Inadvertent iatrogenic prostatectomy and urethrectomy in 2 dogs

2019 ◽  
Vol 47 (04) ◽  
pp. 282-289
Author(s):  
Thomas C. Häußler ◽  
Cetina Thiel ◽  
Andreas Fischer ◽  
Martin Kramer

AbstractTwo dogs were referred because of dysuria following inadvertent iatrogenic total prostatectomy and urethrectomy. In both cases an existing perineal hernia was not recognized by the referring veterinarians and the caudally herniated prostate gland was diagnosed as a perianal neoplasia and subsequently removed. Both dogs were treated with isolation of the urinary bladder from the urethra and a permanent prepubic cystostomy tube.

Author(s):  
Vandana Sangwan ◽  
Ramandeep Singh ◽  
N Umeshwori Devi ◽  
Jitender Mohindroo ◽  
Devendra Pathak

Background: Prostate gland affections are considered as common cause for perineal hernia in intact male dogs. Normal prostate gland is usually less distinct, radiographically; however, when enlarged it alters the anatomical position of rectum and urinary bladder and can be distinguished for its objective assessment. Radiography fails to differentiate the parenchymal abnormalities of prostate however, ultrasonography can. Therefore, this study was aimed to assess the involvement of prostate gland using radiography and ultrasonography in perineal hernia affected dogs. Methods: Thirty-eight intact male dogs, suffering from perineal hernia and presented during the entire year of 2018, were investigated. Both radiographic (subjective and objective) and ultrasonographic modalities were applied to assess the enlargement of prostate gland. The subjective assessment parameters on radiography (n=38) included the lifting/displacement of rectum from normal position and cranial displacement of urinary bladder. The objective parameters (n=29) included the prostate length and depth measured using inbuilt calliper of computerized radiography system and ultrasonography and comparing it with 70% of the pubic brim to sacral promontory distance. Results: The mean prostatic length was significantly more than the prostate depth on both radiography and ultrasonography. There was a significant positive correlation between the radiographic pubic brim to sacral promontory distance and the prostate length and depth measured on both the diagnostic modalities. The subjective assessment of prostate over emphasized the prostate depth and under estimated the prostate length compared to objective measurements on radiography. There was a significant correlation between the prostate lengths measured on radiography and ultrasonography and the lengths were not significantly different on two diagnostic modalities. Objective analysis on radiography revealed the prostate length and or/depth of 54.72% perineal hernia dogs (15/29) to be more than 70% of pubic brim to sacral promontory distance. In conclusion, the prostate affections may not always be the primary aetiology in dogs suffering from perineal hernia and prior investigation of prostate is recommended as a deciding factor for whether castration should be done a few weeks prior to or simultaneously with the perineal herniorrhaphy. The increased length of the prostate is a better indicator of prostatomegaly than the depth.


2021 ◽  
Vol 91 (3) ◽  
pp. 237-332
Author(s):  
Vineet Kumar ◽  
◽  
Foram A. Asodiya ◽  
Shruti D. Vora ◽  
Vivek K. Singh

This study reports a rare unilateral perineal hernia in three mature female Jaffarabadi buffaloes. The buffaloes presented with a unilateral swelling lateral to the vulvar lip. Upon palpation, the swelling was painless, soft and reducible. Ultrasonography revealed a hyperechoic hernia sac containing the urinary bladder and or motile intestine, with homogenous hypoechoic contents. The perineal hernia was repaired using polypropylene mesh after the repositioning of the retroflexed urinary bladder and/or large intestine. The clinical outcome, including postoperative complications and hernia recurrence, was found via periodic examination and telephone calls. No complications were observed for 6 months of follow-up and all the buffaloes had excellent outcomes.


Author(s):  
Medine İrem BAŞER ◽  
Yusuf ŞEN ◽  
Şevket ÖZVEREL ◽  
Erfaneh PİRPANAHİ ◽  
Ozan AHLAT ◽  
...  

2019 ◽  
Vol 64 (No. 6) ◽  
pp. 280-286
Author(s):  
P Przadka ◽  
B Liszka ◽  
A Piatek ◽  
P Skrzypczak ◽  
S Dzimira ◽  
...  

