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猪小肠黏膜下层植入术及球囊扩张术治疗犬因意外前列腺切除继发的尿道狭窄

Porcine small intestinal submucosa augmentation urethroplasty and balloon dilatation of a urethral stricture secondary to inadvertent prostatectomy in a dog.

作者信息

Powers Michelle Y, Campbell Bonnie G, Weisse Chick

机构信息

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, 100 Grimes Way, Pullman, Washington 99164-6610, USA.

出版信息

J Am Anim Hosp Assoc. 2010 Sep-Oct;46(5):358-65. doi: 10.5326/0460358.

Abstract

A 10-month-old, male German shepherd dog experienced inadvertent prostatectomy during cryptorchidectomy. Cystourethral anastomosis was performed 1 day later. The dog developed stranguria and incontinence. A proximal urethral stricture was diagnosed with a contrast urethrogram 5 weeks later. Urethral augmentation with an onlay graft of porcine small intestinal submucosa was performed. Urinary diversion was accomplished with a urethral catheter followed by a cystostomy tube. The stricture recurred over the next 6 weeks. Three urethral balloon dilatations were performed 3 days apart, with the third attempt resulting in expansion of the stricture. Twenty-two months postdilatation, the dog intermittently urinated with a steady stream and had mild to moderate urinary incontinence.

摘要

一只10个月大的雄性德国牧羊犬在隐睾切除术中意外进行了前列腺切除术。1天后进行了膀胱尿道吻合术。该犬出现排尿困难和尿失禁。5周后通过尿道造影诊断为近端尿道狭窄。采用猪小肠黏膜下层覆盖移植进行尿道扩大术。通过尿道导管随后放置膀胱造瘘管进行尿液改道。在接下来的6周内狭窄复发。每隔3天进行3次尿道球囊扩张,第三次尝试使狭窄部位扩张。扩张后22个月,该犬间歇性排尿顺畅,但仍有轻度至中度尿失禁。

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