Massachusetts Veterinary Referral Hospital, Ethos Discovery, Woburn, Massachusetts, USA.
Veterinary Specialty Hospital, Ethos Discovery-North County, San Marcos, California, USA.
Vet Surg. 2024 Aug;53(6):1019-1028. doi: 10.1111/vsu.14103. Epub 2024 Jun 11.
To describe the signalment, treatment, complications, and outcomes of cats treated surgically for ectopic ureters.
Retrospective, multi-institutional study.
Twelve client-owned cats.
Medical records of cats diagnosed with unilateral or bilateral ectopic ureters were reviewed and analyzed. Data reported included signalment, clinical signs, diagnostics, open celiotomy, or cystoscopic surgical interventions, and outcomes.
Seven of the 12 cats in the study population were female or female spayed and the median age at time of presentation was 4 years, with an interquartile range (IQR) of 6 months-14 years. Presurgical diagnostic imaging diagnosed ectopic ureters by abdominal ultrasound (8/10), contrast enhanced computed tomography (3/3), fluoroscopic urography (3/4), or cystoscopy (6/7). Eight of 12 cats had extramural ectopic ureters and six cats were affected bilaterally. Eight affected cats underwent ureteroneocystostomy, one cat underwent neoureterostomy, two cats underwent cystoscopic laser ablation, and one cat underwent nephroureterostomy. Immediate postoperative complications occurred in three cats; one cat required additional surgical intervention. Short-term complications occurred in three cats, and long-term complications in two cats. All cats that underwent surgical or cystoscopic intervention had improvement of their urinary incontinence scores, with complete resolution in 11 cats.
Surgical correction of ectopic ureters in cats is associated with good long-term outcomes. Ectopic ureters in cats are commonly extramural and bilateral. Postoperative outcomes were acceptable and there were few postoperative complications, with varying forms of surgical correction.
Ectopic ureters in cats are rare but urinary incontinence can be corrected or improved successfully with surgery.
描述接受异位输尿管手术治疗的猫的一般情况、治疗方法、并发症和结果。
回顾性、多机构研究。
12 只患宠猫。
对诊断为单侧或双侧异位输尿管的猫的病历进行回顾性分析和研究。报告的数据包括一般情况、临床症状、诊断、剖腹探查或膀胱镜手术干预以及结果。
研究人群中的 12 只猫中，7 只为雌性或去势雌性，中位发病年龄为 4 岁，四分位间距（IQR）为 6 个月-14 岁。术前影像学诊断通过腹部超声（8/10）、增强 CT（3/3）、荧光尿路造影（3/4）或膀胱镜（6/7）诊断出异位输尿管。12 只猫中有 8 只为异位输尿管外生型，6 只为双侧病变。8 只受影响的猫接受了输尿管-膀胱吻合术，1 只猫接受了新输尿管吻合术，2 只猫接受了膀胱镜激光消融术，1 只猫接受了肾输尿管吻合术。3 只猫在术后即刻出现并发症，其中 1 只猫需要进一步手术干预。3 只猫出现短期并发症，2 只猫出现长期并发症。所有接受手术或膀胱镜干预的猫的尿失禁评分均有所改善，11 只猫完全缓解。
猫的异位输尿管手术矫正效果良好，长期效果良好。猫的异位输尿管常见于外生型和双侧病变。手术矫正的术后结果是可以接受的，且术后并发症较少，手术矫正形式多样。
猫的异位输尿管少见，但通过手术可以成功纠正或改善尿失禁。
