Urodynamic testing in the diagnosis of small animal micturition disorders

Richard E. Goldstein, Joellen L Westropp

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Urodynamic testing provides a quantitative assessment of the function of the small animal lower urinary tract. Most commonly these techniques are utilized to assess urethral tone (urethral pressure profile or UPP) and bladder detrusor muscle function (cystometrogram or CMG). A UPP may be indicated in cases of canine and feline micturition disorders. Examples include suspected primary sphincter mechanism incontinence (PSMI), ureteral ectopia, other congenital abnormalities, suspected neurological disorders, and mechanical or functional urethral obstruction. A UPP can be performed effectively utilizing human dedicated equipment. A CMG may be indicated to assess detrusor function in all of the above cases as well as cases of suspected atonic or infiltrated urinary bladder. This procedure can also be performed using the same human equipment. These tests are useful not only in providing an accurate diagnosis, but also in providing a sensitive prognostic indicator for clinical outcome of micturition disorders with and without pharmacological or surgical therapy. A leak pressure point may also be established in dogs with urinary incontinence, and may be even more sensitive than a UPP to predict clinical incontinence in some cases.

Original languageEnglish (US)
Pages (from-to)65-72
Number of pages8
JournalClinical Techniques in Small Animal Practice
Volume20
Issue number1 SPEC.ISS.
DOIs
StatePublished - Feb 2005

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Keywords

  • Bladder atony
  • Cystometrogram
  • Primary sphincter mechanism incontinence
  • Urethral profile pressure
  • Urinary incontinence

ASJC Scopus subject areas

  • veterinary(all)

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