Peer-reviewed veterinary case report
Surgery outcomes for ureteral ectopia in 36 dogs
By Mayhew, Philipp D et al.·Published in Journal of the American Veterinary Medical Association·2006·Department of Clinical Studies, United States·View original on PubMed →
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Original publication title: Comparison of two surgical techniques for management of intramural ureteral ectopia in dogs: 36 cases (1994-2004).
- Species:
- dog
Plain-English summary
A group of 36 dogs with a condition called intramural ureteral ectopia, where the ureter (the tube that carries urine from the kidney) is not in the correct position, underwent surgery to correct the issue. They were treated using one of two techniques: ligation (tying off) or resection (removing a part of the ureter). After surgery, many dogs still experienced urinary incontinence, with 71% of those in the resection group and 50% in the ligation group having ongoing issues. While most owners felt the surgery was successful, a significant number of dogs continued to have problems, including urinary tract infections.
People also search for: dog urinary incontinence treatment · ureteral ectopia surgery dogs · dog urinary tract infection after surgery
Abstract
OBJECTIVE: To determine outcome associated with intramural ureteral ectopia treated with 1 of 2 surgical techniques (neoureterostomy with ligation of the distal ureteral segment vs neoureterostomy with resection of the distal ureteral segment) and compare results of these 2 techniques in dogs. DESIGN: Multicenter retrospective case series. ANIMALS: 36 dogs (15 treated with the ligation technique and 21 treated with the resection technique). PROCEDURES: Information was obtained from medical records. Long-term follow-up information was obtained by owner questionnaire. RESULTS: 15 of 21 (71%) dogs in the resection group and 7 of 14 (50%) dogs in the ligation group still had urinary incontinence after surgery. Three of 20 (15%) dogs in the resection group and 4 of 14 (29%) dogs in the ligation group reportedly had multiple episodes of urinary tract infection following surgery. The outcome of surgery was judged to be excellent by the owners of 10 of 18 (56%) dogs in the resection group and 9 of 14 (64%) dogs in the ligation group. No significant differences were found between surgery treatment groups. CONCLUSIONS AND CLINICAL RELEVANCE: Results of the present study suggest that although most owners of dogs that undergo surgery for treatment of intramural ureteral ectopia consider the outcome of surgery to be excellent, substantial proportions of dogs will continue to have urinary incontinence and recurrent urinary tract infections after surgery. Findings do not provide any support to the hypothesis that the resection technique is superior to the ligation technique for management of dogs with intramural ureteral ectopia.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/16881831/