenital abnormalities such as hydroureter (HU), hydronephrosis (HN), urethral sphincter mechanism incompetence (USMI), vestibulovaginal malformations, hypoplastic bladder or kidney [2][3][4] , urinary tract infections (UTI), renal dysplasia, short urethras, persistent paramesonephric remnants and vaginal septum or dual vaginas [5] .…”

Section: Introductionmentioning

confidence: 99%

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Bir Dişi Golden Retrieverda Ektopik Üreter Operasyonu Sonrası Kalıcı Üriner İnkontinensin Tedavisinde Deslorelin Asetatın Etkisi

Gültekin¹,

Özgencil²,

Seyrek-Intas³

2016

Kafkas Univ Vet Fak Derg

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In this report, deslorelin acetate (suprelorin) implant, a GnRH depot analogue, was used for the first time in postoperatively observed urinary incontinence treatment of one year old female Golden Retriever puppy which came to our hospital with urinary incontinence complaint, diagnosed with left unilateral extramural ectopic ureter, treated for her ectopic ureter with ureteroneocystostomy operation and undergone ovariohysterectomy operation at the same time. In the examination at the end of eight months of postoperative period, it was observed that urinary incontinence which was thought to be due to urinary sphincter deficiency following the ectopic ureter surgery has been completely disappeared. The positive effect of deslorelin acetate on the treatment of urinary incontinence after ovariohysterectomy, which was reported in the literature in a limited number, was also found to be effective in the treatment of urinary sphincter deficiency, which was frequently observed following the ectopic ureter surgery. Keywords: Ureteral ectopi, Dog, Deslorelin acetate, Urinary incontinence, Urethral sphincter mechanism incompetence Bir Dişi Golden Retrieverda Ektopik Üreter Operasyonu Sonrası Kalıcı Üriner İnkontinensin Tedavisinde Deslorelin Asetatın Etkisi ÖzetBu raporda üriner inkontinens şikayeti ile hastanemize getirilen ve sol unilateral ekstramural ektopik üreter tanısı konarak üreteroneo-sistostomi operasyonu ile ektopik üreteri onarılan ve aynı anda ovariohisterektomi operasyonu da geçiren 1 yaşlı, dişi Golden Retriever yavrusunda gözlenen postoperatif üriner inkontinensin tedavisinde ilk kez kullanılan GnRH depo analoğu deslorelin asetat(suprelorin) implantının etkinliği ele alındı. Postoperatif sekizinci ayda yapılan muayenelerde ektopik üreter operasyonunu takiben üriner sfinkter yetmezliği kaynaklı olduğu düşünülen üriner inkontinensin tamamen ortadan kalktığı gözlendi. Ovariohisterektomi sonrası üriner inkontinens tedavisindeki etkinliği önceden bilinen deslorelin asetatın, ektopik üreter operasyonunu takiben sıklıkla gözlenen üriner sfinkter yetmezliğinde de etkili olduğu düşünüldü.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Bir Dişi Golden Retrieverda Ektopik Üreter Operasyonu Sonrası Kalıcı Üriner İnkontinensin Tedavisinde Deslorelin Asetatın Etkisi

Gültekin¹,

Özgencil²,

Seyrek-Intas³

2016

Kafkas Univ Vet Fak Derg

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“…Even though continuous or intermittent urinary incontinence is reported as primary complaint since birth in the history [5] , urinary incontinence is generally continuous character in EU patients [11][12][13] .…”

Section: Introductionmentioning

confidence: 99%

“…Different neoureterostomy techniques have been developed, especially for the treatment of intramural EU [13,18,19] . The primary objective of these studies is to minimize the presence of postoperative incontinence.…”

Section: Introductionmentioning

confidence: 99%

Neoureterosistostomi Yöntemiyle Tedavi Edilen Intramural Ektopik Üreter Hastası Köpeklerde Postoperatif Üriner İnkontinensin Değerlendirilmesi

