Cystoscopic-guided scissor transection of intramural ectopic ureters as a novel alternate minimally invasive treatment option to laser ablation in female dogs: 8 cases (2011-2020).

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  • Additional Information
    • Source:
      Publisher: American Veterinary Medical Association Country of Publication: United States NLM ID: 7503067 Publication Model: Electronic Cited Medium: Internet ISSN: 1943-569X (Electronic) Linking ISSN: 00031488 NLM ISO Abbreviation: J Am Vet Med Assoc Subsets: MEDLINE
    • Publication Information:
      Publication: Mar. 1975- : Schaumburg, Ill. : American Veterinary Medical Association
      Original Publication: Ithaca, N.Y. : [American Veterinary Medical Association, 1915]-
    • Subject Terms:
      Dog Diseases*/diagnosis ; Dog Diseases*/surgery ; Laser Therapy*/veterinary ; Ureter*/abnormalities ; Ureter*/surgery ; Ureteral Obstruction*/surgery ; Ureteral Obstruction*/veterinary; Animals ; Dogs ; Female ; Retrospective Studies
    • Abstract:
      Objective: To evaluate the safety and efficacy of cystoscopic-guided scissor transection of ectopic ureters (CST-EU) in female dogs.
      Animals: 8 incontinent female dogs with intramural ectopic ureters.
      Procedures: For this retrospective case series, data were collected from medical records of dogs that underwent CST-EU to relocate the ectopic ureteral orifice to an anatomically normal trigonal location between June 2011 and December 2020. Outcome after hospital discharge was determined using owner telephone questionnaires.
      Results: Ectopic ureters were bilateral in 4 of the 8 dogs, and all dogs had other urogenital tract anomalies. Owner questionnaire follow-up was available for 7 dogs, and results indicated 6 dogs had improved urinary continence immediately following the procedure. At the last follow-up (44 to 3,384 days after CST-EU), 3 of the 7 dogs were completely continent with CST-EU alone, 3 others became continent or were markedly improved with the addition of medications for urethral sphincter mechanism incompetence, and 1 required ureteroneocystostomy, colposuspension, and an artificial urethral sphincter to become fully continent. Owners of 5 of the 7 dogs reported that they considered the outcome of CST-EU as good to excellent, and all owners reported that they would consider having CST-EU performed again should they have another incontinent dog. Complications were minor, and only 3 dogs showed transient lower urinary tract signs after CST-EU.
      Conclusions and Clinical Relevance: Results indicated CST-EU could provide a safe, effective, minimally invasive alternative in the absence of laser technology for the treatment of intramural ectopic ureters in female dogs.
    • Publication Date:
      Date Created: 20220315 Date Completed: 20220809 Latest Revision: 20220829
    • Publication Date:
      20231215
    • Accession Number:
      10.2460/javma.21.03.0153
    • Accession Number:
      35290202