PMID: 9525023Apr 3, 1998Paper

Evaluation of a transpelvic sling procedure with and without colposuspension for treatment of female dogs with refractory urethral sphincter mechanism incompetence

Veterinary Surgery : VS
R F NickelW E van den Brom

Abstract

To evaluate a sling procedure using a polyester ribbon passed through the obturator foramen, around the urethra, and fixed outside the pelvis for the treatment of female dogs with refractory urethral sphincter mechanism incompetence (USMI). 26 female dogs with USMI that had not improved with medical management. All dogs underwent a transpelvic sling procedure, and in 13, with a radiographic diagnosis of a pelvic bladder, additional colposuspension was performed. Multichannel urethral pressure profilometry (UPP) and diuresis cystourethrometry (UCM) were performed in all dogs before and in seven dogs 2 to 14 months after surgery. Long-term results of surgery and medical therapy were determined. 13 dogs (50%), 6 of these without additional colposuspension, were continent after surgery and remained continent during a follow-up period of 12 to 36 months (mean, 19 months). Seven, three of which had colposuspension, had improved markedly. Four of these dogs became continent with additional medical therapy. Five dogs did not improve, and three of these were eventually euthanatized. In one dog, the sling was removed after 5 days because of persistent stranguria. Surgery and medical therapy together resulted in continence in 17 dogs (65%...Continue Reading

Citations

Sep 28, 2007·Archives of Gynecology and Obstetrics·Ziad AtassiFelix Flock
Jan 4, 2008·Irish Journal of Medical Science·K SiddiquiJ A Thornhill
Nov 2, 2001·The Journal of Small Animal Practice·R N White
Jun 2, 2012·North American Journal of Medical Sciences·Navneet Magon, Sanjiv Vsm Chopra
Feb 19, 2011·Best Practice & Research. Clinical Obstetrics & Gynaecology·Ajit Virkud
Nov 21, 2012·Veterinary Surgery : VS·Lauren ReevesDennis Chew
Jun 30, 2004·The Veterinary Clinics of North America. Small Animal Practice·Michael G Hoelzler, David A Lidbetter
Jun 29, 2016·Veterinary Surgery : VS·Emilee J LuckringJason W Stull
Nov 21, 2017·Journal of the American Veterinary Medical Association·Lily A B ParkinsonKurt K Sladky

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