Outcomes of ureteral surgery and ureteral stenting in cats: 117 cases (2006–2014)

Abstract

The potential for signs of chronic lower urinary tract disease and chronic infection, particularly among cats that receive ureteral stents, warrants appropriate client counseling. Judicious long-term follow-up for detection of reobstruction is recommended.

Feline ureteral obstructions Part 2: surgical management

“… , Wormser et al . ). Postoperative complications include urine leakage and uroabdomen (up to 8·7%), stent positioning in the renal parenchyma, pollakiuria and stranguria, congestive heart failure, pancreatitis, hepatic lipidosis, anaemia requiring packed red blood cell transfusion and cardiac arrest.…”

“… , Wormser et al . ). Culp et al () documented that cats undergoing ureteral stenting were more likely to have resolution of their azotaemia (62%) at the time of discharge as compared to historic ureteral surgery control patients (31%).…”

“… , Wormser et al . ). For most cats, lower urinary tract irritation was transient and could be medically managed with a combination of corticosteroids, prazosin and analgesics, though 2 to 40% of cats were documented to have signs for long periods ( Berent et al .…”

“… , Wormser et al . ). When a ureteral reimplantation is performed, if there is concern for tension on the ureter upon retraction of the bladder, a renal descensus, which involves dissection of the kidney from its retroperitoneal attachments for increased caudal mobility, and cystopexy are techniques for tension relief described in conjunction with ureteral surgery ( Kyles et al .…”

“… , Wormser et al . ). Major postoperative complication rates in cats are reported to be as high as 31% and mortality rates for cats undergoing ureteral surgery are reported to be as high as 21% ( Kyles et al .…”