Evaluation of cystoscopic-guided laser ablation of intramural ectopic ureters in female dogs

Berent, Allyson; Weisse, Chick; Mayhew, Philipp D.; Todd, Kimberly L.; Wright, M. G. E.; Bagley, Demetrius H.

doi:10.2460/javma.240.6.716

Cited by 62 publications

(196 citation statements)

References 23 publications

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“…In addition to these techniques performed in combination with celiotomy and cystotomy, cystoscopic-guided laser ablation was also used for the same purpose [18] ; however, it has certain disadvantages such as requiring special equipment and experience [15] .…”

Section: Discussionmentioning

confidence: 99%

“…EU is usually accompanied by other urinary and urogenital system abnormalities such as renal agenesis, dysplasia and hypoplasia, hydronephrosis, ureter dilatation, tortuous ureter, pelvic bladder, hypoplastic bladder, urachal remnant, paramesonephric remnant, vaginal septum and dual vagina [2,18,[26][27][28] . Paramesonephric remnant, vaginal septum and dual vagina is quite hard to diagnose without cystoscopy [18] .…”

Section: Discussionmentioning

confidence: 99%

“…Paramesonephric remnant, vaginal septum and dual vagina is quite hard to diagnose without cystoscopy [18] . Other abnormalities can be diagnosed by excretory urography, ultrasonography and celiotomy [2,8,13] .…”

Section: Discussionmentioning

confidence: 99%

“…This technique is called neoureterostomy [2,4,17] . Cystoscopic-guided laser ablation has also been used in the treatment of intramural EU [18] .…”

Section: Introductionmentioning

confidence: 99%

“…Different neoureterostomy techniques have been developed, especially for the treatment of intramural EU [13,18,19] . The primary objective of these studies is to minimize the presence of postoperative incontinence.…”

Section: Introductionmentioning

confidence: 99%

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Neoureterosistostomi Yöntemiyle Tedavi Edilen Intramural Ektopik Üreter Hastası Köpeklerde Postoperatif Üriner İnkontinensin Değerlendirilmesi

Karabağlı¹

2016

Kafkas Univ Vet Fak Derg

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Citation of This ArticleKarabağlı M: An evaluation of post-operative urinary incontinence in dogs with intramural ectopic ureter treated with neoureterocystostomy. Kafkas Univ Vet Fak Derg, 23, 145-154, 2017. DOI: 10.9775/kvfd.2016 AbstractThe main motivation in the treatment of ectopic ureter (EU) is achieving complete urinary continence. Although, new neoureterostomy techniques were developed for the surgical treatment of intramural ectopic ureters, it was determined that postoperative incontinence scores achieved with the latest techniques have no distinct superiority over those achieved with older techniques. Therefore, we aim to determine the post-operative urinary incontinence scores in dogs with intramural EU that were treated with neoureterocystostomy and compared with older reports which neoureterostomy techniques were used. Seven female dogs which were brought to our clinic with a complaint of constant urine dribbling since they were born or adopted were included the study. The radiographic diagnosis was made by excretory urography in four dogs, excretory urography and retrograde vagino-urethrography in 2 dogs and MRI in 1 dog. Definitive diagnosis was made by cystotomy. Ectopic ureters were intramural character in all cases. Neoureterocystostomy technique was used for the surgical treatment and incontinence scores at post-operative 1 st and 2 nd months were recorded. For the purpose of complete elimination of the postoperative urinary incontinence, phenylpropalamine were used in 4 cases and oxybutynin were used in 1 case as additional medical therapy. Urinary incontinence was completely disappeared, 5 out of 7 patients (71%) at the end of the study. In conclusion, the results suggest that EU is most successfully treated with a surgical method that does not involve urethrotomy and it should be performed simultaneously with a surgical method used in the treatment of urethral sphincter mechanism incompetence and should be combined with a treatment involving the use of post-operative alpha adrenergic medications. Keywords: Dog, Ectopic ureter, Intramural, Neoureterocystostomy, Urinary incontinence Neoüreterosistostomi Yöntemiyle Tedavi Edilen İntramural Ektopik Üreter Hastası Köpeklerde Postoperatif Üriner İnkontinensin Değerlendirilmesi ÖzetEktopik üreterin cerrahi tedavisinde ana motivasyon üriner inkontinensi ortadan kaldırmaktır. Özellikle intramural tipteki ektopik üreterin cerrahi tedavisi için farklı neoüreterostomi teknikleri geliştirilmesine rağmen, postoperatif üriner inkontinens skorlarının, eski teknikler kullanılarak elde edilenlere önemli bir üstünlüğü olmadığı tespit edilmiştir. Çalışmamızda, neoüreterosistostomi tekniğiyle tedavi edilen intramural ektopik üreter hastası köpeklerde postoperatif üriner inkontinens skorlarının, neoüreterostomi teknikleri kullanılarak elde edilen eski skorlarla karşılaştırılması amaçlanmıştır. Çalışmaya kliniğimize, doğduğundan veya sahiplenildiğinden beri sürekli damla damla idrar kaçırma şikayeti olan 7 dişi köpek dahil edildi. Radyolojik tanı için 4 hastad...

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Section: Discussionmentioning

confidence: 99%