Radical Cystectomy and Cutaneous Ureterostomy in 4 Dogs with Trigonal Transitional Cell Carcinoma: Description of Technique and Case Series

Huppes, Rafael Ricardo; Crivellenti, Leandro Zuccolotto; Nardi, Andrígo Barboza De; Lima, Bruno Roque; Cintra, Cristiane Alves; Castro, Jorge Luiz Costa; Adin, Christopher A.

doi:10.1111/vsu.12583

Cited by 18 publications

(19 citation statements)

References 19 publications

(34 reference statements)

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“…Ureteral implantation with neoanastomosis is required when radical cystectomy is performed. Various sites of anastomosis of the ureters have been previously described in the veterinary literature, including the skin, colon, and prepuce in the male dog or vagina in the female . The risk for ascending urinary tract infection (UTI) is high after anastomosis to the colon .…”

Section: Discussionmentioning

confidence: 99%

“…The risk for ascending urinary tract infection (UTI) is high after anastomosis to the colon . Cutaneous ureterostomy can be used only in animals tolerant to frequent local care and involves the owner's compliance . A high risk of ascending infections is described in man (73% complication rate) .…”

Section: Discussionmentioning

confidence: 99%

“…All surgical techniques described allowing radical cystectomy and subsequent ureteral anastomosis are associated with permanent urinary incontinence and a high risk of postoperative complication . These risks must be discussed preemptively with the animal's owner.…”

Section: Discussionmentioning

confidence: 99%

“…Radical cystectomy with pelvic lymph node excision is the gold standard of care in the management of invasive bladder cancer with trigone involvement in humans . It allows total tumor resection, removes the source of pain or discomfort secondary to the tumor and the local inflammation, reduces risk of recurrence or metastatic spread of the cancer, and prevents future urinary tract obstruction . Radical cystectomy involves excision of the entire bladder including the trigone and requires performing ureteral anastomosis to the body wall or to a structure allowing for external urine outflow.…”

Section: Introductionmentioning

confidence: 99%

“…Radical cystectomy involves excision of the entire bladder including the trigone and requires performing ureteral anastomosis to the body wall or to a structure allowing for external urine outflow. Urinary diversion to the skin, digestive tract, urethra, prepuce, or vagina has been reported in veterinary literature . It is uncommonly performed in animals because of the relatively high rate of complications associated with ureteral reimplantation and because few owners accept managing the resulting permanent urinary incontinence .…”

Section: Introductionmentioning

confidence: 99%

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Radical cystectomy and subsequent ureterohysterostomy in a bitch

Delaune¹,

Bernard²,

Matres-Lorenzo³

et al. 2018

Veterinary Surgery

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Objective To describe and report the outcome of a ureterouterine anastomosis after unilateral dehiscence of a ureterovaginal anastomosis after total cystectomy in a bitch. Study design Case report. Animal A 10‐year‐old intact female border collie with a urinary bladder leiomyosarcoma. Methods The dog was diagnosed with an invasive urinary bladder tumor, treated by radical cystectomy and bilateral ureterovaginal anastomosis. Postoperative necrosis of the distal ureter led to dehiscence of the anastomosis on the right side. To preserve the right kidney, the right ureter was anastomosed to the right uterine horn, and a stent was placed across the uterine cervix. Results The dog recovered from surgery and regained satisfactory urine output. Both ureteral anastomoses were patent at 10 months postoperatively. At 12 months postoperatively, intraluminal obstruction of the uterine stent, loss of patency of the right ureter, and severe right renal hydronephrosis were noted. The owner declined nephrectomy, and the dog died 2 months later. Conclusion This is the first published report of a ureterouterine anastomosis and stenting of the uterine cervix in a dog. The functional outcome was satisfactory for 1 year postoperatively. The uterine stent and distal ureter were eventually obstructed by soft tissue. Clinical significance Ureterouterine anastomosis can be considered as a salvage procedure when other surgical techniques have failed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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