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KMID : 1094020140310060515
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Journal of Veterinary Clinics
2014 Volume.31 No. 6 p.515 ~ p.518
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Cystopexy to Treat Urinary Incontinence Due to Urethral Sphincter Mechanism Incompetence in a Male Dog
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Yoon Hun-Young
Shin Dong-Wook
Jeong Soon-Wuk
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Abstract
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A castrated male Yorkshire Terrier dog was presented for urinary incontinence and constipation. On physicalexamination, the dog showed difficult urination. There were no neurological abnormalities and no bacterial detectionon urinalysis. Rectal examination revealed a regular, normal-sized prostate. Urethral catheterization was performed easily. Excretory urography and retrograde positive contrast urethrocystography showed displacement of the urinary bladderto the intrapelvic region. There was no evidence of an ectopic ureter. A tentative diagnosis of urethral sphinctermechanism incompetence accompanied with a pelvic bladder was made. Cystopexy was decided to place the urinarybladder to its normal position. The neck of the urinary bladder was anchored to the body wall and prepubic tendonusing mattress sutures. Additional sutures were placed to appose the lateral part of the urinary bladder and abdominalwall. A simple interrupted suture was placed to tack the apex of the urinary bladder on the abdominal incision line. A urinary catheter was placed in the urinary bladder to provide post-operative evacuation. The catheter was removedwhen the dog was able to urinate with minimal straining at 3 days post-operatively. The owner reported that the dogsshowed normal urination without straining at 3 days after the catheter was removed. Excretory urography revealedthat the urinary bladder was located on its normal position at 2 months post-operatively. Subsequent communicationwith the owner by telephone revealed that the dog was in good urination at 3 years 11 months post-operatively
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KEYWORD
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urethral sphincter mechanism incompetence, cystopexy, castrated male Yorkshire Terrier dog
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