Evaluation of postoperative complication rates in cats undergoing perineal urethrostomy performed in dorsal recumbency

Watson, Mallory T; Roca, Rodrigo; Breiteneicher, Adam H.; Kalis, Russell

doi:10.1177/1098612x19838286

Cited by 5 publications

(2 citation statements)

References 20 publications

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“…The most common late complication is bacterial urinary tract infection, which affects 17-57% of cats undergoing perineal urethrostomy. 55 Ruda and Heiene found that clients consider their pet to have a good quality of life after this procedure. 53 A modified perineal urethrostomy technique has been published by Yeh and Chin that uses the preputial mucosa for anastomosis with the pelvic urethra.…”

Section: Urinary Tract Trauma Conditionsmentioning

confidence: 99%

Urinary Tract Trauma in Cats: Stabilisation, Diagnosis and Management

Robakiewicz¹,

Halfacree²

2023

Journal of Feline Medicine and Surgery

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Practical relevance: Traumatic injury of the urinary tract may be caused by external accidental trauma or due to iatrogenic injury (typically as a result of catheterisation procedures). Thorough patient assessment and careful attention to patient stabilisation are essential, with diagnosis and surgical repair delayed until the patient is stable, if necessary. Treatment depends on the location and severity of the trauma. If diagnosed and treated promptly, the chance of survival of a patient without other concurrent injuries is good. Clinical challenges: Following accidental trauma, at the initial presentation urinary tract injury can be overshadowed by other injuries, but if left undiagnosed or untreated it can lead to serious morbidity and potentially mortality. Many of the surgical techniques described for management of urinary tract trauma can be associated with complications, and so comprehensive communication with the owners is necessary. Patient group: The main population affected by urinary tract trauma is young, adult male cats, owing to their roaming behaviour, as well as their anatomy and the resulting increased risk of urethral obstruction and its associated management. Aims: This article aims to serve as a guide to all veterinarians who treat cats for the diagnosis and management of urinary tract trauma in cats. Evidence base: This review summarises the current knowledge available from a number of original articles and textbook chapters in the literature that cover all aspects of feline urinary tract trauma, and is supported by the authors’ own clinical experience.

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Section: Urinary Tract Trauma Conditionsmentioning

confidence: 99%

Urinary Tract Trauma in Cats: Stabilisation, Diagnosis and Management

Robakiewicz¹,

Halfacree²

2023

Journal of Feline Medicine and Surgery

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“…Urethral strictures and urethrostomy overgrowth, according to different authors, range from 12% [12] to 35% [13]. Recurrent urinary tract infection is observed in more than 30% of cats undergoing perineal urethrostomy and in more than 60% of cats undergoing prepubic urethrostomy [14,15]. Complications such as postoperative urinary tract infections are also observed after cystotomy [16].…”

Section: Fig 1 Confidence Intervals For 3 Diseases In the Intervention And Controlgroupsmentioning

confidence: 99%

Bovhyaluronidaze azoximer as an antimicrobial alternative in companion animals

Nazarova¹,

Semenov²,

Kozitcyna³

et al. 2021

BIO Web Conf.

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Antimicrobial resistance formation in various bacteria is a serious biosafety threat. In this regard, the important issue in medical and veterinary fields is not only the rational use of antibacterial drugs, but also the search for ways to significantly reduce the need for antibiotics. Three studies designed to research into these challenges are described. The results indicated that (1) the bacteriuria presences in 62.4 +/-4.1% of urine samples obtained from companion animals (the microflora count in urine samples is estimated from ’++’ to ’Entire Field-of-View’); (2) 16.3 +/-4.0% of samples from companion animals showed bacteria with low antibiotics sensitivity, and 8.1 +/-3.0% of samples contained bacteria resistant to 30 antibiotics included in the susceptibility test; (3) the Bovhyaluronidaze azoximer reduce antimicrobial therapy duration statistically significant (p=0.0089). The studies were conducted at the facilities of St. Petersburg State University of Veterinary Medicine and Bars veterinary clinic chain in St. Petersburg, Russia. A randomized clinical trial of Bovhyaluronidaze azoximer effect on course of disease and treatment duration of acute and chronic prostatitis and urocystitis, including complicated by urolithiasis, was conducted in 54 dogs. Animals were randomly assigned to intervention (n=34) and control (n=20) groups. Animals of both groups received the antimicrobial therapy. Interventional group patients additionally received Bovhyaluronidaze azoximer in the form of rectal suppositories. The antimicrobial therapy mean duration in intervention group animals took 14.88 +/-4.98 days, in control group animals — 18.65 +/-5.40 days. The study findings imply that bacteriuria is widely prevalent in companion animals and antimicrobial resistance is increasing issue in veterinary medicine. Bovhyaluronidaze azoximer contributes to microcirculation restore and increases the bioavailability of antibacterial drugs at the site of infection. This makes its relevant for use in the complex treatment for septic and inflammatory processes. This allows to reduce the antimicrobial course duration (and completely decline antibiotic therapy in some cases) and prevent the formation of chronic inflammation and infection sites.

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