Kathryn E Biehl, Penny J Regier, Lauren M Edwards, Rachel W Williams
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引用次数: 0
Abstract
Objective: To document and evaluate postoperative complications associated with 3 urethral prolapse surgical techniques: urethropexy (UP), resection and anastomosis (RA), and resection via carbon dioxide (CO2) laser.
Animals: 20 male dogs that underwent surgical treatment for urethral prolapse.
Clinical presentation: Medical records were reviewed retrospectively. Dogs included in this study underwent surgical repair for urethral prolapse. Complications were classified as early if they occurred before discharge, late if they occurred after, and minor or major based on the need for revision.
Results: 6 UP, 10 RA, and 4 resection via CO2 laser procedures were performed. Minor complications occurred in 15 of 20 dogs (75%) and included mild hemorrhage (n = 8), hematuria (n = 6), mild swelling of the distal penis (n = 5), recurrence of prolapse that did not require revision (n = 2), pollakiuria (n = 2), stranguria (n = 2), and urethritis (n = 1). Major complications occurred in 7 of 20 dogs (35%): 3 of 6 in the UP group (50%), 0 of 10 in the RA group (0%), and 4 of 4 in the CO2 group (100%). Urethral stricture formation was only noted in the CO2 group. Recurrence occurred in 3 of 6 UP cases (50%), 2 of 10 RA cases (20%), and 1 of 4 CO2 cases (25%).
Clinical relevance: There are no peer-reviewed publications that describe the use and complications of CO2 lasers in the surgical management of urethral prolapse in dogs.
期刊介绍:
The American Journal of Veterinary Research supports the collaborative exchange of information between researchers and clinicians by publishing novel research findings that bridge the gulf between basic research and clinical practice or that help to translate laboratory research and preclinical studies to the development of clinical trials and clinical practice. The journal welcomes submission of high-quality original studies and review articles in a wide range of scientific fields, including anatomy, anesthesiology, animal welfare, behavior, epidemiology, genetics, heredity, infectious disease, molecular biology, oncology, pharmacology, pathogenic mechanisms, physiology, surgery, theriogenology, toxicology, and vaccinology. Species of interest include production animals, companion animals, equids, exotic animals, birds, reptiles, and wild and marine animals. Reports of laboratory animal studies and studies involving the use of animals as experimental models of human diseases are considered only when the study results are of demonstrable benefit to the species used in the research or to another species of veterinary interest. Other fields of interest or animals species are not necessarily excluded from consideration, but such reports must focus on novel research findings. Submitted papers must make an original and substantial contribution to the veterinary medicine knowledge base; preliminary studies are not appropriate.