scholarly journals Perineal urethrostomy in the cat. Technique and complications

2017 ◽  
Vol 62 (2) ◽  
pp. 150
Author(s):  
L. G. PAPAZOGLOU (Λ.Γ. ΠΑΠΑΖΟΓΛΟΥ) ◽  
E. BASDANI (Ε. ΜΠΑΣΔΑΝΗ)
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urethral Stricture ◽  
Perineal Hernia ◽  
Urethral Obstruction ◽  
Stricture Formation ◽  
Skin Fold ◽  
Urine Extravasation ◽  
Tract Disease

Perineal urethrostomy (PU) is the surgical procedure performed in the male cat in order to create a permanent stoma of the pelvic urethra to the skin of the perineal region. The first urehrostomy was devised on early sixties and since then many urethrostomy techniques were invented. On 1971 Wilson and Harrison invented a technique of PU that is currently used by the majority of surgeons, because of the better results and fewer complications compared to the other urethrostomy techniques. Indications for performing PU in the male cat include recurrent urethral obstruction associated with lower urinary tract disease, as an emergency procedure for the restoration of the patency of the obstructed urethra when all other conservative measures failed, priapism, strictures, trauma and urethral neoplasms. For a successful PU: 1) the pelvic urethra should be incised and anastomosed in the perineum cranial to the bulbourethral glands, 2) the urethra should be completely freed from its attachments to the ishium so as to decrease tension to the stoma, and 3) accurate apposition of the urethra to the skin should be performed to achieve first intention healing of the stoma site and avoid stricture formation. Complications following PU may include urethral stricture, ascending urinary tract infection, haemorrhage, subcutaneous urine extravasation resulting in sloughing and dehiscence of the stoma, skin fold dermatitis, urinary and fecal incontinence, bladder atony, iatrogenic perineal hernia and rectourethral fistula. Prepubic, subpubic or transpelvic urethrostomy may be used to salvage postoperative urethral stricture. Pepubic urethrostomy is the only salvage technique that has been evaluated long-term, but is associated with serious complications such as urine scalding, urinary incontinence and urinary tract infection. Perineal urethrostomy aims at relieving urethral obstruction and is part of the medical management of cats with recurrent or persistent urethral plug formation.

scholarly journals Clinical and laboratory features of the course of the urinary tract infection among children in the first three years of life at the current stage

2022 ◽  
pp. 41-45
Author(s):  
A. Nее ◽  
E. V. Sergeeva ◽  
O. G. Bykova ◽  
O. V. Semeshina
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
System Development ◽  
Urinary System ◽  
Urinary Tract Abnormality ◽  
Second Child ◽  
Tract Disease ◽  
Renal Infection ◽  
Current Stage

Objective: To study main clinical and laboratory peculiarities of the course of urinary tract disease among children aged from newborns to 3 years old.Methods: Research design is a prospective controlled clinical research. 102 (60.71±3.77 %) children having urinary tract infection without accompanying abnormalities of the urinary system development were included in the first group. 66 (39.29±3.77 %) children having infection of the urinary tract amid congenital kidney defect.Results: Comparative evaluation of the results of complex examination of both groups showed that urinary tract infection is characterized by intoxication, pain and dysuric syndroms. The presence of accompanying kidneys and urinary tract abnormality development defined the latent course of the disease in every second child (59.09%) and supports the early development of renal infection (during first six months after birth).Conclusions: It’s necessary to conduct the search of diagnostics markers and predictors of the infection of the urinary tract among children of the first years of life, especially if there is an abnormality of the organs of urinary system.

scholarly journals Causes of lower urinary tract disease in Czech cat population

2019 ◽  
Vol 88 (4) ◽  
pp. 433-441
Author(s):  
Barbora Hřibová ◽  
Václav Ceplecha ◽  
Kristína Řeháková ◽  
Pavel Proks ◽  
Vojtěch Gabriel ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Lower Urinary Tract ◽  
Small Animal ◽  
Epidemiological Data ◽  
Urine Specific Gravity ◽  
Urine Sediment ◽  
Tract Disease ◽  
Lower Urinary

This study was done to investigate epidemiological data and to report causes of lower urinary tract disease in a population of cats presented at the Small Animal Clinic of the University of Veterinary and Pharmaceutical Sciences Brno. Cats presented with lower urinary tract disease signs that had undergone a thorough physical examination and urinalysis (dipstick, urine specific gravity, urine sediment and dipslide urine culture) were included in the study. Urine samples were collected only by cystocentesis or sterile catheterization. Bloodwork, abdominal ultrasound, and abdominal radiographs were performed in 118 (66%), 170 (96%) and 9 (5%) patients, respectively. Cats that were treated with antibiotics or glucocorticoids during an episode of feline lower urinary tract disease (FLUTD) or during the foregoing month and which had undergone perineal urethrostomy or catheterization in private practice, were excluded. The study population consisted of 177 cats. Forty-one (23%) cats were diagnosed with a urethral plug, 26 cats (14%) with a urinary tract infection (UTI), 9 cats (5%) with urolithiasis and 101 cats (57%) with feline idiopathic cystitis (FIC). The cats diagnosed with UTI were significantly older than the cats with FIC, urethral plugs and urolithiasis. Urinary tract infection was diagnosed significantly more often in patients older than 10 years, and in female cats. The diagnosis of urethral plug was made significantly more often in males. Feline idiopathic cystitis and urethral plugs are the most common causes of FLUTD, and the causes are significantly age and sex-related.

