Document Detail


Management of traumatic urethral rupture in 11 cats using primary alignment with a urethral catheter.
MedLine Citation:
PMID:  18292914     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess the management of traumatic urethral ruptures using a systematic attempt at urethral catheterisation. METHODS: Eleven cats that had been diagnosed with a traumatic urethral rupture over a five-year period were included in this study. Rupture was assessed by positive-contrast retrograde urethrography. An attempt was made to manage these ruptures by placing an indwelling urethral catheter. RESULTS: The placement of an indwelling urethral catheter, could be performed in 10 out of 11 cats, which indicated a partial rupture. In one cat, catheterisation was not possible because of complete urethral rupture. A urethral catheter was placed into the urinary bladder via the urethra in five animals. In the other five animals, urethral catheterization required cystotomy using a modified 'inside to outside' technique. Urethral catheter removal occurred between five and 14 days after placement. Urethral healing was accomplished in all cases of catheterisation with a good outcome in eight of the 10 cats. Two cats showed clinical signs related to stricture formation during the follow-up period (seven to 72 months). Retrograde urethrography provided a definitive diagnosis of partial rupture in only six of the 10 cases of partial rupture. CLINICAL SIGNIFICANCE: Results suggested that primary alignment with the placement of a urethral catheter should be attempted for the management of traumatic urethral ruptures in cats. Gentle urethral catheterisation seems to be an effective procedure for diagnosing and dealing with partial urethral rupture in cats. Clinical stricture formation can occur, but the risk does not seem to be high. Further studies are warranted in order to define the ideal duration for maintenance of an indwelling urethral catheter in cases of traumatic partial urethral rupture.
Authors:
F Meige; S Sarrau; A Autefage
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Veterinary and comparative orthopaedics and traumatology : V.C.O.T     Volume:  21     ISSN:  0932-0814     ISO Abbreviation:  Vet Comp Orthop Traumatol     Publication Date:  2008  
Date Detail:
Created Date:  2008-02-22     Completed Date:  2008-04-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8906319     Medline TA:  Vet Comp Orthop Traumatol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  76-84     Citation Subset:  IM    
Affiliation:
Clinique Vétérinaire Occitanie, Toulouse, France. fredericmeige@yahoo.fr
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MeSH Terms
Descriptor/Qualifier:
Animals
Cats / injuries*,  surgery
Cystoscopy / methods,  veterinary
Postoperative Care / veterinary
Postoperative Complications / epidemiology,  veterinary
Rupture / surgery,  veterinary
Treatment Outcome
Urethra / injuries*,  radiography,  surgery
Urethral Stricture / etiology,  veterinary*
Urinary Catheterization / adverse effects,  instrumentation,  methods,  veterinary*
Urologic Surgical Procedures / adverse effects,  instrumentation,  methods,  veterinary*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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