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Peer-reviewed veterinary case report

Dog bladder stone surgery options: percutaneous vs open

By Job, Chloé et al.·Published in Journal of veterinary internal medicine·2022·Surgical Department, Canada·View original on PubMed

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Original publication title: Comparison of percutaneous cystolithotomy and open cystotomy for removal of urethral and bladder uroliths in dogs: Retrospective study of 81 cases (2014-2018).

Species:
dog

Plain-English summary

A group of dogs with bladder stones underwent two different surgical procedures: percutaneous cystolithotomy (PCCL) and open cystotomy (OC). Both methods successfully removed nearly all stones, with no significant difference in surgery time or anesthesia duration. However, dogs that had the PCCL procedure spent much less time in the hospital, averaging about 11 hours compared to over 56 hours for those that had OC. This suggests that PCCL may be a quicker recovery option for dogs needing bladder stone removal.

People also search for: dog bladder stones surgery · percutaneous cystolithotomy for dogs · open cystotomy recovery time

Abstract

OBJECTIVE: Compare percutaneous cystolithotomy (PCCL) and open cystotomy (OC) for removal of bladder and urethral uroliths. DESIGN: Retrospective study. ANIMALS: Client-owned dogs and cats that underwent PCCL (n&#xa0;=&#xa0;41) or OC (n&#xa0;=&#xa0;40) between January 1, 2014 and February 28, 2018 at a referral center. METHODS: Medical records of dogs and cats that underwent a PCCL or an OC were reviewed. History, signalment, physical examination, diagnostic tests, length of the procedure and anesthesia, complications, and duration of hospitalization were recorded. RESULTS: A total 17 cats (PCCL&#xa0;=&#xa0;10; OC&#xa0;=&#xa0;7) and 64 dogs (PCCL&#xa0;=&#xa0;31; OC&#xa0;=&#xa0;33) were included. There was no significant difference, regardless of species, in the mean surgical time (45&#x2009;min [24-160&#x2009;min] and 48.5&#x2009;min [15-122&#x2009;min] with P&#xa0;=&#xa0;.54 in dogs, P&#xa0;=&#xa0;.65 in cats) nor mean duration of anesthesia (90&#x2009;min [50-120&#x2009;min] and 98&#x2009;min [54-223&#x2009;min] with P&#xa0;=&#xa0;.87 in dogs, P&#xa0;=&#xa0;.08 in cats) in the PCCL and OC groups respectively. Number of uroliths did not affect duration of surgery in either group. Complete urolith removal was achieved in 98% of dogs and cats in both groups. The median hospitalization time was significantly shorter in the PCCL group for dogs (11.3&#xa0;hours [range 4 to 51.3] in the PCCL vs 56.6&#xa0;hours [range 7.3 to 96] in the OC group; P&#x2009;<&#x2009;.001) but did not differ for cats (24.5&#xa0;hours [range 8.3 to 30] in the PCCL vs 56.6&#xa0;hours [range 10.1 to 193.2] in the OC group; P&#xa0;=&#xa0;.08). CONCLUSION AND CLINICAL RELEVANCE: Bladder urolith removal by PCCL procedure is no longer than OC. Further studies are needed to compare the pain related to procedure between PCCL and OC.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/36315023/