Peer-reviewed veterinary case report
Urinary muscle coordination problems in 35 dogs studied 2007-2019
By Stilwell, C et al.·Published in The Journal of small animal practice·2021·Dick White Referrals, United Kingdom·View original on PubMed →
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Original publication title: Detrusor urethral dyssynergy in dogs: 35 cases (2007-2019).
- Species:
- dog
Plain-English summary
A group of middle-aged male neutered dogs, mostly large breeds like Labradors and golden retrievers, were brought in for problems urinating, such as straining and an altered urine stream. They were diagnosed with a condition called detrusor urethral dyssynergy, which affects how the bladder and urethra work together. Treatment included medications and, in some cases, surgery, with about 59% of the dogs showing a good response to therapy within a median of 11 days. While many dogs improved, some needed long-term medication, and a few were euthanized due to poor responses.
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Abstract
OBJECTIVES: To evaluate clinical presentation, diagnosis, treatment and outcome of dogs diagnosed with detrusor urethral dyssynergy. MATERIALS AND METHODS: Multicentre (n = 3 UK referral clinics), retrospective, observational study. Database searches were performed (2007 to 2019) to identify dogs with detrusor urethral dyssynergy. Dogs with structural abnormalities or detectable neurological disorders affecting micturition were excluded. Clinical presentation, diagnostic procedures, treatment and outcome were evaluated. RESULTS: Thirty-five dogs were included. Middle-aged, large-breed, male neutered dogs were most frequently documented. Four female dogs were included. Fifteen breeds, including Labrador retrievers (8/35; 22.9%), golden retrievers (5/35;14.3%) and cross-breeds (5/35; 14.3%) were identified. Median duration of clinical signs was 152 days (range 0 to 1095). All dogs were dysuric at presentation with 17/35 (48.6%) reported to have an altered stream of urine and 17/35 (48.6%) to be stranguric. Follow-up data were available for 34 dogs (median 136 days, range 4 to 2188). Response was classified as good (20/34; 58.8%), partial (7/34; 20.5%) or poor (7/34; 20.5%). Overall time to response was known for 21 of 34 dogs (partial n = 6, good n = 15) with a median of 11 days (range 1 to 155). Four dogs had surgical intervention (castration n = 4, cystostomy tube n = 2). Three dogs were euthanased due to partial (n = 1) or poor (n = 2) response. Medications were discontinued in 11 of 20 (55.0%) dogs with a good response to therapy, two of these relapsed. CLINICAL SIGNIFICANCE: Detrusor urethral dyssynergy is an uncommon micturition disorder in dogs, in particular females. Medical therapy with or without surgery resulted in a favourable prognosis in the majority of dogs, although many require long-term medication.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/33345305/