Prostate cancer is the most common prostate disease diagnosed in castrated dogs. However, prostate cancer is considered to be quite rare in dog population. The presence of prostate tumours can lead to urethral obstruction. Other clinical signs include asymmetric, painful, hard growths on rectal examination, neurological deficit or lameness of the pelvic limbs and general symptoms such as anorexia, weight loss or difficult urination. The neoplastic process may spread to the neighbouring organs and give metastases to the lymph nodes, lungs and skeletal system. Patient with histopathologically confirmed prostate cancer should be examined for metastases. The prognosis is usually unfavourable because of late diagnosis and the presence of metastases. Therapeutic options include surgery, chemotherapy and radiotherapy. Complete prostatectomy carries with it many complications and often requires osteotomy of pelvic fusions. For that reason, total prostatectomy is not commonly performed in companion animals; however, it should be considered in cases of early detection with the absence of metastases. This report presents the procedure of a complete prostatectomy in a dog with a pre-pubic anastomosis of the urethra, without osteotomy of the pelvic septum. The anastomosis of the urinary tract was placed outside the abdominal cavity, caudally from the laparotomy wound. The presented technique seems to be appropriate for the treatment of malignant tumours of the prostate gland in dogs.


2017 ◽  
Vol 16 (1) ◽  
pp. 161-165 ◽  
Author(s):  
Anatolii Romaniuk ◽  
Mykola Lyndin ◽  
Vladyslav Sikora ◽  
Artem Piddubnyi ◽  
Ganna Budko ◽  
...  

In some cases a combination of several malignant tumours in one person can be observed. In such case it is the multifocal primary tumour (MPT). The tumours combination in genitourinary system is rare phenomenon, including a rare combination of prostate and urinary bladder cancers. These pathologies can be caused by both the endogenous factors - age, gender, heredity, inflammatory and proliferative processes, abnormal inclusions (calculi and amyloids) and exogenous factors, among which the leading cause is the environmental pollution (heavy metals salts and others), bad habits, occupational hazards, oncogenic viruses and ionizing radiation. A 76 - year- old male patient, Ukrainian, was hospitalized at urology department with complaints on pollakiuria, frequent urinary retention, haematuria appeared about 1 month before. After examination of patient the preliminary diagnosis was made: «Urinary bladder cancer, acute urinary retention, macrohematuria and posthemorrhagic anemia». Based on the histological and immunohistochemical examinations, the final diagnosis was determined: combined malignant tumours - acinar adenocarcinoma of prostate index 9 (5 + 4) accordimg to D.F. Gleason and invasive urothelial carcinoma of the urinary bladder. This clinical case demonstrates that the probability of combined oncologic cancer pathology with lesions in one system is rather high. Therefore, in order to exclude the cancer combinations, the patients with malignant tumour in the genitourinary system should undergo a complex examination.Bangladesh Journal of Medical Science Vol.16(1) 2017 p.161-165


2008 ◽  
Vol 49 (8) ◽  
pp. 421-425 ◽  
Author(s):  
B. H. Sontas ◽  
S. Ö. Apaydin ◽  
T. S. F. Toydemir ◽  
G. Kasikci ◽  
H. Ekici

2014 ◽  
Vol 138 (12) ◽  
pp. 1643-1665 ◽  
Author(s):  
Myra L. Wilkerson ◽  
Fan Lin ◽  
Haiyan Liu ◽  
Liang Cheng

Context Tumors of the genitourinary tract can be diagnostically challenging, particularly in core biopsies and cystoscopic biopsies with limited material. Immunohistochemistry is a valuable tool to use when morphology alone is insufficient for diagnosis. Objectives To review tumors and benign lesions of the kidney, urinary bladder, prostate gland, testis, and paratesticular structures with an emphasis on difficult differential diagnoses, as well as staining patterns in normal tissue. Recommended immunohistochemical stain panels are discussed that can assist in the diagnostic workup. Data Sources Review of current literature. Conclusions Immunohistochemistry is a valuable tool, assisting in the diagnosis of problematic tumors and benign lesions of the genitourinary tract.


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