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Benign ureteral obstruction in cats: Outcome with medical management
BACKGROUND: Limited information is available regarding the outcome of medical management (MM) of benign ureteral obstruction in cats (BUO). HYPOTHESIS: Describe clinical characteristics and outcome of MM of BUO. ANIMALS: Seventy‐two client‐owned cats with 103 obstructed kidneys. METHODS: Medical rec...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons, Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10229371/ https://www.ncbi.nlm.nih.gov/pubmed/37073892 http://dx.doi.org/10.1111/jvim.16709 |
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author | Merindol, Isabelle Vachon, Catherine Juette, Tristan Dunn, Marilyn |
author_facet | Merindol, Isabelle Vachon, Catherine Juette, Tristan Dunn, Marilyn |
author_sort | Merindol, Isabelle |
collection | PubMed |
description | BACKGROUND: Limited information is available regarding the outcome of medical management (MM) of benign ureteral obstruction in cats (BUO). HYPOTHESIS: Describe clinical characteristics and outcome of MM of BUO. ANIMALS: Seventy‐two client‐owned cats with 103 obstructed kidneys. METHODS: Medical records of cats diagnosed with BUO between 2010 and 2021 that received >72 hours of MM were retrospectively reviewed. Clinical data, treatment, and outcome were reviewed. Outcome was classified as success, partial success, or failure based on ultrasound findings. Factors associated with outcome were assessed. RESULTS: Seventy‐two cats with 103 obstructed kidneys were enrolled. The causes of obstruction were uroliths in 73% (75/103), strictures in 13.5% (14/103), and pyonephrosis in 13.5% (14/103) of affected kidneys. Median serum creatinine concentration at presentation was 4.01 mg/dL (range, 1.30‐21.3 mg/dL). Outcome after MM was considered a success in 30% (31/103), partial success in 13% (13/103), and failure in 57% (59/103) of kidneys. Success was reported in 23% (17/75) of kidneys with uroliths, 50% (7/14) with pyonephrosis, and 50% (7/14) with strictures. Median time to a successful outcome was 16 days (range, 3‐115 days). Distal and smaller uroliths (median length, 1.85 mm) were significantly associated with success (P = .05 and P = .01, respectively). Median survival times were 1188 days (range, 60‐1700 days), 518 days (range, 7‐1812 days), and 234 days (range, 4‐3494 days) for success, partial success, and failure, respectively. CONCLUSIONS AND CLINICAL IMPORTANCE: We found a higher success rate for MM of BUO than previously reported. Smaller distal uroliths (<1‐2 mm) were more likely to pass. |
format | Online Article Text |
id | pubmed-10229371 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | John Wiley & Sons, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-102293712023-06-01 Benign ureteral obstruction in cats: Outcome with medical management Merindol, Isabelle Vachon, Catherine Juette, Tristan Dunn, Marilyn J Vet Intern Med SMALL ANIMAL BACKGROUND: Limited information is available regarding the outcome of medical management (MM) of benign ureteral obstruction in cats (BUO). HYPOTHESIS: Describe clinical characteristics and outcome of MM of BUO. ANIMALS: Seventy‐two client‐owned cats with 103 obstructed kidneys. METHODS: Medical records of cats diagnosed with BUO between 2010 and 2021 that received >72 hours of MM were retrospectively reviewed. Clinical data, treatment, and outcome were reviewed. Outcome was classified as success, partial success, or failure based on ultrasound findings. Factors associated with outcome were assessed. RESULTS: Seventy‐two cats with 103 obstructed kidneys were enrolled. The causes of obstruction were uroliths in 73% (75/103), strictures in 13.5% (14/103), and pyonephrosis in 13.5% (14/103) of affected kidneys. Median serum creatinine concentration at presentation was 4.01 mg/dL (range, 1.30‐21.3 mg/dL). Outcome after MM was considered a success in 30% (31/103), partial success in 13% (13/103), and failure in 57% (59/103) of kidneys. Success was reported in 23% (17/75) of kidneys with uroliths, 50% (7/14) with pyonephrosis, and 50% (7/14) with strictures. Median time to a successful outcome was 16 days (range, 3‐115 days). Distal and smaller uroliths (median length, 1.85 mm) were significantly associated with success (P = .05 and P = .01, respectively). Median survival times were 1188 days (range, 60‐1700 days), 518 days (range, 7‐1812 days), and 234 days (range, 4‐3494 days) for success, partial success, and failure, respectively. CONCLUSIONS AND CLINICAL IMPORTANCE: We found a higher success rate for MM of BUO than previously reported. Smaller distal uroliths (<1‐2 mm) were more likely to pass. John Wiley & Sons, Inc. 2023-04-19 /pmc/articles/PMC10229371/ /pubmed/37073892 http://dx.doi.org/10.1111/jvim.16709 Text en © 2023 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals LLC on behalf of American College of Veterinary Internal Medicine. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | SMALL ANIMAL Merindol, Isabelle Vachon, Catherine Juette, Tristan Dunn, Marilyn Benign ureteral obstruction in cats: Outcome with medical management |
title | Benign ureteral obstruction in cats: Outcome with medical management |
title_full | Benign ureteral obstruction in cats: Outcome with medical management |
title_fullStr | Benign ureteral obstruction in cats: Outcome with medical management |
title_full_unstemmed | Benign ureteral obstruction in cats: Outcome with medical management |
title_short | Benign ureteral obstruction in cats: Outcome with medical management |
title_sort | benign ureteral obstruction in cats: outcome with medical management |
topic | SMALL ANIMAL |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10229371/ https://www.ncbi.nlm.nih.gov/pubmed/37073892 http://dx.doi.org/10.1111/jvim.16709 |
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