Peer-reviewed veterinary case report
Urinary control after surgery for ectopic ureters in 51 dogs
By Visser, Judith et al.·Published in Acta veterinaria Scandinavica·2022·Department of Clinical Sciences, Netherlands·View original on PubMed →
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Original publication title: Prognostic factors for continence after surgical correction of ectopic ureters of 51 dogs with long-term follow-up.
- Species:
- dog
Plain-English summary
A 3-year-old male Labrador was brought in for urinary incontinence due to an ectopic ureter, a condition where the ureter doesn't connect properly to the bladder. After surgery to correct the issue, about 47% of dogs like him became completely continent. The study found that dogs with less severe incontinence before surgery, as well as those with certain urinary tract conditions, had a better chance of regaining control. This information can help pet owners understand what to expect after surgery for this condition.
People also search for: dog urinary incontinence treatment · ectopic ureter surgery success rate · Labrador urinary problems
Abstract
BACKGROUND: An ectopic ureter is a congenital malformation characterized by caudal displacement of one or both ureteral orifices and is the most common cause of urinary incontinence in young dogs. Complete resolution of incontinence after surgery has been reported in 25-82% of dogs. The aim of this study was to identify preoperative prognostic factors for continence after surgical treatment of dogs with an ectopic ureter. Dogs were included if surgical correction of an ectopic ureter was performed and at least 1 year follow-up was available. RESULTS: Fifty-one dogs met the inclusion criteria. The ectopic ureters were either intramural (91%) or extramural (9%). The ectopic ureters were bilateral in 49% of cases. Overall median follow-up time after surgery was 6.5 years (range 1-13 years). Surgical correction alone resolved urinary incontinence in 47% of cases. Low grade pre-operative incontinence, male sex and pre-operative presence of ureteral or renal pyelum dilation were significantly associated with urinary continence after surgery. CONCLUSIONS: Dogs with severe preoperative incontinence were less likely to become completely continent after surgery, whereas male sex and preoperative dilation of the ureter or renal pyelum were positive prognostic indicators for continence. These results may assist in predicting outcome after surgical correction of ectopic ureters and suggest assessment of pre-operative urethral pressure profiling in future studies.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/36397093/