Karabağlı¹

2016

Kafkas Univ Vet Fak Derg

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Citation of This ArticleKarabağlı M: An evaluation of post-operative urinary incontinence in dogs with intramural ectopic ureter treated with neoureterocystostomy. Kafkas Univ Vet Fak Derg, 23, 145-154, 2017. DOI: 10.9775/kvfd.2016 AbstractThe main motivation in the treatment of ectopic ureter (EU) is achieving complete urinary continence. Although, new neoureterostomy techniques were developed for the surgical treatment of intramural ectopic ureters, it was determined that postoperative incontinence scores achieved with the latest techniques have no distinct superiority over those achieved with older techniques. Therefore, we aim to determine the post-operative urinary incontinence scores in dogs with intramural EU that were treated with neoureterocystostomy and compared with older reports which neoureterostomy techniques were used. Seven female dogs which were brought to our clinic with a complaint of constant urine dribbling since they were born or adopted were included the study. The radiographic diagnosis was made by excretory urography in four dogs, excretory urography and retrograde vagino-urethrography in 2 dogs and MRI in 1 dog. Definitive diagnosis was made by cystotomy. Ectopic ureters were intramural character in all cases. Neoureterocystostomy technique was used for the surgical treatment and incontinence scores at post-operative 1 st and 2 nd months were recorded. For the purpose of complete elimination of the postoperative urinary incontinence, phenylpropalamine were used in 4 cases and oxybutynin were used in 1 case as additional medical therapy. Urinary incontinence was completely disappeared, 5 out of 7 patients (71%) at the end of the study. In conclusion, the results suggest that EU is most successfully treated with a surgical method that does not involve urethrotomy and it should be performed simultaneously with a surgical method used in the treatment of urethral sphincter mechanism incompetence and should be combined with a treatment involving the use of post-operative alpha adrenergic medications. Keywords: Dog, Ectopic ureter, Intramural, Neoureterocystostomy, Urinary incontinence Neoüreterosistostomi Yöntemiyle Tedavi Edilen İntramural Ektopik Üreter Hastası Köpeklerde Postoperatif Üriner İnkontinensin Değerlendirilmesi ÖzetEktopik üreterin cerrahi tedavisinde ana motivasyon üriner inkontinensi ortadan kaldırmaktır. Özellikle intramural tipteki ektopik üreterin cerrahi tedavisi için farklı neoüreterostomi teknikleri geliştirilmesine rağmen, postoperatif üriner inkontinens skorlarının, eski teknikler kullanılarak elde edilenlere önemli bir üstünlüğü olmadığı tespit edilmiştir. Çalışmamızda, neoüreterosistostomi tekniğiyle tedavi edilen intramural ektopik üreter hastası köpeklerde postoperatif üriner inkontinens skorlarının, neoüreterostomi teknikleri kullanılarak elde edilen eski skorlarla karşılaştırılması amaçlanmıştır. Çalışmaya kliniğimize, doğduğundan veya sahiplenildiğinden beri sürekli damla damla idrar kaçırma şikayeti olan 7 dişi köpek dahil edildi. Radyolojik tanı için 4 hastad...

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Imaging of the Urinary Tract

Habing

Byron

2015

Veterinary Image‐Guided Interventions

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Ectopic Ureters in Dogs: Clinical Features, Surgical Techniques and Outcome

Cited by 52 publications

References 33 publications

Bir Dişi Golden Retrieverda Ektopik Üreter Operasyonu Sonrası Kalıcı Üriner İnkontinensin Tedavisinde Deslorelin Asetatın Etkisi

Bir Dişi Golden Retrieverda Ektopik Üreter Operasyonu Sonrası Kalıcı Üriner İnkontinensin Tedavisinde Deslorelin Asetatın Etkisi

Neoureterosistostomi Yöntemiyle Tedavi Edilen Intramural Ektopik Üreter Hastası Köpeklerde Postoperatif Üriner İnkontinensin Değerlendirilmesi

Imaging of the Urinary Tract

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