Ureteral implantation using a three‐stitch ureteroneocystostomy: description of technique and outcome in nine dogs

Pratschke, Kathryn

doi:10.1111/jsap.12388

Cited by 5 publications

(7 citation statements)

References 31 publications

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“…). An adaptation in technique (three‐stitch ureteroneocystostomy) has recently been proposed to address this, based on evidence from the human literature, and compares favourably to previous techniques (Pratschke ).…”

Section: Ectopic Uretersmentioning

confidence: 99%

“…This may be managed conservatively in mild cases, or by ureteral stenting but, in severe cases, ureteronephrectomy may become necessary (Holt & Hotston Moore 1995, Reichler et al 2012). An adaptation in technique (three-stitch ureteroneocystostomy) has recently been proposed to address this, based on evidence from the human literature, and compares favourably to previous techniques (Pratschke 2015).…”

Section: Do Surgical Procedures Still Have a Role To Play?mentioning

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: Ectopic Uretersmentioning

confidence: 99%

Section: Do Surgical Procedures Still Have a Role To Play?mentioning

confidence: 99%

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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“…Previous studies have reported left-sided unilateral ectopic ureters in 42% 21 to 83% (10/12) 14 of cases. 4,8,9,12,22 Side affected has been shown not to affect the site of termination 4 nor outcome following surgical treatment. 8 In our study the ectopic ureteral terminations were evenly split between proximal (bladder neck distal to the normal trigone region or proximal urethra) and distal (distal urethra and vestibule adjacent to the urethral orifice) locations.…”

Section: Discussionmentioning

confidence: 99%

Cystoscopic-guided scissor transection of intramural ectopic ureters as a novel alternate minimally invasive treatment option to laser ablation in female dogs: 8 cases (2011–2020)

Jacobson

Meler

Delisser

et al. 2022

javma

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OBJECTIVE To evaluate the safety and efficacy of cystoscopic-guided scissor transection of ectopic ureters (CST-EU) in female dogs. ANIMALS 8 incontinent female dogs with intramural ectopic ureters. PROCEDURES For this retrospective case series, data were collected from medical records of dogs that underwent CST-EU to relocate the ectopic ureteral orifice to an anatomically normal trigonal location between June 2011 and December 2020. Outcome after hospital discharge was determined using owner telephone questionnaires. RESULTS Ectopic ureters were bilateral in 4 of the 8 dogs, and all dogs had other urogenital tract anomalies. Owner questionnaire follow-up was available for 7 dogs, and results indicated 6 dogs had improved urinary continence immediately following the procedure. At the last follow-up (44 to 3,384 days after CST-EU), 3 of the 7 dogs were completely continent with CST-EU alone, 3 others became continent or were markedly improved with the addition of medications for urethral sphincter mechanism incompetence, and 1 required ureteroneocystostomy, colposuspension, and an artificial urethral sphincter to become fully continent. Owners of 5 of the 7 dogs reported that they considered the outcome of CST-EU as good to excellent, and all owners reported that they would consider having CST-EU performed again should they have another incontinent dog. Complications were minor, and only 3 dogs showed transient lower urinary tract signs after CST-EU. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated CST-EU could provide a safe, effective, minimally invasive alternative in the absence of laser technology for the treatment of intramural ectopic ureters in female dogs.

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“…2 In dogs, extramural ectopic ureters are a common congenital cause of urinary incontinence, and ureteroneocystostomy has been described as the most effective treatment. 3,4 Although ureteroneocystostomy is an effective treatment, the risk of postoperative complications still exists; for example, haematuria, hydroureter, hydronephrosis, haematoma at implantation place and inflammatory granuloma. 4 A recent study shows that in dogs, surgical treatment success rate was 72% and 26% complication risk.…”

Section: Discussionmentioning

confidence: 99%

“…3,4 Although ureteroneocystostomy is an effective treatment, the risk of postoperative complications still exists; for example, haematuria, hydroureter, hydronephrosis, haematoma at implantation place and inflammatory granuloma. 4 A recent study shows that in dogs, surgical treatment success rate was 72% and 26% complication risk. 5 As described above, ectopic ureters in ferrets are rarely described and that complicates data analysis and veterinarians' action in cases like this.…”

Section: Discussionmentioning

confidence: 99%

Extramural ectopic ureter diagnosed by computed tomography in a domestic ferret

Vekšins

Makarovs

Sandersen

et al. 2022

Vet Record Case Reports

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This case report describes clinical signs, computed tomography and laboratory diagnostic findings of an extramural ectopic ureter in a ferret. A 1-year-old, female domestic ferret weighing 900 g was referred to LLU Veterinary Hospital with a history of permanent urinary incontinence. Previously performed blood tests and abdominal radiographs were without significant changes. Abdominal ultrasound did not reveal any abnormality. Computed tomography (CT) post-contrast images showed a contrast-enhanced left ureter opening in the vagina. The CT confirmed the diagnosis of the left extramural ectopic ureter and surgical treatment was recommended. Two weeks after left-sided nephroureterectomy, incontinence still was noted but urine leakage was decreased. The outlined results will be useful for all veterinary practitioners and will update their knowledge on urinary incontinence disorders in domestic ferrets.

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Ureteral implantation using a three‐stitch ureteroneocystostomy: description of technique and outcome in nine dogs

Cited by 5 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

Cystoscopic-guided scissor transection of intramural ectopic ureters as a novel alternate minimally invasive treatment option to laser ablation in female dogs: 8 cases (2011–2020)

Extramural ectopic ureter diagnosed by computed tomography in a domestic ferret

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