Laparoscopic placement and urodynamic effects of an artificial urethral sphincter in cadaveric dogs

Luckring, Emilee J; Ham, Kathleen; Adin, Christopher A.; McLoughlin, Mary A.; Stull, Jason W.

doi:10.1111/vsu.12496

Cited by 6 publications

(7 citation statements)

References 31 publications

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“…No complications were reported and the endoclips performed satisfactorily in mechanical testing, suggesting that this technique is both feasible and safe to perform in clinical patients (Luckring et al . ). A prospective clinical study is required to confirm this potential.…”

Section: Urethral Sphincter Mechanism Incompetencementioning

confidence: 97%

“…Minimally invasive placement of the AUS has also been reported in dogs but, to date, only in cadavers (Luckring et al . ) in which successful placement of the device was achieved in all 10 cadavers using a three‐port technique, securing the cuff using endoclips applied perpendicularly across the suture (Luckring et al . ).…”

Section: Urethral Sphincter Mechanism Incompetencementioning

confidence: 99%

“…) in which successful placement of the device was achieved in all 10 cadavers using a three‐port technique, securing the cuff using endoclips applied perpendicularly across the suture (Luckring et al . ). No complications were reported and the endoclips performed satisfactorily in mechanical testing, suggesting that this technique is both feasible and safe to perform in clinical patients (Luckring et al .…”

Section: Urethral Sphincter Mechanism Incompetencementioning

confidence: 99%

“…Minimally invasive placement of the AUS has also been reported in dogs but, to date, only in cadavers (Luckring et al 2016) in which successful placement of the device was achieved in all 10 cadavers using a three-port technique, securing the cuff using endoclips applied perpendicularly across the suture (Luckring et al 2016). No complications were reported and the endoclips performed satisfactorily in mechanical testing, suggesting that this technique is both feasible and safe to perform in clinical patients (Luckring et al 2016). A prospective clinical study is required to confirm this potential.…”

Section: Transvaginal Obturator Tapementioning

confidence: 99%

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Ureteral ectopia and urethral sphincter mechanism incompetence: an update on diagnosis and management options

Owen

2018

J of Small Animal Practice

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The two leading causes of urinary incontinence in dogs are ureteral ectopia in juveniles and urethral sphincter mechanism incompetence in adults. While the accuracy of diagnosis of ectopic ureters has improved due to increased use of CT and/or cystoscopy, the diagnosis of urethral sphincter mechanism incompetence largely remains one of exclusion. New treatment options have been developed for both conditions, which have reduced morbidity and mortality, although the rate of long‐term urinary continence has not significantly improved for either and neither has our understanding of the pathophysiology behind these failures. This review provides updates on the management of both of these conditions, with discussion of controversial areas and thoughts for future directions.

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Section: Urethral Sphincter Mechanism Incompetencementioning

confidence: 97%

Section: Urethral Sphincter Mechanism Incompetencementioning

confidence: 99%

Section: Urethral Sphincter Mechanism Incompetencementioning

confidence: 99%

Section: Transvaginal Obturator Tapementioning

confidence: 99%

See 2 more Smart Citations

Ureteral ectopia and urethral sphincter mechanism incompetence: an update on diagnosis and management options

Owen

2018

J of Small Animal Practice

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“…The second report in 2015 tested the feasibility of a newer ARTUS™ device (Affluent Medical, Paris, France) on cadavers [2]. The remaining five cadaveric reports, human and animal, tested the biomechanics, number, positioning, angulation, design, and efficiency of the urethral cuff [14][15][16][17][18]. Ours was the only cadaveric study that holistically checked AUS placement, functioning, possible complications, and probable indications of usage in the subject.…”

Section: Aus Cadaver Studiesmentioning

confidence: 99%

Artificial Urinary Sphincter With Bilateral Atrophic Kidneys and Accessory Renal Arteries in a Male Cadaveric Subject: A Case Report and Clinicopathological Reconciliation of Urinary Abnormalities and Embryogenetic Correlation of Vascular Aberrations

Sanyal¹,

Chunilall²,

Uzoekwe³

et al. 2023

Cureus

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A unique combination of triple abnormality in a willed male body donor dissection, with putative clinicopathological correlations during the subject's lifetime, is described in this case report. The subject had a three-piece artificial urinary sphincter surgically implanted around the proximal corpus spongiosum, left scrotal pouch and in the lower left abdominal wall, ostensibly for urinary incontinence during his lifetime, though the etiology of the latter was not immediately obvious. He also had a total of three accessory renal arteries involving both sides, complicated by bilateral diffuse renal atrophy from presumable glomerulosclerosis or nephrosclerosis-induced nephrotic syndrome. While each entity may not be so unique per se, each is not too common either. The combination of all three findings has not been described to date in the contemporary literature in a single male cadaver dissection. Only seven reports of artificial urinary sphincter studies on human cadaver subjects could be detected in contemporary literature, this being the eighth. Finally, there were no apparent etiopathological or pathogenetic mechanisms to explain the occurrence of each or the coexistence of all of them in a single male cadaveric subject. The artificial urinary sphincter was reviewed with respect to its characteristics, placement, and efficacy. An attempt was made to establish the cause-effect relationship between the artificial sphincter and urinary incontinence that necessitated the implant. Thereafter, a clinicopathological correlation was proposed in this case report to reconcile the concomitance of urinary incontinence, bilateral accessory renal arteries, and bilateral renal atrophy. An embryogenetic mechanism of the aberrant renal arteries was also suggested. Physician awareness from the standpoint of preoperative investigation of such cases was also highlighted.

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Laparoscopy

McCarthy¹

2021

Veterinary Endoscopy for the Small Animal Practitioner

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Laparoscopic placement and urodynamic effects of an artificial urethral sphincter in cadaveric dogs

Cited by 6 publications

References 31 publications

Ureteral ectopia and urethral sphincter mechanism incompetence: an update on diagnosis and management options

Ureteral ectopia and urethral sphincter mechanism incompetence: an update on diagnosis and management options

Artificial Urinary Sphincter With Bilateral Atrophic Kidneys and Accessory Renal Arteries in a Male Cadaveric Subject: A Case Report and Clinicopathological Reconciliation of Urinary Abnormalities and Embryogenetic Correlation of Vascular Aberrations

Laparoscopy

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