Urethral Surgery Flashcards
1
Q
Hetrick and Davidow, JAVMA, 2013:
Recurrent feline urethral obstruction
- Overall recurrence rates at 24 hours and 30 days after initial urinary catheterization?
- Administration of which drug was associated with lower recurrence rates?
- Use of what sized urinary catheter was associated with lower recurrence rates?
- Was there any association between duration of urinary catheterization, administration of antimicrobials or meloxicam, or consistent administration of pain relief during initial urethral catheterization and recurrent urethral obstruction?
A
Hetrick and Davidow, JAVMA, 2013:
- Overall recurrence rates: 11% at 24 hours and 24% at 30 days after initial urinary catheterization
- Administration of prazosin was associated with lower recurrence rates compared to administration of phenoxybenzamine
- Use of a 3.5Fr urinary catheter was associated with lower recurrence rates compared to use of a 5Fr urinary catheter
- No, there was no association between duration of urinary catheterization, administration of antimicrobials or meloxicam, or consistent administration of pain relief during initial urethral catheterization and recurrent urethral obstruction
2
Q
Hill, JVIM, 2014:
Urethral stent placement in dogs
- Continence rates?
- Long-term clinical outcome?
A
Hill, JVIM, 2014:
- 55% continent, 27% mildly incontinent, 9% moderately incontinent, 9% severely incontinent
- Excellent long-term outcome
3
Q
Brace, Vet Surg, 2014:
Self-expanding metallic stents for non-urolith urethral obstruction in cats
- Outcomes?
- Continence rates?
A
Brace, Vet Surg, 2014:
- 39% excellent outcomes, 12% good outcomes, 25% fair outcomes, 25% poor outcomes
- 50% continent, 25% moderately incontinent, 25% severely incontinent
4
Q
Carr, Vet Surg, 2014:
Urethral prolapse in dogs
- What breed had a 367 odds ratio for urethral prolapse compared to other breeds?
- Most common early post-op complication?
- What was associated with less post-op hemorrhage?
- Recurrence rate?
- Castration status did not affect prolapse development or outcome - true or false?
A
Carr, Vet Surg, 2014:
- English Bulldogs had a 367 odds ratio for urethral prolapse compared to other breeds
- Most common early post-op complication: hemorrhage (39%)
- A simple continuous suture pattern for resection and anastomosis was associated with less post-op hemorrhage
- Recurrence rate: 57%
- True
5
Q
Frem, JAVMA, 2017:
Use of poliglecaprone 25 for perineal urethrostomy in cats
- Minor and major short-term complication rates?
- Minor long-term complication rate?
- What was associated with the development of minor short-term complications?
- Was the use of an indwelling urinary catheter post-op associated with post-op complications?
A
Frem, JAVMA, 2017:
- Short-term complication rates: 18% minor, 2% major
- Minor long-term complication rate: 42%
- Pre-op UTI was associated with the development of minor short-term complications
- No, use of an indwelling urinary catheter post-op was not associated with post-op complications
6
Q
Seitz, JAVMA, 2018:
Indwelling catheter placement in cats
What % of cats developed recurrent urethral obstruction?
A
Seitz, JAVMA, 2018:
42% developed recurrent urethral obstruction