Surgical treatment of refractory incontinence in the bitch

Timmermans, Joep; Goethem, B. Van; Rooster, H. de

doi:10.21825/vdt.v89i3.16540

Cited by 2 publications

(3 citation statements)

References 28 publications

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“…In refractory patients, the following treatment options are mainly surgical and include minimally invasive urethral occluders, urethral bulking, urethropexy, cystourethropexy, and colposuspension, or surgically inserting a hydraulic artificial urethral sphincter (HAUS) [2,7,21,28].…”

Section: Discussionmentioning

confidence: 99%

“…It is implemented in animals where medical management or other surgical approaches are ineffective. To date, the HAUS system is believed to provide the best long-term results for the surgical treatment of bitches with refractory UI, with most dogs achieving complete continence with few reported complications and no other medical treatments needed [5,6,28]. Nevertheless, the overall prognosis for USMI is typically good with long-term therapy [21].…”

Section: Discussionmentioning

confidence: 99%

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Splenic hematoma and pelvic bladder in a spayed German shepherd mongrel bitch (Canis lupus familiaris). A case report.

et al. 2022

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: Splenic hematomas represent the most encountered splenic benign masses in dogs (Canis lupus familiaris), and they are usually secondary to splenic nodular hyperplasia. In most spayed bitches with urinary incontinence (UI), pelvic bladders are a common finding. In addition, ovariohysterectomy (OHE), hormonal imbalances, and various anatomical anomalies are responsible for the onset of urethral sphincter mechanism incompetence (USMI). This case report highlights the aggravating aspect caused by a splenic hematoma to develop a pelvic bladder in a mongrel bitch, that was sterilized seven years ago. A 14-years-old spayed German shepherd was presented to the Emergency Veterinary Hospital in Cluj-Napoca, with a history of apathy, incontinence, and foul kennel smell, for several months. The diagnostic was based on anamnesis, medical history, imagistic, and routine laboratory assays. The main findings were the presence of a pelvic bladder, splenic hematoma, and chronic cholecystitis. The bitch was admitted for 14 days. Surgical intervention was required, so a splenectomy was performed. Besides the surgical management and the supportive care, the bitch also received treatment for UI with phenylpropanolamine (PPA; Propalin 5%; 1.2 mg/kg 12h PO prn). Three days after surgery and treatment, the bitch recovered the urinary tonus, and UI was absent. The bitch was discharged two weeks after the surgical intervention. The presence of splenic hematomas can precipitate the development of UI by partially translocating the urinary bladder into the pelvic cavity (i.e., pelvic bladder), especially in old spayed bitches.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Splenic hematoma and pelvic bladder in a spayed German shepherd mongrel bitch (Canis lupus familiaris). A case report.

et al. 2022

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“…In refractory cases, the placement of a hydraulic urethral occluder has been suggested 24 . Despite urinary incontinence being considered a minor complication, refractory incontinence may necessitate additional medical interventions, and can negatively influence the owner–dog relationship warranting proper owner counseling before treatment of PC 25 …”

Section: Discussionmentioning

confidence: 99%

Surgical treatment and outcome of sterile prostatic cysts in dogs

et al. 2021

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Objective To describe the surgical treatment and outcome of a large cohort of dogs with sterile prostatic cysts (PCs). Study Design Retrospective study. Animals Forty‐four client‐owned dogs. Methods Dogs with sterile PCs with at least 6 months of follow‐up were included. Clinical variables, type of surgery, complications, recurrences, and outcomes (telephonic interviews or rechecks) were recorded. Results Extra‐ and intraparenchymal cysts were diagnosed in 29 and 11 dogs, respectively. Four dogs had both types. Extraparenchymal cysts were treated by partial resection and omentalization (n = 22) and complete resection (n = 7). Drainage and intracapsular omentalization were performed in all dogs with intraparenchymal cysts. The four dogs with both types of cyst were treated by omentalization. Resolution was documented in 39/44 dogs (88.6%). Intraoperative complications occurred in one dog (urethral tear). Major complications resulting in death occurred in three dogs (oliguric kidney injury, cardiac arrhythmia, and persisting urinary tract obstruction). Minor complications (n = 10) consisted of temporary urinary incontinence (n = 2), permanent urinary incontinence (n = 5), urinary retention (n = 2), and dysuria (n = 1). Recurrence occurred in two dogs with extraparenchymal cysts. Median long‐term follow‐up was 528 days (range, 250–730 days). Thirty‐nine dogs had no signs associated with prostatic disease at long‐term follow‐up. Conclusion Partial or complete resection and/or omentalization of sterile PCs led to resolution of clinical signs in most dogs, although postoperative urinary incontinence was frequent. Impact This study is the largest case series relative to canine sterile PCs treated surgically and provides evidence on the prognosis and rate of complications.

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Surgical treatment of refractory incontinence in the bitch

Cited by 2 publications

References 28 publications

Splenic hematoma and pelvic bladder in a spayed German shepherd mongrel bitch (Canis lupus familiaris). A case report.

Splenic hematoma and pelvic bladder in a spayed German shepherd mongrel bitch (Canis lupus familiaris). A case report.

Surgical treatment and outcome of sterile prostatic cysts in dogs

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