TY - JOUR
T1 - Management and outcome of cats with ureteral calculi
T2 - 153 Cases (1984-2002)
AU - Kyles, Andrew E.
AU - Hardie, Elizabeth M.
AU - Wooden, Brent G.
AU - Adin, Christopher A.
AU - Stone, Elizabeth A.
AU - Gregory, Clare R.
AU - Mathews, Kyle G.
AU - Cowgill, Larry D
AU - Vaden, Shelly
AU - Nyland, Thomas G.
AU - Ling, Gerald V.
PY - 2005/3/15
Y1 - 2005/3/15
N2 - Objective - To determine outcome of medical and surgical treatment in cats with ureteral calculi. Design - Retrospective study. Animals - 153 cats Procedure - Medical records were reviewed. Owners and referring veterinarians were contacted for follow-up information. Results - All cats were initially treated medically before a decision was made to perform surgery. Medical treatment included patenteral administration of fluids and diuretics to promote urine production and passage of the ureteral calculus and supportive treatment for renal failure. Ureteral calculi in the proximal portion of the ureter were typically removed by ureterotomy, whereas ureteral calculi in the distal portion of the ureter were more likely to be removed by partial ureterectomy and ureteroneocystostomy. Ureterotomy could be performed without placement of a nephrostomy tube for postoperative urine diversion. Postoperative complication rate and perioperative mortality rate were 31 % and 18%, respectively. The most common postoperative complications were urine leakage and persistent ureteral obstruction after surgery. Chronic renal failure was common at the time of diagnosis and continued after treatment, with serum creatinine concentration remaining greater than the upper reference limit in approximately half the cats. Twelve-month survival rates after medical and surgical treatment were 66% and 91%, respectively, with a number of cats dying of causes related to urinary tract disorders, including ureteral calculus recurrence and worsening of chronic renal failure. Conclusions and Clinical Relevance - Results suggest that medical and surgical management of ureteral calculi in cats are associated with high morbidity and mortality rates. Treatment can stabilize renal function, although many surviving cats will continue to have impaired renal function.
AB - Objective - To determine outcome of medical and surgical treatment in cats with ureteral calculi. Design - Retrospective study. Animals - 153 cats Procedure - Medical records were reviewed. Owners and referring veterinarians were contacted for follow-up information. Results - All cats were initially treated medically before a decision was made to perform surgery. Medical treatment included patenteral administration of fluids and diuretics to promote urine production and passage of the ureteral calculus and supportive treatment for renal failure. Ureteral calculi in the proximal portion of the ureter were typically removed by ureterotomy, whereas ureteral calculi in the distal portion of the ureter were more likely to be removed by partial ureterectomy and ureteroneocystostomy. Ureterotomy could be performed without placement of a nephrostomy tube for postoperative urine diversion. Postoperative complication rate and perioperative mortality rate were 31 % and 18%, respectively. The most common postoperative complications were urine leakage and persistent ureteral obstruction after surgery. Chronic renal failure was common at the time of diagnosis and continued after treatment, with serum creatinine concentration remaining greater than the upper reference limit in approximately half the cats. Twelve-month survival rates after medical and surgical treatment were 66% and 91%, respectively, with a number of cats dying of causes related to urinary tract disorders, including ureteral calculus recurrence and worsening of chronic renal failure. Conclusions and Clinical Relevance - Results suggest that medical and surgical management of ureteral calculi in cats are associated with high morbidity and mortality rates. Treatment can stabilize renal function, although many surviving cats will continue to have impaired renal function.
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U2 - 10.2460/javma.2005.226.937
DO - 10.2460/javma.2005.226.937
M3 - Article
C2 - 15786997
AN - SCOPUS:20144385757
VL - 226
SP - 937
EP - 944
JO - Journal of the American Veterinary Medical Association
JF - Journal of the American Veterinary Medical Association
SN - 0003-1488
IS - 6
ER -