Peer-reviewed veterinary case report
Long-term results of urethral sphincter surgery in female dogs
By Gomes, Cesar et al.·Published in Journal of the American Animal Hospital Association·2018·From the School of Veterinary Sciences, United Kingdom·View original on PubMed →
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Original publication title: Long-Term Outcome of Female Dogs Treated with Static Hydraulic Urethral Sphincter for Urethral Sphincter Mechanism Incompetence.
- Species:
- dog
Plain-English summary
A group of 20 female dogs with urinary incontinence underwent surgery to have a static hydraulic urethral sphincter placed to help manage their condition. After the surgery, the dogs showed significant improvement in their ability to hold urine, with 90% achieving complete continence by the last follow-up, which was an average of over three years later. While some dogs experienced minor complications like urinary tract infections and longer urination times, these issues were generally manageable with antibiotics. Overall, the surgery was successful, leading to a much better quality of life for the dogs involved.
People also search for: dog urinary incontinence treatment · female dog surgery for incontinence · urinary tract infection in dogs · dog urinary sphincter surgery recovery
Abstract
The purpose of the study was to report the postoperative outcome, complications, and long-term follow-up of the use of a static hydraulic urethral sphincter for the management of urethral sphincter mechanism incompetence in female dogs. Medical records were reviewed to extract information on long-term (>365 days) outcome data. Telephone owner questionnaire was performed to assess postoperative urinary continence scores (scale 1-10, where 10 is complete continence) and the presence and frequency of complications. Twenty female dogs were included. Mean (±standard deviation) time to follow-up was 1,205.1 (±627.4) days. Median continence score/10 (range) was 3.5 (2-6) preoperatively, and 9.0 (7-10) at the last follow-up. Median continence score was significantly higher at all time points postoperatively compared with before surgery (P < .001). Complete continence was achieved in 90% of bitches. Minor complications occurred in 13 bitches and included dysuria (8), bacterial cystitis (8), longer urination time (10), incisional seroma (5), urinary retention (3), hematuria (2), and pain when urinating (2). Major complications occurred in one dog (static hydraulic urethral sphincter removed 28 mo after placement). Continence scores were sustainably improved in the long-term. Complications were mostly minor. Urinary tract infections were the most common but resolved with conventional antibiotic treatment.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/30040444/