Sx of the Bladder Flashcards
What are the surgical diseases of the bladder?
Urachal abnormalities Ruptured bladder Cystic calculi Neoplasia Urinary incontinence
What is defined as: embryonic channel allowing communication between bladder and allantoic sac
Patent urachus
What are the CS of a patent urachal canal?
Urine dribbling from umbilicus, omphalitis, ventral abdominal dermatitis, UTI
What is the dx test for patent urachus?
contrast in umbilicus
What is the tx for patent urachus?
sx removal of urachal tube
What is a vesicouraacheal diverticulum?
External opening is closed but bladder attachment is patent
What are the tx options for vesicouracheal diverticulum?
partial cystectomy and diverticulectomy
What is a urachal sinus?
Persistent distal urachas remains open
T/F: urine retrieval with a catheter rules out bladder rupture
FALSE
What are CS of a bladder rupture?
Dehydration, acidosis, azotemia, hyperkalemia and death in 90 hrs
What are radiological evidence of a ruptured bladder?
free abdominal fluid, absence of bladder, decreased serosal detail
What is the most reliable dx test for a ruptured bladder?
Positive contrast urethrocystogram
What is the first tx concern for a patient with a ruptured bladder?
Stabilize first- fluids and abdominocentesis
What is a tube cystotomy indicated for?
Urinary diversion to stabilize LUT obstruction (patients that cannot be catheterized)
When is a cystopexy indicated?
Tube cystotomy
perineal hernia
Urinary incontinence associated with pelvic bladder
T/F: cystic calculi are common
TRUE
What are dx tests performed for cystic calculi?
Rads
Pneumocystography
Double contrast cystography
U/S
What are non sx tx options for cystic calculi?
Hydropropulsion
Transurethral cystoscopy
Dietary modification
Electrohydraulic lithotripsy
What is the most common sx of the bladder-especially for urolith removal?
Cystotomy
what is the preferred approach for a cystotomy?
Ventral approach
Where should the stab incision for a cystotomy be made?
apex of the bladder
How long post-op until 100% strength is regained in the bladder?
14-21 days post-op
what is the most common bladder tumor in canines and what area is affected?
TCC- scottish terrier
Trigone area
What is the second most common urinary tract tumor in felines and what area is affected?
TCC of the bladder
Apex region
What is a chemotherapy drug that predisposes a patient to TCC?
Cyclophosphamide
What are the chemo drugs used for TCC patients?
Piroxicam, cisplatin and mitoxantrone
