Peer-reviewed veterinary case report
Dog with urinary reflux and infections after kidney transplant
By Park, Kyung-Mee et al.·Published in Journal of the American Veterinary Medical Association·2016·View original on PubMed →
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Original publication title: Surgical management of vesicoureteral reflux with recurrent urinary tract infection after renal transplantation in a dog.
- Species:
- dog
Plain-English summary
A 3-year-old male Cocker Spaniel who had a kidney transplant was brought back to the vet with symptoms like frequent urination, vomiting, low appetite, tiredness, and a mild fever. Tests showed he had a urinary tract infection (UTI) and a condition called vesicoureteral reflux (VUR), where urine flows backward from the bladder. Although he was treated with antibiotics for the UTI, the problem persisted, leading to surgery to correct the VUR. After the surgery, both the VUR and swelling in the kidney resolved, and the dog did not have any further urinary issues for over 22 months.
People also search for: dog frequent urination after kidney transplant · Cocker Spaniel urinary tract infection treatment · dog surgery for vesicoureteral reflux
Abstract
CASE DESCRIPTION A 3-year-old male Cocker Spaniel renal transplant recipient was readmitted 39 weeks after transplantation because of acute clinical signs of pollakiuria, intermittent vomiting, decreased appetite, lethargy, and mild fever. CLINICAL FINDINGS Hydronephrosis and hydroureter were observed with ultrasonography and contrast cystography, and a diagnosis of vesicoureteral reflux (VUR) was made. Urinary tract infection (UTI) caused by Escherichia coli was also diagnosed on the basis of results of urine culture. TREATMENT AND OUTCOME Despite treatment of the UTI with an appropriate antimicrobial for 6 weeks, the VUR persisted and the UTI recurred 9 weeks after cessation of antimicrobial treatment. Therefore, surgical correction by means of revision extravesicular ureteroneocytostomy was performed. Both VUR and hydronephrosis resolved after surgery. No recurrences of clinical signs of urinary tract complications were observed during the subsequent 22-month follow-up period. CLINICAL RELEVANCE Results suggested that ureteral reimplantation with an extravesicular technique incorporating a long submucosal tunnel may be an effective treatment for VUR when medical management fails in canine renal transplant recipients with recurrent UTIs.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/26799110/