Urinary Incontinence Flashcards
A large urinary bladder post voiding indicates __
Urine retention
T/F: females will have more disorders of storage while males will be equal between storage and voiding
T
What are the most important parts of a physical exam for a patient with urinary incontinence?
- rectal exam with urethral palpation
- focused neuro exam
- urinary bladder palpation
If a post void residual volume is >3ml/kg then its __
Abnormal
What is the most common type of urinary incontinence in female dogs?
Urethral sphincter mechanism incompetence
What is the initial management choice for both males and females with USMI?
28 days of phenylopropanolamine
- proin
hypertension is a possible side effect , measure systolic blood pressure
When a female dog doesn’t respond to proin then switch to an __ compound whereas in males you would administrate __
Estrogen, testosterone cypionate
When is a trial of oxybutynin indicated?
For dogs that do no response to standard therapies o USMI
If a patient is refractory to all medical management of USMI, what are two more option?
Urethral bulking agents
Sx placement of an artificial urethral sphincter
T/F: the AVMA recommends waiting to spay a female dog till after their first heat cycle if they are at risk for UI
T
What is the most common cause of UI in juvenile female dogs?
Ectopic ureters- urethral orifice is inappropriately positioned and most are intramural
Screening for EU can be done by __ while the preferred dx is __
Ultrasound , cystoscope or CT
Preferred tx for ectopic ureters
Cystoscopic ectopic ureter ablation for intramural EU in both males and females can be done with fluoroscopy
What should be included in the initial diagnostics of voiding disorders?
Survey abdominal radiographs (include entire urethra)
What are advanced diagnostics for voiding disorders?
Retrograde urography +/- cystoscope
