Peer-reviewed veterinary case report
Female dog with urine blockage fixed by transpelvic urethrostomy
By Chiaramonte, Alessandra et al.·Published in Veterinary surgery : VS·2022·Ryan Veterinary Hospital University of Pennsylvania (MJR-VHUP), United States·View original on PubMed →
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Original publication title: Transpelvic urethrostomy in a female dog with congenital vestibulovaginal and urethral stenosis: A case report.
- Species:
- dog
Plain-English summary
A 7-month-old female mixed-breed dog was brought in for persistent urine dribbling and difficulty urinating since birth. After examining her, the vet found severe narrowing of the vaginal and urethral openings. The dog underwent surgery to remove the obstructive tissue, but the first attempt to create a new urinary opening was unsuccessful. A different surgical technique called transpelvic urethrostomy was then performed, which successfully resolved the issue. Six days later, a minor complication occurred but was easily fixed, and the dog has been healthy with no signs of problems for over three years since the surgery.
People also search for: dog urine dribbling · urethral stenosis surgery for dogs · mixed-breed dog urinary problems
Abstract
OBJECTIVE: To describe transpelvic urethrostomy (TPU) as a surgical technique for the successful treatment of vestibulovaginal and urethral stenosis in a 7 month old female spayed mixed-breed dog. STUDY DESIGN: Case report. SAMPLE POPULATION: Female spayed mixed-breed dog with obstructive vaginal tissue present on vaginal examination. METHODS: The dog presented with a history of persistent urine dribbling, stranguria, and dysuria since birth. Vaginoscopy and fluoroscopy revealed severe vestibulovaginal and urethral stenosis. An episiotomy and partial vaginectomy were performed to remove stenotic tissue. A perineal urethrostomy was attempted from a blind-ended pouch associated with the stenotic urethral tissue but was unsuccessful. The dog was repositioned in dorsal recumbency and a postpubic urethrostomy was performed. RESULTS: Six days postoperatively, incisional dehiscence occurred at the cranial aspect of the urethrostomy. The site was revised at this location using a TPU to decrease tension at the urethrostomy site. The dog recovered uneventfully with no further complications identified after surgery. Forty-two months after surgical intervention, the dog continued to show no clinical signs. CONCLUSION: Transpelvic urethrostomy may be a viable surgical alternative for dogs diagnosed with urethral stenosis.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/35157330/