ISSN 2398-2950      

Urethrostomy

ffelis

Introduction

  • Creation of a permanent stoma for permanent urinary diversion through:
    • Penile urethra  →  perineal access.
    • Pubic urethra/abdominal wall  →  ante-pubic access.

Uses

Urethral obstruction

  • Calculi (if medical management has failed or if calculi cannot be dislodged) Urolithiasis.
  • Congenital or acquired strictures  →  trauma, previous surgery, chronic condition.
  • Abnormal locations of the bladder  → for example, entrapment in hernia.

Other

Disadvantages

  • Castration inevitable.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Good with careful surgical technique.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Williams J (2009) Surgical management of blocked cats. Which approach and when? J Feline Med Surg 11 (1), 14-22 PubMed.
  • Bernardé A & Viguier E (2006) Transpelvic urethrostomy (TPU) in the cat: a new technique. Prospective study: 19 cases. EJCAP 16 (1), 41-49 VetMedResource.
  • Bass M, Howard J, Gerber B et al (2005) Retrospective study of indications for and outcome of perineal urethrostomy in cats. JSAP 46 (5), 227-231 PubMed.
  • Bernarde A & Viguier E (2004) Transpelvic urethrostomy in 11 cats using an ischial ostectomy. Vet Surg 33 (3), 246-52 PubMed.
  • Smith C W (2002) Perineal urethrostomy. Vet Clin North Am Small Anim Pract 32 (4), 917-925 PubMed.
  • Wiegand U, Kirpensteijn J (1997) Surgical treatment and complications of a urethral obstruction in a cat: a case study. Vet Q 19 (2), 85-87 PubMed.
  • Osborne C A, Caywood D D, Johnston G R et al (1996) Feline perineal urethrostomy: a potential cause of feline lower urinary tract disease. Vet Clin North Am Small Anim Pract 26 (3), 535-549 PubMed.
  • Sackman J E, Sims M H, Krahwinkel D J (1991) Urodynamic evaluation of lower urinary tract function in cats after perineal urethrostomy with minimal and extensive dissection. Vet Surg 20 (1), 55-60 PubMed.
  • Bradley R L (1989) Prepubic urethrostomy. An acceptable urinary diversion technique. Probl Vet Med (1), 120-127 PubMed.
  • Scavelli T D (1988) Prepubic urethrostomy involving transplantation of the prepuce in the cat. Probl Vet Med (1), 111-119.
  • Gambardella P C (1984) Perineal urethrostomy in cats. A pictorial essay. Mod Vet Pract 65 (9), 721-724 PubMed.
  • Hauptman J (1984) Perineal urethrostomy. Surgical technique and management of complications. Vet Clin North Am Small Anim Pract 14 (1), 93-102 PubMed.
  • Johnson M S, Gourley I M (1980) Perineal hernia in a cat: a possible complication of perineal urethrostomy. Vet Med Small Anim Clin 75 (2), 241-243 PubMed.

Other sources of information

  • Slatter D (Ed) (1993) Textbook of Small Animal Surgery. 2nd edn Philadelphia: WB Saunders. ISBN 0 7216 8330 4 (Vol 1 and 2) (Indepth text, good illustrations, recommended)
  • Lewis D L, Morris M L and Hand M S (1992) Small Animal Clinical Nutrition III. 4th edn Topeka: Mark Morris Associates. (Deals extremely well with all aspects of nutritional management, contains recipes for homemade diets).
  • Bojrab M J (1990) Current techniques in Small Animal Surgery. 3rd edn. Philadelphia: Lea & Febiger. ISBN 0 8121 1193 1. (Good text, useful as hands-on tool).

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