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Peer-reviewed veterinary case report

Long-term results of vaginal tape surgery for female dog incontinence

By Hamon, Martin et al.·Published in Veterinary surgery : VS·2019·Department of Clinical Sciences·View original on PubMed

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Original publication title: Long-term outcome of the transobturator vaginal tape inside out for the treatment of urethral sphincter mechanism incompetence in female dogs.

Species:
dog

Plain-English summary

A group of 12 spayed female dogs suffering from urinary incontinence due to urethral sphincter mechanism incompetence (USMI) underwent a procedure called transobturator vaginal tape inside out (TVT-O) to help them regain control. After one year, about 58% of the dogs were completely continent, and at a longer follow-up of around 7 years, 40% maintained continence without any further treatment. Some dogs experienced a return of incontinence, but many were able to regain control with additional medication. Overall, the TVT-O procedure was found to be a safe and effective option for treating this condition in female dogs.

People also search for: dog urinary incontinence treatment · TVT-O for female dogs · spayed dog leaking urine · dog bladder control surgery

Abstract

OBJECTIVE: To evaluate the long-term efficacy of the transobturator vaginal tape inside out (TVT-O) in female dogs with urethral sphincter mechanism incompetence (USMI). STUDY DESIGN: Retrospective study. ANIMALS: Incontinent spayed female dogs (n = 12). METHODS: TVT-O tape was inserted in 12 incontinent bitches diagnosed with USMI. Follow-up information was evaluated by a telephone questionnaire, and a continence score was attributed. RESULTS: One year after surgery, 7 of 12 (58%) dogs were completely continent. Two dogs were removed from the long-term analysis (1 dead and 1 lost). At a median follow-up time of 85 months (range, 28-95), 4 of 10 dogs were completely continent without medical treatment. Incontinence recurred in 6 dogs at a median time of 2 months after surgery (range 1-20). Among these 6 dogs, 4 regained continence, and 2 had sporadic episodes of incontinence with additional medical treatment. No postoperative complications were encountered. CONCLUSION: TVT-O alone was successful in maintaining long-term continence in 40% of the dogs. Additional postoperative medical treatment was effective in restoring continence in another 40% of the dogs. CLINICAL SIGNIFICANCE: TVT-O provides an alternative treatment of USMI in female dogs that is safe and less invasive than standard surgical techniques.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/30376185/