Palerme Jean-Sébastien, Mazepa Allison, Hutchins Rae G, Ziglioli Vincent, Vaden Shelly L
From Iowa State University College of Veterinary Medicine, Ames, Iowa (J-S.P.); and Blue Pearl, Eden Prairie, Minnesota (A.M.); and Veterinary Specialty Hospital of the Carolinas, Cary, North Carolina (R.G.H.); and Upstate Veterinary Specialists, Greenville, South Carolina (V.Z.); and North Carolina State University College of Veterinary Medicine, Raleigh, North Carolina (S.L.V.).
J Am Anim Hosp Assoc. 2017 Sep/Oct;53(5):285-290. doi: 10.5326/JAAHA-MS-6588. Epub 2017 Aug 9.
Urethral sphincter mechanism incompetence (USMI) is reported much more seldom in male dogs than in female dogs. The few existing reports evaluating the efficacy of medical therapy in controlling USMI in males have demonstrated limited success. In this case series, we report the effect of testosterone cypionate, given at a median dose of 1.5 mg/kg intramuscularly every 4 wk, in eight male dogs with USMI. Response was evaluated through the review of medical records and telephone interviews with the clients. Based on owners' assessments, a good to excellent response was reported in three of eight dogs (38%), a slight response was reported in one of eight dogs (12%), and a poor response was reported in four of eight dogs (50%). Adverse effects were not reported, and benefit was judged sufficient to continue therapy in two cases. The results reported in this case series suggest that testosterone cypionate might be an effective and safe treatment option for male dogs with USMI.
据报道,雄性犬尿道括约肌功能不全(USMI)的发生率比雌性犬低得多。现有的少数评估药物治疗对雄性犬USMI控制效果的报告显示,成功率有限。在这个病例系列中,我们报告了每4周肌肉注射一次环丙孕酮睾酮(中位剂量为1.5mg/kg)对8只患有USMI的雄性犬的影响。通过查阅病历和与客户进行电话访谈来评估反应。根据主人的评估,8只犬中有3只(38%)反应良好至优秀,8只犬中有1只(12%)反应轻微,8只犬中有4只(50%)反应不佳。未报告不良反应,且有2例认为获益足以继续治疗。该病例系列报告的结果表明,环丙孕酮睾酮可能是治疗患有USMI的雄性犬的一种有效且安全的选择。