Endoscopic laser‐ablation for the treatment of orthotopic and ectopic ureteroceles in dogs: 13 cases (2008‐2017)

BACKGROUND: Ureteroceles are a rare condition in dogs in which conventional treatments can result in substantial morbidity. Cystoscopic and fluoroscopic‐guided laser ablation (CLA) of ureteroceles can successfully relieve obstruction. OBJECTIVES: To describe the technique and outcomes of attempting...

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Autores principales: Rogatko, Cleo P., Berent, Allyson C., Adams, Larry G., Weisse, Chick W., Bagley, Demetrius
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430922/
https://www.ncbi.nlm.nih.gov/pubmed/30740771
http://dx.doi.org/10.1111/jvim.15424
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author Rogatko, Cleo P.
Berent, Allyson C.
Adams, Larry G.
Weisse, Chick W.
Bagley, Demetrius
author_facet Rogatko, Cleo P.
Berent, Allyson C.
Adams, Larry G.
Weisse, Chick W.
Bagley, Demetrius
author_sort Rogatko, Cleo P.
collection PubMed
description BACKGROUND: Ureteroceles are a rare condition in dogs in which conventional treatments can result in substantial morbidity. Cystoscopic and fluoroscopic‐guided laser ablation (CLA) of ureteroceles can successfully relieve obstruction. OBJECTIVES: To describe the technique and outcomes of attempting CLA for treatment of ureteroceles in dogs. ANIMALS: Thirteen client‐owned dogs that underwent CLA for treatment of ureteroceles. METHODS: Retrospective multicentered study. Medical records were reviewed in all dogs that underwent CLA for ureterocele(s). A laser was used to extend the opening of the ureteral orifice (UO) unless surgical conversion was necessary. Data collected included signalment, clinicopathologic data, imaging, procedural findings, complications, and short‐ and long‐term outcome. RESULTS: Thirteen dogs with 13 ureteroceles associated with 14 UOs resulting in ureteral obstruction were included. One ureterocele extended bilaterally. Treatment was initiated via retrograde cystoscopy (7 females), percutaneous perineal urethrocystoscopy (4 males), or percutaneous antegrade cystoscopy (2 males). Surgical conversion was necessary in 2 males. Ten of 14 (71%) UOs associated with the ureteroceles were ectopic. Thirteen of 14 had stenotic or imperforate UOs. No postoperative complications were noted. Preoperative incontinence or pollakiuria was present in 9 of 13 and 3 of 13 dogs and resolved in 8 of 9 and 3 of 3 dogs, respectively. Follow‐up imaging showed resolution of all ureteroceles and improved ureteral/renal pelvic dilatation. Median follow‐up time was 27 months (range, 3‐96 months). CONCLUSIONS AND CLINICAL IMPORTANCE: Cystoscopic‐guided laser ablation was effective for the treatment of ureteroceles(s) in 11 of 13 dogs.
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spelling pubmed-64309222019-04-04 Endoscopic laser‐ablation for the treatment of orthotopic and ectopic ureteroceles in dogs: 13 cases (2008‐2017) Rogatko, Cleo P. Berent, Allyson C. Adams, Larry G. Weisse, Chick W. Bagley, Demetrius J Vet Intern Med SMALL ANIMAL BACKGROUND: Ureteroceles are a rare condition in dogs in which conventional treatments can result in substantial morbidity. Cystoscopic and fluoroscopic‐guided laser ablation (CLA) of ureteroceles can successfully relieve obstruction. OBJECTIVES: To describe the technique and outcomes of attempting CLA for treatment of ureteroceles in dogs. ANIMALS: Thirteen client‐owned dogs that underwent CLA for treatment of ureteroceles. METHODS: Retrospective multicentered study. Medical records were reviewed in all dogs that underwent CLA for ureterocele(s). A laser was used to extend the opening of the ureteral orifice (UO) unless surgical conversion was necessary. Data collected included signalment, clinicopathologic data, imaging, procedural findings, complications, and short‐ and long‐term outcome. RESULTS: Thirteen dogs with 13 ureteroceles associated with 14 UOs resulting in ureteral obstruction were included. One ureterocele extended bilaterally. Treatment was initiated via retrograde cystoscopy (7 females), percutaneous perineal urethrocystoscopy (4 males), or percutaneous antegrade cystoscopy (2 males). Surgical conversion was necessary in 2 males. Ten of 14 (71%) UOs associated with the ureteroceles were ectopic. Thirteen of 14 had stenotic or imperforate UOs. No postoperative complications were noted. Preoperative incontinence or pollakiuria was present in 9 of 13 and 3 of 13 dogs and resolved in 8 of 9 and 3 of 3 dogs, respectively. Follow‐up imaging showed resolution of all ureteroceles and improved ureteral/renal pelvic dilatation. Median follow‐up time was 27 months (range, 3‐96 months). CONCLUSIONS AND CLINICAL IMPORTANCE: Cystoscopic‐guided laser ablation was effective for the treatment of ureteroceles(s) in 11 of 13 dogs. John Wiley & Sons, Inc. 2019-02-11 2019 /pmc/articles/PMC6430922/ /pubmed/30740771 http://dx.doi.org/10.1111/jvim.15424 Text en © 2019 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine. This is an open access article under the terms of the http://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
Rogatko, Cleo P.
Berent, Allyson C.
Adams, Larry G.
Weisse, Chick W.
Bagley, Demetrius
Endoscopic laser‐ablation for the treatment of orthotopic and ectopic ureteroceles in dogs: 13 cases (2008‐2017)
title Endoscopic laser‐ablation for the treatment of orthotopic and ectopic ureteroceles in dogs: 13 cases (2008‐2017)
title_full Endoscopic laser‐ablation for the treatment of orthotopic and ectopic ureteroceles in dogs: 13 cases (2008‐2017)
title_fullStr Endoscopic laser‐ablation for the treatment of orthotopic and ectopic ureteroceles in dogs: 13 cases (2008‐2017)
title_full_unstemmed Endoscopic laser‐ablation for the treatment of orthotopic and ectopic ureteroceles in dogs: 13 cases (2008‐2017)
title_short Endoscopic laser‐ablation for the treatment of orthotopic and ectopic ureteroceles in dogs: 13 cases (2008‐2017)
title_sort endoscopic laser‐ablation for the treatment of orthotopic and ectopic ureteroceles in dogs: 13 cases (2008‐2017)
topic SMALL ANIMAL
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430922/
https://www.ncbi.nlm.nih.gov/pubmed/30740771
http://dx.doi.org/10.1111/jvim.15424
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