Management of urethral sphincter mechanism incompetence in a male dog with laparoscopic‐guided deferentopexy

Abstract

Urethral sphincter mechanism incompetence is uncommon in the male dog. Diagnosis is made on the basis of the history (full bladder intermittent incontinence with persistence of normal micturitions), clinical examination and by exclusion of other causes of incontinence, such as prostatic disease, lower urinary tract abnormalities and cystitis. This report describes a case in an 11-year-old male poodle in which positive contrast urethrocystography showed no anatomical abnormalities. Surgical treatment by fixation of both ductus deferens to the abdominal wall under laparoscopic guidance with cranial displacement of the urinary bladder improved the incontinence.

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

“…This procedure was associated with low morbidity and some improvement of clinical signs but the addition of PPA was required to achieve continence (Salomon et al . ). This demonstrates feasibility, but adds little to the question of outcome.…”

“…Laparoscopic-guided deferentopexy has been described in one male dog with USMI (Salomon et al 2002). This procedure was associated with low morbidity and some improvement of clinical signs but the addition of PPA was required to achieve continence (Salomon et al 2002).…”

Laparoscopic‐Assisted Colopexy and Sterilization in Male Dogs: Short‐Term Results and Physiologic Consequences

“…Laparoscopy facilitates surgical procedures, especially in the caudal abdomen of dogs where direct observation of organs with open surgery is sometimes challenging. Laparoscopic access to all the organs located in this area including testicular vessels and deferens has been reported in male dogs and in other species 1–6 . A laparoscopic approach might be suitable for castration combined with the surgical management of some other conditions involving caudal abdominal organs, like cystopexy 3 or deferentopexy 4 .…”

Computed Tomography Determined Changes in Position of the Urogenital System After CO2 Insufflation to Determine Optimal Positioning for Abdominal Laparoscopy

“…Laparoscopic‐assisted cystotomy has been used for removal of uroliths or polyps . Urethral sphincter incontinence in a male dog has been treated successfully by laparoscopic ductus deferentopexy . In human surgery, dogs have been used as a model for a laparoscopic radical prostatectomy and this approach has promise for treatment of canine malignant prostatic disease …”

“…11,12 Urethral sphincter incontinence in a male dog has been treated successfully by laparoscopic ductus deferentopexy. 13 In human surgery, dogs have been used as a model for a laparoscopic radical prostatectomy and this approach has promise for treatment of canine malignant prostatic disease. 14 Together CT and laparoscopy provide a minimally invasive diagnostic and treatment protocol for most abdominal surgical diseases.…”