Garcia M, Dumartinet C, Bernard F, Bernardé A. Outcomes of nine cats with urinary retention after sacrocaudal luxation managed with long-term urinary diversion.
Vet Surg 2021;
50:1681-1687. [PMID:
34347300 DOI:
10.1111/vsu.13695]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2021] [Revised: 05/20/2021] [Accepted: 07/20/2021] [Indexed: 11/28/2022]
Abstract
OBJECTIVE
To document the outcomes of cats with urinary retention (UR) after sacrocaudal luxation (SCL) and managed with a long-term cystostomy (LTC).
STUDY DESIGN
Short case series.
ANIMALS
Nine client-owned cats with SCL and subsequent UR.
METHODS
Nine cats suffering from non-relievable UR secondary to SCL, between March 2013 and December 2020, had a LTC placed 4.5 days post-SCL (mean, range 3.5-6.0), until clinical evidence of normal urination recovery. The bladder was emptied at least twice daily. No antimicrobial was given during LTC. Indication for tube removal was voluntary micturition with complete emptying for a minimum of three consecutive days. Recheck examinations were scheduled for post-SCL days 7 and 14, as well as for LTC tube removal. Minor and major complications and length of LTC use were recorded.
RESULTS
The LTC was removed 11-42 days (mean 26 days) after placement. All cats recovered normal micturition spontaneously within 17-47 days post-SCL (mean 30.7 days): 1 cat between the 2nd and 3rd weeks, 5 cats between the 3rd and 4th weeks, and 3 cats >30 days after the trauma. Major complications, such tube dislodgement, occurred in two cats, whereas complications resolving after tube removal were recorded in 6 cats.
CONCLUSION
LTC was effective at managing UR post-SCL in 9 cats. All cats recovered normal urinary function within 7 weeks.
CLINICAL SIGNIFICANCE
LTC can be an alternative to manual expression or bladder catheterization in cats with temporary UR after SCL.
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