Peer-reviewed veterinary case report
Outcome of surgery for female dogs leaking urine from weak urethra
By Martinoli, Stefania et al.·Published in Veterinary surgery : VS·2014·Dick White Referrals, United Kingdom·View original on PubMed →
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Original publication title: The outcome of combined urethropexy and colposuspension for management of bitches with urinary incontinence associated with urethral sphincter mechanism incompetence.
- Species:
- dog
Plain-English summary
A group of 30 female dogs with urinary incontinence that didn't improve with medication underwent a surgical procedure combining urethropexy and colposuspension to help manage their condition. After the surgery, 70% of the dogs experienced complete resolution of their urinary issues, while 26.6% had a good outcome, and only a few faced mild temporary discomfort. The surgery was generally safe, with no major complications reported. Most owners were pleased with the results, and many dogs returned to normal urinary function.
People also search for: dog urinary incontinence treatment · female dog surgery for incontinence · urethropexy success rate in dogs
Abstract
OBJECTIVE: To report 1) a combined technique of urethropexy and colposuspension; 2) intra- and postoperative complications; and 3) medium term outcome. STUDY DESIGN: Retrospective case series. ANIMALS: Female dogs (n = 30) with urinary incontinence associated with urethral sphincter mechanism incompetence (USMI) unresponsive to medical management. METHODS: Through a ventral median celiotomy, the bladder was positioned abdominally to permit the urethra to be anchored with single interrupted polypropylene sutures to the prepubic tendon and linea alba. The vagina was freed from the vesicovaginal and rectovaginal attachments and advanced cranially by traction before attachment to the prepubic tendon with polypropylene mattress sutures. Bitches were re-examined 2 weeks postoperatively; medium term outcome (>6 months) was evaluated by telephone interview of owners. RESULTS: At a median follow up of 39.5 months, 21 bitches (70%) were considered to have an "excellent" medium term outcome with complete resolution of their urinary signs; 8 (26.6%) had a "good" outcome, and 3 (10%) had mild transient dysuria postoperatively. CONCLUSION: Combined urethropexy and colposuspension resulted in complete resolution of urinary incontinence in 70% of bitches with USMI and was not associated with major complications.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/24256340/