Peer-reviewed veterinary case report
Dog with bladder and urethra damage fixed using muscle flap surgery
By Savicky, Roman S & Jackson, Andrew H·Published in Journal of the American Veterinary Medical Association·2009·Michigan Veterinary Specialists, United States·View original on PubMed →
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Original publication title: Use of a rectus abdominis muscle flap to repair urinary bladder and urethral defects in a dog.
- Species:
- dog
Plain-English summary
An 11-month-old female dog was brought to the vet because she had been straining to urinate and had blood in her urine for 3 to 4 days. After examining her, the vet found a large stone in her urethra and areas of tissue damage in her bladder. The vet performed surgery to remove the stone and repair the damaged areas using a muscle flap from her abdomen. Two and a half years later, the dog was doing well, with no urinary issues and a normal bladder lining.
People also search for: dog blood in urine treatment · dog urinary stones surgery · why is my dog straining to urinate
Abstract
CASE DESCRIPTION: An 11-month-old female dog was evaluated because of a 3- to 4-day history of stranguria and hematuria. CLINICAL FINDINGS: Rectal and vaginal examination and abdominal radiography revealed a large (4 x 2 cm), firm, ovoid object in the area of the pelvic inlet, between the vagina and colon. TREATMENT AND OUTCOME: Surgical exploration revealed an abscess and moderate amount of seropurulent fluid in the left caudal abdominal quadrant. A large urethrolith (3.7 x 2.0 x 1.5 cm) was evident in the proximal portion of the urethra. The urethrolith was associated with a 3 x 1-cm area of necrosis in the ventral aspect of the proximal portion of the urethra and a 3 x 3-cm area of necrosis in the area of the bladder trigone. The necrotic areas were débrided, and the defect was repaired with an axial pattern flap constructed from the rectus abdominis muscle. During a follow-up examination 2.5 years after surgery, the dog was clinically normal with no history of urinary incontinence. During rigid cystoscopy, the ure-thral mucosa appeared grossly normal, and there was no evidence of stricture. CLINICAL RELEVANCE: Findings suggested that axial pattern flaps constructed from the rectus abdominis muscle flap may be useful in reconstructing large urinary bladder and urethral defects.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/19366334/