Peer-reviewed veterinary case report
Outcomes for 12 cats after surgery for blocked ureters
By Lorange, Maxime & Monnet, Eric·Published in Veterinary surgery : VS·2020·College of Veterinary Medicine and Biomedical Sciences, United States·View original on PubMed →
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Original publication title: Postoperative outcomes of 12 cats with ureteral obstruction treated with ureteroneocystostomy.
- Species:
- cat
Plain-English summary
Twelve cats with ureteral obstruction due to kidney stones underwent a surgery called ureteroneocystostomy to help them urinate properly. After the surgery, most of the cats showed improvement, with their kidney function returning to normal levels. While eleven of the cats were discharged and did well long-term, some experienced complications like blood in the urine and urinary infections, especially those that had a special catheter placed during surgery. Overall, the surgery was successful for most cats, and it can be a good option for treating this condition.
People also search for: cat ureteral obstruction treatment · cat kidney stones surgery · cat blood in urine after surgery
Abstract
OBJECTIVE: To report complications and long-term outcomes of cats with benign ureteral obstruction treated with ureteroneocystostomy and to determine the effects of double pigtail catheter (DPT) placement on postoperative outcomes. STUDY DESIGN: Retrospective study. ANIMALS: Twelve client-owned cats with ureteral urolithiasis treated with ureteroneocystostomy. METHODS: Records were reviewed for signalment, location of the obstruction, diagnostic tests, surgical technique, perioperative complications, long-term measurements of kidney function, and survival. Cats were divided into two groups; in one group, a DPT was placed at the time of ureteroneocystostomy, and, in the other group, a DPT was not placed at the time of ureteroneocystostomy (NDPT). RESULTS: A DPT was placed in six of 12 cats. The NDPT group included four cats with temporary catheters and two cats with no catheter. Median creatinine concentration decreased from 10.4 mg/dL (range, 1.6-20.3) to 2.2 mg/dL (range, 1.1-3.6) at the time of discharge (P = .015) in all cats. Two cats in the NDPT group required revision surgery for uroabdomen. Eleven cats were discharged from the hospital. Long-term complications (hematuria, pollakiuria, urinary tract infections) were more common in the DPT group (P = .047). Seven cats were alive a median of 329 days (range, 8-1772) after surgery. Median creatinine concentration was 2.0 mg/dL (range, 0.6-6.4) at a median of 157 days (range, 43-1772) after surgery. CONCLUSION: Ureteroneocystostomy resulted in acceptable long-term outcomes in 11 of 12 cats. The placement of a DPT did not influence the long-term outcome in this small population. CLINICAL SIGNIFICANCE: Ureteroneocystostomy with or without intraoperative placement of a DPT should be considered to relieve benign ureteral obstructions in cats.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/32735031/