Retrospective evaluation of cystoscopic‐guided laser ablation of intramural ectopic ureters in female dogs
Abstract Background Cytoscopic‐guided laser ablation (CLA) is a technique that can be used to correct intramural ectopic ureters (EUs) in dogs. Hypothesis/Objectives To describe clinicopathologic, imaging, and cystoscopic findings in dogs undergoing CLA for intramural EU correction, and whether any...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Journal of Veterinary Internal Medicine |
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| Online Access: | https://doi.org/10.1111/jvim.16321 |
| _version_ | 1818976169058369536 |
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| author | Kimberly S. Hooi Catherine Vachon Dorothee V. Martel Marilyn Dunn |
| author_facet | Kimberly S. Hooi Catherine Vachon Dorothee V. Martel Marilyn Dunn |
| author_sort | Kimberly S. Hooi |
| collection | DOAJ |
| description | Abstract Background Cytoscopic‐guided laser ablation (CLA) is a technique that can be used to correct intramural ectopic ureters (EUs) in dogs. Hypothesis/Objectives To describe clinicopathologic, imaging, and cystoscopic findings in dogs undergoing CLA for intramural EU correction, and whether any of these findings are associated with continence outcomes. Animals Thirty‐one client‐owned dogs undergoing CLA between 2009 and 2019. Methods Retrospective cohort study. Data collected from medical records included signalment, clinical findings (including continence score at presentation), clinicopathologic findings (serum biochemistry profile, urinalysis, and urine culture results before CLA), ultrasonography, and cystoscopy findings. Follow‐up information was collected at 1 day to 1 week, 1 week to 1 month, and at >1 month time points after CLA. Final continence score was determined based on this follow‐up information. Multiple logistic regression was used to determine factors that were associated with final continence score. Results Median continence score of dogs at initial evaluation was 2 (range, 2‐4). Median continence score after CLA alone was 3 (range, 1‐5). Seventeen of 31 (54.8%) dogs received adjunctive medical management after CLA. Median continence score after CLA with or without adjunctive medical management was 5 (range, 1‐5). Overall, 67.7% of dogs were considered continent after CLA with or without adjunctive medical management. No preoperative or perioperative factors were found to be associated with final continence score. Conclusions Cystoscopic‐guided laser ablation for intramural EU in female dogs provides improvement in incontinence. Dogs remaining incontinent after CLA may improve with adjunctive medical management. Surgical management is required to manage incontinence in dogs with extramural EU. |
| first_indexed | 2024-12-20T16:07:34Z |
| format | Article |
| id | doaj.art-f71545032fe749ed8c1af6e8141ee227 |
| institution | Directory Open Access Journal |
| issn | 0891-6640 1939-1676 |
| language | English |
| last_indexed | 2024-12-20T16:07:34Z |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Veterinary Internal Medicine |
| spelling | doaj.art-f71545032fe749ed8c1af6e8141ee2272022-12-21T19:34:05ZengWileyJournal of Veterinary Internal Medicine0891-66401939-16762022-01-0136115616310.1111/jvim.16321Retrospective evaluation of cystoscopic‐guided laser ablation of intramural ectopic ureters in female dogsKimberly S. Hooi0Catherine Vachon1Dorothee V. Martel2Marilyn Dunn3Faculty of Veterinary Medicine at the University of Montreal Saint‐Hyacinthe Quebec CanadaFaculty of Veterinary Medicine at the University of Montreal Saint‐Hyacinthe Quebec CanadaFaculty of Veterinary Medicine at the University of Montreal Saint‐Hyacinthe Quebec CanadaFaculty of Veterinary Medicine at the University of Montreal Saint‐Hyacinthe Quebec CanadaAbstract Background Cytoscopic‐guided laser ablation (CLA) is a technique that can be used to correct intramural ectopic ureters (EUs) in dogs. Hypothesis/Objectives To describe clinicopathologic, imaging, and cystoscopic findings in dogs undergoing CLA for intramural EU correction, and whether any of these findings are associated with continence outcomes. Animals Thirty‐one client‐owned dogs undergoing CLA between 2009 and 2019. Methods Retrospective cohort study. Data collected from medical records included signalment, clinical findings (including continence score at presentation), clinicopathologic findings (serum biochemistry profile, urinalysis, and urine culture results before CLA), ultrasonography, and cystoscopy findings. Follow‐up information was collected at 1 day to 1 week, 1 week to 1 month, and at >1 month time points after CLA. Final continence score was determined based on this follow‐up information. Multiple logistic regression was used to determine factors that were associated with final continence score. Results Median continence score of dogs at initial evaluation was 2 (range, 2‐4). Median continence score after CLA alone was 3 (range, 1‐5). Seventeen of 31 (54.8%) dogs received adjunctive medical management after CLA. Median continence score after CLA with or without adjunctive medical management was 5 (range, 1‐5). Overall, 67.7% of dogs were considered continent after CLA with or without adjunctive medical management. No preoperative or perioperative factors were found to be associated with final continence score. Conclusions Cystoscopic‐guided laser ablation for intramural EU in female dogs provides improvement in incontinence. Dogs remaining incontinent after CLA may improve with adjunctive medical management. Surgical management is required to manage incontinence in dogs with extramural EU.https://doi.org/10.1111/jvim.16321congenital diseasecystoscopyincontinenceinterventional radiologylower urinary tract |
| spellingShingle | Kimberly S. Hooi Catherine Vachon Dorothee V. Martel Marilyn Dunn Retrospective evaluation of cystoscopic‐guided laser ablation of intramural ectopic ureters in female dogs Journal of Veterinary Internal Medicine congenital disease cystoscopy incontinence interventional radiology lower urinary tract |
| title | Retrospective evaluation of cystoscopic‐guided laser ablation of intramural ectopic ureters in female dogs |
| title_full | Retrospective evaluation of cystoscopic‐guided laser ablation of intramural ectopic ureters in female dogs |
| title_fullStr | Retrospective evaluation of cystoscopic‐guided laser ablation of intramural ectopic ureters in female dogs |
| title_full_unstemmed | Retrospective evaluation of cystoscopic‐guided laser ablation of intramural ectopic ureters in female dogs |
| title_short | Retrospective evaluation of cystoscopic‐guided laser ablation of intramural ectopic ureters in female dogs |
| title_sort | retrospective evaluation of cystoscopic guided laser ablation of intramural ectopic ureters in female dogs |
| topic | congenital disease cystoscopy incontinence interventional radiology lower urinary tract |
| url | https://doi.org/10.1111/jvim.16321 |
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