Comparison of surgical indications and short- and long-term complications in 56 cats undergoing perineal, transpelvic or prepubic urethrostomy

Seneviratne, Maheeka; Stamenova, Polina; Lee, Karla

doi:10.1177/1098612x20959032

Cited by 10 publications

(59 citation statements)

References 11 publications

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“… 37 They include – among others – sterile cystitis, UTI, urinary incontinence and stricture. 38 The latter is one of the most severe and may require revision surgery. It is reported in up to 11% of patients undergoing perineal urethrostomy within the first 4 weeks, 39 with revision surgery being performed at a median of 71 days post-initial intervention.…”

Section: Discussionmentioning

confidence: 99%

Urinary incontinence secondary to a suspected congenital urethral deformity in a kitten

Henry

Schiavo

Owen

et al. 2021

Journal of Feline Medicine and Surgery Open Reports

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Case summary A 5-month-old entire male domestic shorthair kitten was referred for investigation of a month-long history of urinary incontinence. Clinical examination, baseline blood work and imaging (plain radiography and ultrasonography) were unremarkable. Urinalysis documented a urinary tract infection and a retrograde urethrocystogram revealed an outpouching of the pelvic urethra. Surgical exploration revealed the absence of the dorsal portion of the urethral wall in this section of pelvic urethra, replaced by an epithelial lined expanded ‘pouch’. The ventral aspect of the urethra appeared grossly normal. A modified perineal urethrostomy was performed to create an anastomosis of the urethral pouch to the skin of the perineum alongside conventional castration. The kitten made a full recovery and the incontinence resolved within 48 h. A congenital urethral diverticulum and secondary urinary tract infection were deemed the most likely aetiology in this case. Relevance and novel information Urethral diverticuli are a rare condition in veterinary medicine. To our knowledge, it has only been reported in two dogs and presumptively in one cat, all of which made a complete recovery after surgical intervention. The present case reports an unusual urethral deformity as a potential differential diagnosis for lower urinary tract signs in a young cat.

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Section: Discussionmentioning

confidence: 99%

Urinary incontinence secondary to a suspected congenital urethral deformity in a kitten

Henry

Schiavo

Owen

et al. 2021

Journal of Feline Medicine and Surgery Open Reports

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“…13,14 TPU has been shown to be associated with lower morbidity and complication rates than reported with PPU. [11][12][13][14][15] TPU has also been reported in nine cats as an alternative technique to PU for distal penile OLUTD. 14 Stomal stenosis (SS) is the most frequent major complication after PU in cats and is reported in up to 17% of these cats.…”

Section: Introductionmentioning

confidence: 99%

Outcomes and postoperative complications after transpelvic urethrostomy used as first-line surgery in 38 male cats with obstructive lower urinary tract disease

Dumartinet¹,

Bernard²,

Bernardé³

2021

Journal of Feline Medicine and Surgery

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Objectives This article aimed to report on the short- and long-term outcomes after transpelvic urethrostomy (TPU) as a first-line surgery to treat obstructive lower urinary tract disease (OLUTD) in male cats. Methods A retrospective review and follow-up owner telephone questionnaire for cats with OLUTD undergoing TPU as a first-line surgery between 2013 and 2019, at a single referral hospital, were performed. A minimum follow-up period of 1 year was required to be included in the study. Short- and long-term complications were defined as those that occurred, respectively, within or after the first 4 weeks postoperatively. Results Thirty-eight male cats were included. The short-term complication rate was 18%. Idiopathic lower urinary tract disease (ILUTD) and stomal stenosis (SS) were the two most frequent short-term complications. Long-term complications were reported in 34% of the cats and included ILUTD, urinary tract infection and SS. The mortality rate was 5%. Eighty-two percent of the owners were satisfied with the postoperative outcome. The most common reason for owner dissatisfaction was the occurrence of SS, especially because these complications required multiple surgical revisions to be definitively managed. The long-term quality of life was considered to be good to very good by 89% of the owners. Ninety-one percent of the cats were free of clinical urinary signs at the time of the questionnaire completion. Conclusions and relevance TPU can be an acceptable first-line surgical technique to treat cats with OLUTD. Most cats experienced a good to very good quality of life after TPU. Most complications were transient or manageable medically. Most of the major complications were SS, which can be technically challenging to address and may require multiple revision surgeries.

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“…Many owners (7 out of 8) whose cats underwent TPU surgery stated that the surgery improved their cats' quality of life. 21 Another recent study reported pubic fractures in a cat occurring secondary to an extended TPU. 23 In the only canine report, TPU was performed successfully in a male Staffordshire bull terrier diagnosed with squamous cell carcinoma of the penile urethra.…”

Section: Discussionmentioning

confidence: 98%

“…21 Short-term complications included UTI (3 cats), sterile cystitis (2 cats), incontinence (2 cats) and urethrostomy stricture (1 cat). 21 Long-term complications included sterile cystitis (2 cats) and UTI (1 cat). Owner satisfaction and longterm quality of life were reported.…”

Section: Discussionmentioning

confidence: 99%

Transpelvic urethrostomy in a female dog with congenital vestibulovaginal and urethral stenosis: A case report

et al. 2022

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Objective To describe transpelvic urethrostomy (TPU) as a surgical technique for the successful treatment of vestibulovaginal and urethral stenosis in a 7 month old female spayed mixed‐breed dog. Study design Case report. Sample population Female spayed mixed‐breed dog with obstructive vaginal tissue present on vaginal examination. Methods The dog presented with a history of persistent urine dribbling, stranguria, and dysuria since birth. Vaginoscopy and fluoroscopy revealed severe vestibulovaginal and urethral stenosis. An episiotomy and partial vaginectomy were performed to remove stenotic tissue. A perineal urethrostomy was attempted from a blind‐ended pouch associated with the stenotic urethral tissue but was unsuccessful. The dog was repositioned in dorsal recumbency and a postpubic urethrostomy was performed. Results Six days postoperatively, incisional dehiscence occurred at the cranial aspect of the urethrostomy. The site was revised at this location using a TPU to decrease tension at the urethrostomy site. The dog recovered uneventfully with no further complications identified after surgery. Forty‐two months after surgical intervention, the dog continued to show no clinical signs. Conclusion Transpelvic urethrostomy may be a viable surgical alternative for dogs diagnosed with urethral stenosis.

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Comparison of surgical indications and short- and long-term complications in 56 cats undergoing perineal, transpelvic or prepubic urethrostomy

Cited by 10 publications

References 11 publications

Urinary incontinence secondary to a suspected congenital urethral deformity in a kitten

Urinary incontinence secondary to a suspected congenital urethral deformity in a kitten

Outcomes and postoperative complications after transpelvic urethrostomy used as first-line surgery in 38 male cats with obstructive lower urinary tract disease

Transpelvic urethrostomy in a female dog with congenital vestibulovaginal and urethral stenosis: A case report

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