Traumatic urethral rupture, its surgical management with temporary cystostomy and concurrent wound reconstruction in a cat.

Abstract

A 3-month-old male DSH cat was presented with a history of lethargy, anorexia, dysuria, urinary incontinence, dermatitis and swelling in the perineal area following a road traffic trauma. Retrograde positive-contrast urethrography revealed an intra-pelvic urethral rupture which was managed by performing transurethral catheterisation. Due to accidental removal, the case was presented for re-examination following a progressive urine scald dermatitis several days later. So, surgical placement of cystostomy tube was performed. The cat regained his ability to urinate normally a week later and the catheter was withdrawn. The extensive perineal dermatitis due to urine scald necessitated delayed primary closure. Topical and systemic antibiotics were administered for 2 weeks and second intention wound healing was completed after 5 weeks.

Corrección quirúrgica de ruptura traumática total de uretra membranosa en un canino: reporte de caso

“…Diversos autores han reportado ampliamente que las causas de trauma uretral pueden derivar de diferentes mecanismos, entre los cuales pueden ser citados lesiones penetrantes (Anderson et al 2006), trauma externo, fractura pélvica (Hassibi et al 2019), obstrucción uretral, cálculos o neoplasias (Gwyneth et al 2016), trauma abdominal cerrado (Chew 2012), entre otros. No obstante, la ruptura uretral es poco frecuente en pequeños animales y tiene una incidencia que varía entre 0,003% y 5% en perros (Kolata y Johnston 1975).…”