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SA Sx > Sx of the Ureters > Flashcards

Sx of the Ureters Flashcards

1
Q

Describe an ectopic ureter

A

Failure of one/both ureters to terminate in normal location-deposits at level of urethra, vagina or abnormal bladder area

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2
Q

What are breeds predisposed to ectopic ureters?

A

Siberian husky, labs, goldens and westie (young females)

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3
Q

What are CS of ectopic ureters?

A

incontinence
UTI
Urine scalding

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4
Q

What are the dx tests performed for ectopic ureters?

A

excretroy urography

CT, US and cystoscopy

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5
Q

What is an extramural ectopic ureter and what is the indicated tx?

A

Ureter completely bypasses bladder and enters into neck, urethra or vagina
Tx=neoureterocystostomy

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6
Q

What is an intramural ectopic ureter and what is the tx?

A

Enters bladder normally but exits abnormally- common in dogs

Tx= cystoscopic laser

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7
Q

What is the term for dilated distal ureter?

A

Ureterocele

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8
Q

What are CS of ureterocele?

A

UTI/incontinence

azotemia (bilateral) or hydronephrosis (unilateral)

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9
Q

What is the tx for intravesicular ureterocele?

A

Ureterocelectomy- removal of persistant membrane

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10
Q

What is the tx for ectopic ureterocele?

A

neoreterocystostomy w/ ureterocelectomy

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11
Q

What is the number 1 cause of ureteral trauma?

A

Iatrogenic- OHE procedure

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12
Q

What are the dx methods for ureteral trauma?

A

Rads and IV urography (lesion localization)

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13
Q

What are the tx options for ureteral trauma?

A

Nephroureterectomy
Ureteroureterostomy
Neoureterocystostomy
Urinary diversion

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14
Q

Whta is the treatment of choice for proximal ureter trauma?

A

Ureteroureterostomy

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15
Q

When is a transureteroureterostomy performed?

A

proximal ureteral length is insufficient to reach bladder but long enough to cross midline

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16
Q

What is a renal descensus

A

mobilie kidney and suture caudally to lumbar musculatrue

17
Q

Nephrocystopexy

A

suturing kidney to cranial edge of bladder

18
Q

Psoas hitch

A

fixes bladder in more cranial postition

19
Q

What is the most common indication for ureteral surgery?

A

Ureterolithiasis

20
Q

T/F: dissolution is an option for ureterolithiasis

A

FALSE- this is not an option due to Ca oxalate being the major underlying cause

21
Q

What are indicators for sx/lithotripsy in urolithiasis patients?

A

Complete obstruction, azotemia, pyelonephritis, 2 weeks of unsuccessful medical management

22
Q

When is a permanent ureteral stent indicated?

A

stone, tumor, stricture or blood clot present

SA Sx (22 decks)

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