Letters to the Editor

PEDIATRICS ◽  
1973 ◽  
Vol 51 (5) ◽  
pp. 958-959
Author(s):  
Matthew Cohen
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Practical Importance ◽  
Renal Tissue ◽  
X Rays ◽  
Letters To The Editor ◽  
Radiologic Evaluation ◽  
Tract Disease ◽  
Tract Infections

I wish to thank Dr. Strauss and associates for their pertinent letter. Their remarks and the previous correspondence with Dr. Todd1 are of practical importance in the treatment of urinary tract infections. I agree that x-rays should be performed early in the course of urinary tract disease but I did not state that radiologic evaluation of a girl's urinary tract infection is unnecessary if her urinary tract infection responds to an antibiotic. I can only reinforce Dr. Strauss' statement that the goal of treatment is to conserve renal tissue.

scholarly journals Urinary Tract Infection due to "Lower" Urethral Stricture

2013 ◽  
Vol 52 (19) ◽  
pp. 2293-2293 ◽  
Author(s):  
Kazuya Sakai ◽  
Akira Kuriyama ◽  
Ken Kumagai
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urethral Stricture

Antibiotic-Resistant Corynebacterium jeikeium Urinary Tract Infection in a Cat

2007 ◽  
Vol 43 (1) ◽  
pp. 61-64 ◽  
Author(s):  
Michelle Puskar ◽  
Carol Lemons ◽  
Mark G. Papich ◽  
Shelley L. Vaden ◽  
Adam Birkenheuer
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urine Sample ◽  
Urine Culture ◽  
Gene Sequencing ◽  
Antibiotic Resistant ◽  
Sample Contamination ◽  
History Of ◽  
Tract Disease

A 10-year-old, castrated male, domestic longhaired cat with a history of urinary tract disease and perineal urethrostomy was presented for evaluation of persistent urinary tract inflammation. Prior to referral, diphtheroid organisms had been cultured from a urine sample obtained by cystocentesis, and they were interpreted as sample contamination. Subsequent urine culture and gene sequencing identified Corynebacterium jeikeium, which was resistant to antibiotics and appeared to be the cause of the urinary tract infection.

Evaluation of postoperative complication rates in cats undergoing perineal urethrostomy performed in dorsal recumbency

2019 ◽  
Vol 22 (4) ◽  
pp. 399-403 ◽  
Author(s):  
Mallory T Watson ◽  
Rodrigo Y Roca ◽  
Adam H Breiteneicher ◽  
Russell H Kalis
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Postoperative Complication ◽  
Medical Records ◽  
Case Series ◽  
Urethral Obstruction ◽  
Complication Rates

Case series summary Medical records were reviewed for cats that underwent a perineal urethrostomy performed in dorsal recumbency for the treatment of urethral obstruction. Information, including signalment, reason for presentation, number of previous obstructions, surgery time, and perioperative and postoperative complications, were collected through a review of medical records and owner follow-up. The objective was to evaluate short- and long-term complications in cats that underwent perineal urethrostomy performed in dorsal recumbency for treatment of urethral obstruction. Relevance and novel information No major or life-threatening complications, such as urethral stricture, re-obstruction, euthanasia due to lower urinary signs or chronic urinary tract infection, were reported. Short-term complications were limited to dysuria in 2/12 (16.7%) cats. Long-term follow-up was available for nine cats. The most common long-term complication seen in this population of cats was a single recurrence of urinary tract infection in 3/9 (33.3%) cats that resolved after a short course of empirical antibiotic therapy. Performing perineal urethrostomy in dorsal recumbency is safe and may have advantages to ventral recumbency due to improved visualization, allowing for more efficient dissection and improved accuracy in tissue apposition during closure. We believe this has been a major contributor to our reported reduced major postoperative complication rate.

Comparison of urine protein profiles in cats without urinary tract disease and cats with idiopathic cystitis, bacterial urinary tract infection, or urolithiasis

2011 ◽  
Vol 72 (10) ◽  
pp. 1407-1415 ◽  
Author(s):  
Stephanie I. K. Lemberger ◽  
Cornelia A. Deeg ◽  
Stefanie M. Hauck ◽  
Barbara Amann ◽  
Sieglinde Hirmer ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Protein Profiles ◽  
Urine Protein ◽  
Tract Disease

scholarly journals Detection of feline idiopathic cystitis as the cause of feline lower urinary tract disease in Sleman Regency, Indonesia

2020 ◽  
Vol 13 (6) ◽  
pp. 1108-1112
Author(s):  
Andi Tri Julyana Eka Astuty ◽  
Ida Tjahajati ◽  
Widagdo Sri Nugroho
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Medical History ◽  
Lower Urinary Tract ◽  
The Common ◽  
Tract Disease ◽  
Cat Diseases ◽  
Blood Screening ◽  
Lower Urinary

Background and Aim: Feline lower urinary tract disease (FLUTD) is one of the common cat diseases. The aim of this study was to detect feline idiopathic cystitis (FIC) as a cause of FLUTD in Sleman Regency, which is a problem in the population. Materials and Methods: Seventy-three cats with FLUTD symptoms were used from seven veterinary practices in Sleman Regency. The logging of each cat's medical history, clinical examination, urinalysis, routine blood screening, and ultrasonography was conducted to diagnose the cause of FLUTD. Results: The percentages of diseases causing FLUTD included FIC 21.9%, urolithiasis 57.5%, urinary tract infection (UTI) 16.4%, neoplasia 1.4%, trauma 1.4%, and nervous disorders 1.4%. Conclusion: FIC, one of the causes of FLUTD, is found in cats and has become a problem among the cat population in Sleman Regency, Yogyakarta, Indonesia. Various handling and preventive efforts should be undertaken against the disease.

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