{"title":"Surgical technique, complications and follow-up of laparoscopic treatment of prostatic cysts in dogs: 12 cases (2017-2022).","authors":"F Massari, S Monti, M Jiménez Peláez","doi":"10.1111/jsap.13860","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To describe the surgical technique, associated complications and 12-month outcomes in dogs that underwent laparoscopic treatment of prostatic cysts.</p><p><strong>Materials and methods: </strong>The medical records of dogs with prostatic cysts that were managed laparoscopically between 2017 and 2022 at two referral institutions were retrospectively reviewed. Intra- and post-operative complications were evaluated, and patients were required to have a minimum follow-up of 12 months for inclusion in the study.</p><p><strong>Results: </strong>Twelve client-owned dogs met the inclusion criteria. A three- or four-port technique was used depending on the surgeon's preference. Following deroofing of the prostatic cyst, urethral integrity was assessed intraoperatively. The cystic cavity was inspected for leakage while injecting saline into the distal urethra, confirming the absence of communication between the urethra and the prostatic cyst. The omentum was anchored to the prostatic body using either simple interrupted sutures or haemostatic clips, with the latter method considered subjectively more challenging by the authors. No major intra- or post-operative complications were reported. Minor intraoperative complications occurred in three of 12 patients, consisting of self-limiting haemorrhage. Minor post-operative complications included one case of transient urinary tenesmus, which resolved within 24 hours, and mild haematuria in one dog, which lasted for 3 days. No recurrence of the prostatic cysts was observed over the 12-month follow-up period.</p><p><strong>Clinical significance: </strong>Laparoscopic excision with omentalisation is a feasible, effective and safe therapeutic approach for prostatic cysts in dogs confirmed to lack a communication between the prostatic cyst and the urethra.</p>","PeriodicalId":17062,"journal":{"name":"Journal of Small Animal Practice","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Small Animal Practice","FirstCategoryId":"97","ListUrlMain":"https://doi.org/10.1111/jsap.13860","RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"VETERINARY SCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To describe the surgical technique, associated complications and 12-month outcomes in dogs that underwent laparoscopic treatment of prostatic cysts.
Materials and methods: The medical records of dogs with prostatic cysts that were managed laparoscopically between 2017 and 2022 at two referral institutions were retrospectively reviewed. Intra- and post-operative complications were evaluated, and patients were required to have a minimum follow-up of 12 months for inclusion in the study.
Results: Twelve client-owned dogs met the inclusion criteria. A three- or four-port technique was used depending on the surgeon's preference. Following deroofing of the prostatic cyst, urethral integrity was assessed intraoperatively. The cystic cavity was inspected for leakage while injecting saline into the distal urethra, confirming the absence of communication between the urethra and the prostatic cyst. The omentum was anchored to the prostatic body using either simple interrupted sutures or haemostatic clips, with the latter method considered subjectively more challenging by the authors. No major intra- or post-operative complications were reported. Minor intraoperative complications occurred in three of 12 patients, consisting of self-limiting haemorrhage. Minor post-operative complications included one case of transient urinary tenesmus, which resolved within 24 hours, and mild haematuria in one dog, which lasted for 3 days. No recurrence of the prostatic cysts was observed over the 12-month follow-up period.
Clinical significance: Laparoscopic excision with omentalisation is a feasible, effective and safe therapeutic approach for prostatic cysts in dogs confirmed to lack a communication between the prostatic cyst and the urethra.
期刊介绍:
Journal of Small Animal Practice (JSAP) is a monthly peer-reviewed publication integrating clinical research papers and case reports from international sources, covering all aspects of medicine and surgery relating to dogs, cats and other small animals. These papers facilitate the dissemination and implementation of new ideas and techniques relating to clinical veterinary practice, with the ultimate aim of promoting best practice. JSAP publishes high quality original articles, as well as other scientific and educational information. New developments are placed in perspective, encompassing new concepts and peer commentary. The target audience is veterinarians primarily engaged in the practise of small animal medicine and surgery.
In addition to original articles, JSAP will publish invited editorials (relating to a manuscript in the same issue or a topic of current interest), review articles, which provide in-depth discussion of important clinical issues, and other scientific and educational information from around the world.
The final decision on publication of a manuscript rests with the Editorial Board and ultimately with the Editor. All papers, regardless of type, represent the opinion of the authors and not necessarily that of the Editor, the Association or the Publisher.
The Journal of Small Animal Practice is published on behalf of the British Small Animal Veterinary Association and is also the official scientific journal of the World Small Animal Veterinary Association