Lapis ISSN 2398-2969

Cystotomy

Contributor(s): Vetstream Ltd, Glen Cousquer, Sharon Redrobe

Introduction

Uses

Print-off the Owner FactsheetCaring for your rabbit before and after surgery  Caring for your rabbit before and after surgery  to give to your clients.

Indications

  • To allow removal of uroliths.
  • To allow complete flushing of bladder and removal of 'sand' if bladder catheterization and retrograde flushing is unsuccessful.
  • To allow direct visualization of the bladder.
  • To allow biopsies to be taken from the bladder.

Disadvantages

  • Anesthetic and surgical risks.
  • The surgery may not be diagnostic.
  • The surgery may not resolve the problem.
  • The owner should be warned about the possibility of recurrence of urolithiasis and bladder 'sand'.
  • The radiographic finding of 'sand' in the urinary bladder can be an incidental finding in clinically healthy rabbits, whilst being associated with urine scald in others. This radiographic finding is not therefore pathognomic and should be evaluated in conjunction with other clinical findings.
  • The urinary bladder may rupture when grossly distended or handled roughly during surgery.
  • Associated structures, including the ureters, may be damaged during surgery.
  • If incising into a flaccid bladder, there is a risk that both the ventral and dorsal walls will be cut.

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, providing surgical technique adequate.

Further Reading

Publications

Refereed papers

  • Recent references fromPubMed.
  • Butterweck V & Khan S R (2009)Herbal medicines in the treatment of urolithiasis: alternative or complementary?Planta Med75, 1095-1103PubMed.
  • Paul-Murphy J (2007) Critical care of rabbit.Vet Clin North Am Exotic Anim Pract10(2), 437-461PubMed.
  • White R N (2001)Management of calcium ureterolithiasis in a French lop rabbit.JSAP42(12), 595-598PubMed.
  • Leck G (1988)Removing a calculus from the urinary bladder of a rabbit.Vet Med83(1), 64-65.

Other sources of information

  • Meredith A & Flecknell P (2006) BSAVA Manual of Rabbit Medicine and Surgery.2nd edn. Cheltenham: BSAVA.


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