Visser J, Kummeling A, van Nugteren MA, Grinwis GCM, Brocks BAW. Resection of urachal anomalies in dogs with recurrent lower urinary tract disease.
Vet Surg 2019;
49:214-221. [PMID:
31414491 PMCID:
PMC6973151 DOI:
10.1111/vsu.13311]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2018] [Revised: 06/25/2019] [Accepted: 07/28/2019] [Indexed: 11/30/2022]
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.
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