Peer-reviewed veterinary case report
Artificial urethral sphincter treats urinary leaking in young dog
By Qin, Nancy et al.·Published in Journal of the American Veterinary Medical Association·2024·1Department of Surgery·View original on PubMed →
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Original publication title: Placement of an artificial urethral sphincter for treatment of passive urinary incontinence after inadvertent prostatectomy and balloon dilation treatment for stricture formation in a 5-month-old dog.
- Species:
- dog
Plain-English summary
A 5-month-old Miniature Schnauzer was brought in for trouble urinating and leaking urine after surgery to remove his prostate. Despite trying medications, he continued to have urinary incontinence. The vet placed an artificial urethral sphincter, which helped him regain control over his bladder. After a few adjustments, the dog remained continent for over 11 months, greatly improving his quality of life.
People also search for: dog urinary incontinence treatment · Miniature Schnauzer leaking urine · artificial sphincter for dog bladder control
Abstract
OBJECTIVE: Describe the management of incontinence with several therapies, culminating with the apparently successful treatment utilizing artificial sphincter placement following an inadvertent prostatectomy. ANIMAL: 5-month-old 7.5-kg male neutered Miniature Schnauzer. CLINICAL PRESENTATION, PROGRESSION, AND PROCEDURES: The patient was referred for dysuria and persistent stranguria following an iatrogenic total prostatectomy and urethrectomy. An extra pelvic urethral anastomosis was performed, followed by hospitalization for 2 weeks with a urinary catheter. The patient was further investigated for persistent stranguria, and a contrast urethrogram revealed a urethral stricture at the anastomosis site, which was treated with fluoroscopic balloon dilation. The stranguria resolved, but an acute nocturnal grade 3 passive urinary incontinence occurred, which was nonresponsive to medical management of phenylpropanolamine hydrochloride and estriol. An artificial urethral sphincter was placed, leading to continence after 5 top-ups to a total volume of 0.9 mL. The patient remained continent for 5.5 weeks before abrupt incontinence recurred, which was resolved by another 0.1-mL top-up. No further signs of incontinence occurred in the 11 months following. TREATMENT AND OUTCOME: The placement of an artificial urethral sphincter successfully managed urinary incontinence in this patient. Continence was achieved with no significant complications other than a transient loss of continence. Long-term follow-up 14 months after sphincter placement revealed that the patient had remained continent since the final sphincter top-up. The owner reported a significant improvement in the patient's quality of life following successful incontinence management. CLINICAL RELEVANCE: This case highlighted the benefits of placing an artificial urethral sphincter in managing urinary incontinence after select cases of prostatectomy in dogs that are unresponsive to medical management.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/38295515/