Peer-reviewed veterinary case report
Cat treated with bladder removal and skin ureter opening for cancer
By Maeta, Noritaka et al.·Published in Veterinary surgery : VS·2022·Faculty of Veterinary Medicine, Japan·View original on PubMed →
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Original publication title: Modified Toyoda technique for total cystectomy and cutaneous ureterostomy in a cat.
- Species:
- cat
Plain-English summary
A 16-year-old male domestic shorthair cat was brought in for frequent urination and blood in his urine, which lasted for two weeks. After tests suggested he had transitional cell carcinoma (TCC), the vet performed a total cystectomy (removal of the bladder) and a special surgery to reroute the ureters to the skin. Although the cat experienced urinary incontinence after the surgery, he managed well with the help of diapers and lived for about 16 months before passing away. The owner felt satisfied with the surgery and the cat's quality of life during that time.
People also search for: cat blood in urine · cat bladder cancer treatment · urinary incontinence in cats · total cystectomy in cats · cat quality of life after surgery
Abstract
OBJECTIVES: To report the technique and outcome of a cat treated with a total cystectomy and bilateral cutaneous ureterostomy. ANIMALS: A 16-year-old male castrated domestic shorthair cat. STUDY DESIGN: Case report. CASE PRESENTATION: A cat was referred after a 2-week history of pollakiuria and hematuria. Transitional cell carcinoma (TCC) was suspected based on ultrasonographic, cytologic, and contrast computed tomographic (CT) findings. A total cystectomy was combined with a modified cutaneous ureterostomy: the ureter, incised like a fish-mouth aperture, was anastomosed to the skin after the creation of a rectangular-shaped defect. Complete excision of a TCC was confirmed histologically. RESULTS: Ureteral stents were removed 7 days (left) and 28 days (right) postoperatively. The cat's incontinence was managed with an absorbent diaper surrounding the ureteral stomata. The right ureter became obstructed 14 months after surgery, and the cat died at home approximately 16 months after surgery. In spite of the urinary incontinence, the owner was satisfied with the surgery and evaluated the cat's quality of life as satisfactory. CONCLUSIONS: The total cystectomy and cutaneous ureterostomy described here allowed urinary excretion and resulted in long-term survival of a cat with bladder TCC.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/35877776/