Mesh : Animals Cats Female Cat Diseases / surgery diagnosis diagnostic imaging Retrospective Studies Ureter / surgery abnormalities Male Treatment Outcome Ureteral Diseases / veterinary surgery

来  源:   DOI:10.1111/vsu.14103

Abstract:
OBJECTIVE: To describe the signalment, treatment, complications, and outcomes of cats treated surgically for ectopic ureters.
METHODS: Retrospective, multi-institutional study.
METHODS: Twelve client-owned cats.
METHODS: Medical records of cats diagnosed with unilateral or bilateral ectopic ureters were reviewed and analyzed. Data reported included signalment, clinical signs, diagnostics, open celiotomy, or cystoscopic surgical interventions, and outcomes.
RESULTS: Seven of the 12 cats in the study population were female or female spayed and the median age at time of presentation was 4 years, with an interquartile range (IQR) of 6 months-14 years. Presurgical diagnostic imaging diagnosed ectopic ureters by abdominal ultrasound (8/10), contrast enhanced computed tomography (3/3), fluoroscopic urography (3/4), or cystoscopy (6/7). Eight of 12 cats had extramural ectopic ureters and six cats were affected bilaterally. Eight affected cats underwent ureteroneocystostomy, one cat underwent neoureterostomy, two cats underwent cystoscopic laser ablation, and one cat underwent nephroureterostomy. Immediate postoperative complications occurred in three cats; one cat required additional surgical intervention. Short-term complications occurred in three cats, and long-term complications in two cats. All cats that underwent surgical or cystoscopic intervention had improvement of their urinary incontinence scores, with complete resolution in 11 cats.
CONCLUSIONS: Surgical correction of ectopic ureters in cats is associated with good long-term outcomes. Ectopic ureters in cats are commonly extramural and bilateral. Postoperative outcomes were acceptable and there were few postoperative complications, with varying forms of surgical correction.
CONCLUSIONS: Ectopic ureters in cats are rare but urinary incontinence can be corrected or improved successfully with surgery.
摘要:
目的:为了描述标志,治疗,并发症,以及手术治疗异位输尿管的猫的结果。
方法:回顾性,多机构研究。
方法:12只客户拥有的猫。
方法:对诊断为单侧或双侧输尿管异位的猫的病历进行回顾和分析。报告的数据包括标志,临床体征,诊断,开腹切开术,或膀胱镜手术干预,和结果。
结果:研究人群中的12只猫中有7只是雌性或雌性,出现时的中位年龄为4岁,四分位数间距(IQR)为6个月-14年。术前诊断影像学通过腹部超声诊断异位输尿管(8/10),对比增强计算机断层扫描(3/3),透视尿路造影(3/4),或膀胱镜检查(6/7)。12只猫中有8只患有壁外异位输尿管,6只猫受到双侧影响。八只受影响的猫接受了输尿管膀胱造口术,一只猫接受了子宫造口术,两只猫接受了膀胱镜激光消融,一只猫做了肾子宫造口术.三只猫立即发生术后并发症;一只猫需要额外的手术干预。三只猫发生了短期并发症,和两只猫的长期并发症。所有接受手术或膀胱镜干预的猫尿失禁评分都有改善,在11只猫中具有完整的分辨率。
结论:猫异位输尿管的手术矫正与良好的长期预后相关。猫的异位输尿管通常是壁外和双侧的。术后结果可接受,术后并发症少,不同形式的手术矫正。
结论:猫的异位输尿管很少见,但手术可以成功纠正或改善尿失禁。
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