This journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Kafkas Üniversitesi Veteriner Fakültesi Dergisi
2017 , Vol 23 , Issue 1
An Evaluation of Post-Operative Urinary Incontinence in Dogs with Intramural Ectopic Ureter Treated with Neoureterocystostomy
1Faculty of Veterinary Medicine, University of Istanbul, Department of Surgery, TR-34320 Avcilar, Istanbul - TURKEY
DOI :
10.9775/kvfd.2016.16030
The main motivation in the treatment of ectopic ureter (EU) is achieving complete urinary continence. Although, new neoureterostomy
techniques were developed for the surgical treatment of intramural ectopic ureters, it was determined that postoperative incontinence
scores achieved with the latest techniques have no distinct superiority over those achieved with older techniques. Therefore, we aim
to determine the post-operative urinary incontinence scores in dogs with intramural EU that were treated with neoureterocystostomy
and compared with older reports which neoureterostomy techniques were used. Seven female dogs which were brought to our clinic
with a complaint of constant urine dribbling since they were born or adopted were included the study. The radiographic diagnosis
was made by excretory urography in four dogs, excretory urography and retrograde vagino-urethrography in 2 dogs and MRI in 1 dog.
Definitive diagnosis was made by cystotomy. Ectopic ureters were intramural character in all cases. Neoureterocystostomy technique
was used for the surgical treatment and incontinence scores at post-operative 1st and 2nd months were recorded. For the purpose
of complete elimination of the postoperative urinary incontinence, phenylpropalamine were used in 4 cases and oxybutynin were
used in 1 case as additional medical therapy. Urinary incontinence was completely disappeared, 5 out of 7 patients (71%) at the end
of the study. In conclusion, the results suggest that EU is most successfully treated with a surgical method that does not involve
urethrotomy and it should be performed simultaneously with a surgical method used in the treatment of urethral sphincter mechanism
incompetence and should be combined with a treatment involving the use of post-operative alpha adrenergic medications.
Keywords :
Dog, Ectopic ureter, Intramural, Neoureterocystostomy, Urinary incontinence