Clinical Outcomes of Surgically Managed Ectopic Ureters in 33 DogsS

Ho, Louisa; Troy, Gregory C.; Waldron, Don R.

doi:10.5326/jaaha-ms-5495

Cited by 35 publications

(68 citation statements)

References 14 publications

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“…, Ho et al . ) and has been largely attributed to concurrent USMI. This remains unproven, although continence rates in all studies are improved with the addition of medical management for USMI (Noel et al .…”

Section: Ectopic Uretersmentioning

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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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%

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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“…CT scanning and cystoscopy are reported to be the most useful techniques for diagnosis of EUs. However, contrast-enhanced CT is the most noninvasive useful than other imaging techniques, as the site of ureteral termination can be easily diagnosed (Ho et al, 2011). In this case, contrast radiography and abdominal ultrasonography were opted and EU was diagnosed.…”

Section: Resultsmentioning

confidence: 97%

Surgical management of extramural ectopic ureter by modified colposuspension following ureteroneocystostomy in a young female Siberian Husky dog

Jeong¹,

Rahman²,

Kim³

et al. 2017

J Adv Vet Anim Res

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Objective: Postoperative complication of extramural ectopic ureters (EEUs) with persistent urinary incontinence (UI) is common in Siberian Huskies. This case report was aimed at reporting the successful correction procedure of EEU in Siberian Huskies by surgical procedure. Materials and methods: A three-month-old and weighing 7.9 kg Siberian Husky dog was presented with history of an acute dermatitis around the genitals, swelling of the genitals and dribbling urination. Abdominal radiographs, ultrasonography, and 3D computed tomography scanning revealed presence of the ectopic ureter with urinary incontinence. Ureteroneocystostomy was applied as the first choice of corrective procedure in this case, and clinical sings were corrected apparently after surgery. Unfortunately, UI with cystitis was developed two months postoperatively. To correct the condition, surgical procedure of colposuspension with ovarianhystectomy and cystopexy was opted. Results: Post-operative progression showed good prognosis and the dog recovered fully. Follow up checkup of the patient after 4 months postoperative and follow up phone call 27 months later did not reveal any abnormalities. Conclusion: This case report recommends surgical procedure of modified colposuspension following ureteroneocystostomy to correct EEUs and its postoperative complication.

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“…Incontinence may persist if the ectopic ureter is located intramurally because of disruption of the proximal urethra and internal urethral sphincter mechanism. 69 It seems that dogs are more likely to be continent with this procedure than with surgical correction. In patients in which the kidney cannot be spared because of hydronephrosis or pyelonephritis, nephroureterectomy can be performed.…”

Section: Ectopic Uretersmentioning

confidence: 98%