Abstract
Objective-To describe the use of transvesicular percutaneous cystolithotomy for the retrieval of cystic and urethral calculi and to report the outcome in dogs and cats. Design-Retrospective case series. Animals-23 dogs and 4 cats. Procedures-Medical records were reviewed for signalment, procedure time, stone number, stone location, pre- and postoperative radiographs, procedure-associated complications, and short-term outcome. A ventral midline approach was made into the abdomen over the urinary bladder apex. A screw cannula was inserted at the bladder apex for normograde rigid and fexible cystourethroscopy. All uroliths were removed via a stone basket device and retrograde fushing and suction. Long-term follow-up (1 year after surgery) information was obtained by telephone or e-mail contact with owners. Results-27 animals with cystic and urethral calculi were included. Median patient weight was 8.3 kg (18.3 lb; range, 1. 8 to 42.6 kg [4.0 to 93.7 lb]). Urolith number ranged from 1 to > 35 (median, 7). Urolith size ranged from < 1 to 30 mm (median, 4.5 mm). Fifteen of the 27 animals had a previous cystotomy (range, 1 to 5 procedures). Median procedure time was 66 minutes (range, 50 to 80 minutes). All patients were discharged within 24 hours. No postoperative complications were reported at the time of suture removal. At the time of long-term follow-up, the 22 clients that could be contacted were satisfed with the procedure. Conclusions and Clinical Relevance-Transvesicular percutaneous cystolithotomy may decrease the need for urethrotomy, serial transurethral endoscopic procedures, and abdominal insuffation associated with other minimally invasive interventions currently available. This procedure also provided excellent visualization for bladder and urethral luminal inspection.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 344-349 |
| Number of pages | 6 |
| Journal | Journal of the American Veterinary Medical Association |
| Volume | 239 |
| Issue number | 3 |
| DOIs | |
| State | Published - Aug 1 2011 |
Fingerprint
ASJC Scopus subject areas
- veterinary(all)
Cite this
Transvesicular percutaneous cystolithotomy for the retrieval of cystic and urethral calculi in dogs and cats : 27 cases (2006-2008). / Runge, Jeffrey J.; Berent, Allyson C.; Mayhew, Philipp; Weisse, Chick.
In: Journal of the American Veterinary Medical Association, Vol. 239, No. 3, 01.08.2011, p. 344-349.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Transvesicular percutaneous cystolithotomy for the retrieval of cystic and urethral calculi in dogs and cats
T2 - 27 cases (2006-2008)
AU - Runge, Jeffrey J.
AU - Berent, Allyson C.
AU - Mayhew, Philipp
AU - Weisse, Chick
PY - 2011/8/1
Y1 - 2011/8/1
N2 - Objective-To describe the use of transvesicular percutaneous cystolithotomy for the retrieval of cystic and urethral calculi and to report the outcome in dogs and cats. Design-Retrospective case series. Animals-23 dogs and 4 cats. Procedures-Medical records were reviewed for signalment, procedure time, stone number, stone location, pre- and postoperative radiographs, procedure-associated complications, and short-term outcome. A ventral midline approach was made into the abdomen over the urinary bladder apex. A screw cannula was inserted at the bladder apex for normograde rigid and fexible cystourethroscopy. All uroliths were removed via a stone basket device and retrograde fushing and suction. Long-term follow-up (1 year after surgery) information was obtained by telephone or e-mail contact with owners. Results-27 animals with cystic and urethral calculi were included. Median patient weight was 8.3 kg (18.3 lb; range, 1. 8 to 42.6 kg [4.0 to 93.7 lb]). Urolith number ranged from 1 to > 35 (median, 7). Urolith size ranged from < 1 to 30 mm (median, 4.5 mm). Fifteen of the 27 animals had a previous cystotomy (range, 1 to 5 procedures). Median procedure time was 66 minutes (range, 50 to 80 minutes). All patients were discharged within 24 hours. No postoperative complications were reported at the time of suture removal. At the time of long-term follow-up, the 22 clients that could be contacted were satisfed with the procedure. Conclusions and Clinical Relevance-Transvesicular percutaneous cystolithotomy may decrease the need for urethrotomy, serial transurethral endoscopic procedures, and abdominal insuffation associated with other minimally invasive interventions currently available. This procedure also provided excellent visualization for bladder and urethral luminal inspection.
AB - Objective-To describe the use of transvesicular percutaneous cystolithotomy for the retrieval of cystic and urethral calculi and to report the outcome in dogs and cats. Design-Retrospective case series. Animals-23 dogs and 4 cats. Procedures-Medical records were reviewed for signalment, procedure time, stone number, stone location, pre- and postoperative radiographs, procedure-associated complications, and short-term outcome. A ventral midline approach was made into the abdomen over the urinary bladder apex. A screw cannula was inserted at the bladder apex for normograde rigid and fexible cystourethroscopy. All uroliths were removed via a stone basket device and retrograde fushing and suction. Long-term follow-up (1 year after surgery) information was obtained by telephone or e-mail contact with owners. Results-27 animals with cystic and urethral calculi were included. Median patient weight was 8.3 kg (18.3 lb; range, 1. 8 to 42.6 kg [4.0 to 93.7 lb]). Urolith number ranged from 1 to > 35 (median, 7). Urolith size ranged from < 1 to 30 mm (median, 4.5 mm). Fifteen of the 27 animals had a previous cystotomy (range, 1 to 5 procedures). Median procedure time was 66 minutes (range, 50 to 80 minutes). All patients were discharged within 24 hours. No postoperative complications were reported at the time of suture removal. At the time of long-term follow-up, the 22 clients that could be contacted were satisfed with the procedure. Conclusions and Clinical Relevance-Transvesicular percutaneous cystolithotomy may decrease the need for urethrotomy, serial transurethral endoscopic procedures, and abdominal insuffation associated with other minimally invasive interventions currently available. This procedure also provided excellent visualization for bladder and urethral luminal inspection.
UR - http://www.scopus.com/inward/record.url?scp=79961078828&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79961078828&partnerID=8YFLogxK
U2 - 10.2460/javma.239.3.344
DO - 10.2460/javma.239.3.344
M3 - Article
VL - 239
SP - 344
EP - 349
JO - Journal of the American Veterinary Medical Association
JF - Journal of the American Veterinary Medical Association
SN - 0003-1488
IS - 3
ER -