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Peer-reviewed veterinary case report

Laser treatment for dogs born with narrow ureter openings

By Meler, Erika et al.·Published in Journal of the American Veterinary Medical Association·2018·View original on PubMed

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Original publication title: Treatment of congenital distal ureteral orifice stenosis by endoscopic laser ablation in dogs: 16 cases (2010-2014).

Species:
dog

Plain-English summary

A group of 16 dogs, mostly young male Labrador Retrievers, were treated for a condition called congenital distal ureteral orifice stenosis, which caused urinary blockage. The dogs underwent a procedure using a laser to open up the narrowed ureteral opening, and the treatment was successful for all of them. After the procedure, most owners noticed an improvement in their dog's quality of life, and there were no complications reported. Follow-up imaging showed that the ureteral openings remained open in the dogs that were rechecked.

People also search for: dog urinary blockage treatment · Labrador Retriever ureteral stenosis · laser surgery for dog urinary problems

Abstract

OBJECTIVE To determine characteristics of and outcomes for dogs with congenital distal ureteral orifice stenosis (CDUOS) treated by cystoscopic-guided laser ablation (CLA). DESIGN Retrospective case series. ANIMALS 16 client-owned dogs with CDUOS treated by CLA at 2 veterinary hospitals between 2010 and 2014. PROCEDURES Medical records were reviewed and data collected regarding clinical findings, imaging results, surgery characteristics, treatment, and outcome. Follow-up information was collected from dog owners and referring veterinarians via standardized interview. RESULTS Dogs included 10 males and 6 females; median age was 11.5 months (range, 4 to 112 months). Labrador Retriever (n = 6; 3 males) was the most common breed. Intramural ectopic ureteral openings were identified at the site of stenosis in 15 dogs (18/20 stenotic ureteral openings). Treatment with CLA to enlarge and relocate the stenotic opening was successful in all dogs. Median duration of anesthesia and hospitalization was 105 minutes and 24 hours, respectively. No complications were noted. Fourteen dogs remained alive (2 lost to follow-up) during a median follow-up period of 14.5 months. Owners of 11 of 13 dogs reported improvement in their dog's quality of life after CLA. The treated ureteral orifice remained patent in the 2 dogs that were reimaged. CONCLUSIONS AND CLINICAL RELEVANCE CDUOS should be considered as a differential diagnosis for dogs with idiopathic distal ureteral obstruction, particularly young male Labrador Retrievers, and was most often associated with an intramural ectopic ureter in this study. Treatment with CLA was safe and effective for opening the ureteral orifice.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/30058968/