Urogenital Flashcards
Place
Hormones for Ovarian Remnant Syndrome
JAVMA 2019
Combined
~Anti-Mullerian hormone
~Progesterone
Ogilvie
Silver coated Urinary catheter
JAVMA 2018
Factors associated with bacteriuria
~Older age
~Longer duration of catheterization
Berent
SUB
JAVMA 2018
Post-op complications
~Device occlusion with a blood clot 8%
~Device leakage 4%
~kinking of the tubing 5%
Survival to discharge 94%
Catheter mineralization 24%
Corriveau
Lap OVE & Lap OHE in dogs
JAVMA 2017
SSI 1%
Urinary Incontinence
~OVE 6%
~OHE 15%
Deroy
Pigtail and SUB
JAVMA 2017
Mortality
~Stent 18%
~SUB 13%
Device occlusion
~Stent 26%
~SUB 4%
Repeat Procedures
~Stent 44%
~SUB 9%
MST
~Stent 14m
~SUB not reached
Median durations of surgery and hospitalization were significantly longer in the stent versus UB group.
Stent placement associated with a greater risk of lower urinary tract–related signs
~hematuria 52%
~pollakiuria or stranguria 48%
Culp
Stent vs. Ureterotomy
JAVMA 2016
Ureter stents decreased azotemia
@ 1 D PO
@ discharge
Six cats in the ureteral stent group developed abdominal effusion after surgery
~cats in this group were significantly more likely to develop abdominal effusion when a ureterotomy was performed
~Cats that developed abdominal effusion after surgery were significantly less likely to survive to hospital discharge
Kulendra
Complications with SUBs
JSAP 2021
10% in hospital mortaility
Survival associated with creatinine 440 μmol/L
~above survived 530 d
~below survival 949 d
Major complications occurred 48%
Plater
Tx of ureter injury with OHE
JSAP 2020
Outcomes in operated patients
Excellent 68%
Good 5%
Fair 5%
Poor 22%
44% major complications requiring additional surgery
Segal
Urethral orifice in PU
JSAP 2020
Stricture 20% cats
Associated with 8F
< 44%
> 6%
Charlesworth
Lap vs Open OVE
JSAP 2019
Complications
~Open 44%
~Lap 20%
Florey
Cystine Uroliths and Neuter Status
JSAP 2017
Intact dogs odd ratio 4.5 x
Kopecny
Uroliths in Dogs
JVIM 2021
47% CaOx decreased 50 to 42%
44% Struvites no change
3% Cystine increased 1 to 9%
~70% intact males
Kopecny
Uroliths in Cats
JVIM 2021
CaOx Decrease 50 to 38%
Struvites Increased 42 to 55%
Urates 3rd most common 9%
Shivley
Sharp Transection of Suspensory Ligament
VetSurg 2019
Sx time 1.1 min faster for sharp
1 kg increased Sx time by 0.1 min
Heart rate increase from baseline 7.4 bpm lower in sharp dissection
Pelvic blood supply from Internal iliac a
Internal iliac a.
- umbilical a.
- Caudal gluteal a.
- Internal pudendal a.
~vaginal
~Middle Rectal
~Caudal Vesicular
~urethral
Incidence of Pyometra in intact female dogs by 10 y
24%
Results of Sertoli Cell Tumor
Increased Testicle size
Gynecomasta
Glands of the Penis
Bulbospongiousus
Corpus Spongiosum penis
Corpus cavernosum penis
Bulbus glandis
Pars Longus glandis
Locations of openings associated with hypospadias
Anal
Perianal
Scrotal
Penile
Glandular
Types of Testicular neoplasias
Interstitial cell (Leydig) tumors
Sertoli cell tumors
- feminization syndrome
- myelotoxicosis: anemia, leukopenia, thrombocytopenia
Seminomas
Bladder innervation
Parasympathetic
-Pelvic n
~Detrusor m. contraction
Sympathetic
-Hypogastric n.
~Detrusor m. Relax Beta
~Urethral m. Contract Alpha
Somatic
-Pudendal n.
~Urethral m. contract