Peer-reviewed veterinary case report
Urethral stents using digital X-rays to ease blocked urine flow in 26
By Radhakrishnan, A·Published in Journal of veterinary internal medicine·2017·Bluegrass Veterinary Specialists·View original on PubMed →
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Original publication title: Urethral Stenting for Obstructive Uropathy Utilizing Digital Radiography for Guidance: Feasibility and Clinical Outcome in 26 Dogs.
- Species:
- dog
Plain-English summary
A group of 26 dogs with difficulty urinating (dysuria) due to blockages in their urinary tract underwent a procedure called urethral stenting, which helps restore urine flow. The causes of these blockages included various types of cancer and other conditions. After the procedure, all dogs were able to urinate normally again, and they were sent home from the hospital. There were a couple of minor complications during the procedure, but these were handled right away, and the dogs did not have any further issues afterward. This method using digital X-rays could make this treatment more accessible for dogs in need.
People also search for: dog difficulty urinating treatment · urethral stenting for dogs · dog urinary blockage symptoms
Abstract
BACKGROUND: Urethral stent placement is an interventional treatment option to alleviate urethral outflow obstruction. It has been described utilizing fluoroscopy, but fluoroscopy is not as readily available in private practice as digital radiography. OBJECTIVES: To describe the use of digital radiography for urethral stent placement in dogs with obstructive uropathy. ANIMALS: Twenty-six client-owned dogs presented for dysuria associated with benign and malignant causes of obstructive uropathy that underwent urethral stent placement. METHODS: Retrospective study. RESULTS: Causes of obstructive uropathy included transitional cell carcinoma, prostatic carcinoma, hemangiosarcoma, obstructive proliferative urethritis, compressive vaginal leiomyosarcoma, and detrusor-sphincter dyssynergia. Survival time range was 1-48 months (median, 5 months). All dogs were discharged from the hospital with urine outflow restored. Intraprocedural complications included guide wire penetration of the urethral wall in 1 dog and improper stent placement in a second dog. Both complications were successfully managed at the time of the procedure with no follow-up problems noted in either patient. CONCLUSION AND CLINICAL IMPORTANCE: Urethral stent placement can be successfully performed utilizing digital radiography. The complications experienced can be avoided by more cautious progression with each step through the procedure and serial radiography. The application of digital radiography may allow treatment of urethral obstruction to become more readily available.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/28132405/