From the School of Veterinary Medicine (A.E.), University of Pennsylvania, Philadelphia, Pennsylvania.
From the Department of Interventional Radiology/Soft Tissue Surgery (D.L.C.), University of Pennsylvania, Philadelphia, Pennsylvania.
J Am Anim Hosp Assoc. 2022 Jul 1;58(4):176-179. doi: 10.5326/JAAHA-MS-7177.
A recessed vulva is a conformational abnormality that predisposes affected dogs to urinary tract infections. An episioplasty can be recommended for correction of this abnormality when medical management of recurrent urinary tract infection fails. The objective of this study was to investigate the type and incidence of urogenital abnormalities visualized by cystoscopy in dogs presenting for episioplasty. Medical records of 29 dogs that presented for an episioplasty and had a concurrent or prior cystoscopy were reviewed. Eleven of the 29 dogs had urogenital abnormalities diagnosed on cystoscopic evaluation, and 1 dog was diagnosed with a urogenital abnormality during vaginal examination while under general anesthesia. Ten of the dogs with urogenital abnormalities had a corrective procedure performed, 8 of which were cystoscopically assisted. Cystoscopy provides the ability to directly visualize the urinary tract and obtain samples for biopsy and culture and facilitates correction of some anatomic abnormalities that may predispose the patient to developing recurrent urinary tract infections. Cystoscopy should be considered as a routine part of a thorough evaluation of the urinary tract in cases presenting for episioplasty.
阴户陷闭是一种结构异常，使受影响的犬易患尿路感染。当复发性尿路感染的药物治疗失败时，可建议进行会阴成形术来纠正这种异常。本研究的目的是调查行会阴成形术的犬中，通过膀胱镜检查发现的泌尿生殖系统异常的类型和发生率。对 29 只因会阴成形术而就诊且同时或之前进行过膀胱镜检查的犬的病历进行了回顾。在 29 只犬中，有 11 只在膀胱镜检查评估中诊断出泌尿生殖系统异常，1 只在全身麻醉下进行阴道检查时诊断出泌尿生殖系统异常。在有泌尿生殖系统异常的 10 只犬中，有 8 只进行了矫正手术，其中 8 只通过膀胱镜辅助进行。膀胱镜检查可直接观察泌尿道并获取活检和培养样本，有助于纠正可能使患者易患复发性尿路感染的一些解剖异常。对于因会阴成形术就诊的病例，应考虑将膀胱镜检查作为全面评估泌尿道的常规检查。
