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Peer-reviewed veterinary case report

Ultrasound-guided catheter test for bladder tumors in dogs

By Lee, Jisu et al.·Published in Journal of veterinary science·2025·Department of Veterinary Medical Imaging, South Korea·View original on PubMed

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Original publication title: Methodological evaluation of ultrasound-guided modified traumatic catheterization in dogs with suspected urothelial carcinoma.

Species:
dog

Plain-English summary

A group of 15 dogs with blood in their urine and suspected bladder tumors underwent a new catheterization technique to collect cells for testing. This method involved using a special catheter with extra holes to better sample the bladder lesions while being guided by ultrasound. The procedure was successful in all cases, allowing for accurate diagnoses of bladder cancer (urothelial carcinoma) in 12 dogs and other conditions in the remaining three. There were no serious complications, and any minor bleeding that occurred resolved on its own. This technique is considered safe and effective, especially for smaller dogs or those that can't handle more invasive procedures.

People also search for: dog blood in urine treatment · bladder cancer in dogs · ultrasound-guided catheterization for dogs

Abstract

IMPORTANCE: Bladder tumors in dogs, particularly urothelial carcinoma (UC), pose a diagnostic challenge due to overlapping imaging features with benign conditions. Accurate diagnosis is crucial for appropriate treatment and prognosis. OBJECTIVE: To assess the effectiveness of a modified traumatic catheterization technique using a 4-hole catheter for cytological sampling in dogs with bladder masses. METHODS: Fifteen dogs with hematuria and mass-like bladder lesions identified using ultrasonography were included in the study. 15 dogs underwent modified traumatic catheterization using a four-hole catheter created by adding two extra holes to a 6 or 8 Fr feeding tube. The catheter was inserted into the bladder, and cells were aspirated from the lesion under ultrasound guidance. The procedure's efficacy was evaluated both quantitatively and qualitatively. RESULTS: All 15 cases achieved a 100% cell acquisition rate with high cellularity. The median visualization score was 3/3, the manipulation score was 3/3, and the cellularity score was 2/2. The average procedure time was 8.8 min. Diagnoses included 12 cases of UC and three cases of polypoid cystitis/urinary bladder polyps. No significant adverse effects, including bladder perforation or urethral trauma, were observed. Mild bleeding occurred in some cases but resolved spontaneously. CONCLUSIONS AND RELEVANCE: Modified traumatic catheterization using a 4-hole catheter is a safe, efficient, and minimally invasive technique for diagnosing UC and other bladder conditions. It is particularly useful for small-sized dogs and those unsuitable for invasive procedures. The enhanced catheter design improves lesion contact and sampling efficiency by offering a valuable tool for veterinary practitioners.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/40461425/