1. Resection of urachal anomalies in dogs with recurrent lower urinary tract disease
- Author
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Visser, Judith, Kummeling, Anne, van Nugteren, Marjon A, Grinwis, Guy C M, Brocks, Bouvien A W, Opleiding chirurgie, dCSCA AVR, LS Algemene chirurgie, dPB CR, Veterinair Pathologisch Diagnostisch Cnt, Applied Veterinary Research, PB AVM, Pathologie, CS_STEM, Opleiding chirurgie, dCSCA AVR, LS Algemene chirurgie, dPB CR, Veterinair Pathologisch Diagnostisch Cnt, Applied Veterinary Research, PB AVM, Pathologie, and CS_STEM
- Subjects
Male ,medicine.medical_specialty ,040301 veterinary sciences ,Urinary system ,medicine.medical_treatment ,Original Article ‐ Clinical ,Original Articles ‐ Clinical ,Disease ,Resection ,Urachus ,0403 veterinary science ,Cystectomy ,03 medical and health sciences ,0302 clinical medicine ,Dogs ,Lower Urinary Tract Symptoms ,medicine ,Animals ,Clinical significance ,Dog Diseases ,General Veterinary ,business.industry ,Medical record ,Retrospective cohort study ,04 agricultural and veterinary sciences ,Surgery ,030220 oncology & carcinogenesis ,Histopathology ,Female ,business - Abstract
Objective To determine whether surgical removal of urachal anomalies improves the outcomes of dogs with recurrent lower urinary tract disease (LUTD) and bacterial urinary tract infection (BUTI). Study design Retrospective study. Animals Thirty-three dogs with urachal anomalies and recurrent LUTD or BUTI. Methods Medical records of dogs with LUTD or BUTI and a diagnosis of urachal anomaly treated by partial cystectomy were reviewed. A minimum follow-up of 9 months was required for inclusion. Results Median age at onset of clinical signs was 12 months (range, 1 month to 10 years). Urachal anomalies were detected with histopathology in 20 of 28 (71%) dogs. At a median follow-up of 22 months (range, 9-114), 21 of 28 (64%) dogs were free of signs of LUTD. Nine (27%) dogs exhibited reduced signs of LUTD; in three (9%) dogs, no clinical improvement was observed. Among the 25 dogs with confirmed preoperative BUTI, 22 clinically improved with surgery. Conclusion Partial cystectomy reduced the long-term severity of clinical signs and risk of recurrence of LUTD or BUTI in dogs with confirmed or suspected urachal anomalies. Clinical significance Partial cystectomy should be considered as an adjunct to the treatment of LUTD and BUTI in dogs.
- Published
- 2020