Peer-reviewed veterinary case report
Surgery options and outcomes for urethral prolapse in dogs
By Healy, D et al.·Published in The Journal of small animal practice·2024·Anderson Moores Veterinary Specialists, United Kingdom·View original on PubMed →
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Original publication title: Surgical treatment of canine urethral prolapse via urethropexy or resection and anastomosis.
- Species:
- dog
Plain-English summary
A group of dogs with urethral prolapse, a condition where part of the urethra slips out of place, underwent surgery to fix the issue. The surgeries included urethropexy, where the urethra is stitched in place, and resection and anastomosis, which involves removing part of the urethra and reconnecting it. The results showed that while both surgeries had some complications, the resection and anastomosis had a lower chance of the problem coming back compared to urethropexy. This suggests that for dogs with urethral prolapse, resection and anastomosis might be the better surgical option.
People also search for: dog urethral prolapse surgery · urethropexy vs resection in dogs · dog urinary problems treatment
Abstract
OBJECTIVES: The objective was to report and compare the complications and recurrence rates of urethral prolapse in dogs when treated with urethropexy, resection and anastomosis or a combined surgical technique. STUDY DESIGN: Retrospective study. MATERIALS AND METHODS: A total of 86 dogs were identified from the medical records of 10 veterinary referral hospitals from February 2012 and October 2022. Dogs were included if they underwent surgery for a urethral prolapse at first presentation. Complications were classified as minor or major based on the necessity of further surgical intervention. Complications leading to death were also considered major complications. RESULTS: Seventy-nine dogs were included, urethropexy (n=44), resection and anastomosis (n=27) and a combined surgical technique (n=8). Minor complications were identified in 41 of 79 dogs (51.9%): urethropexy 19 of 44 (43.2%), resection and anastomosis 18 of 27 (66.6%) and a combined surgical technique four of eight (50%). Major complications occurred in 23 dogs (29.1%), of which 21 were recurrence (26.6%). Recurrence occurred in 17 of 44 dogs following a urethropexy (38.6%), three of 27 dogs following resection and anastomosis (11.1%) and one of eight dogs treated with a combined surgical technique (12.5%). Recurrence of a urethral prolapse was significantly more likely following urethropexy in comparison to resection and anastomosis. CLINICAL SIGNIFICANCE: Resection and anastomosis was associated with a lower recurrence rate in comparison to urethropexy for the surgical treatment of urethral prolapse. Based on these results, we concluded that resection and anastomosis may be preferable to urethropexy for treatment of urethral prolapse at first presentation. Urethropexy, and resection and anastomosis combined surgical technique was associated with low recurrence rate; however, further studies will be needed to clarify if it provides any benefit over resection and anastomosis.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/38081729/