Outcomes of ureteral surgery and ureteral stenting in cats: 117 cases (2006–2014)
| Autor: | Chloe Wormser, Lillian R. Aronson, Dana L. Clarke |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty 040301 veterinary sciences Urinary system medicine.medical_treatment 030232 urology & nephrology Cat Diseases 0403 veterinary science Ureterostomy 03 medical and health sciences Postoperative Complications 0302 clinical medicine Ureter Recurrence medicine Animals Ureteral Diseases Perioperative Period Retrospective Studies CATS General Veterinary business.industry Mortality rate Stent Retrospective cohort study Cystotomy 04 agricultural and veterinary sciences Perioperative Surgery Cystostomy Treatment Outcome surgical procedures operative medicine.anatomical_structure Cats Female Stents business Ureteral Obstruction |
| Zdroj: | Journal of the American Veterinary Medical Association. 248:518-525 |
| ISSN: | 0003-1488 |
| DOI: | 10.2460/javma.248.5.518 |
| Popis: | OBJECTIVE To evaluate and compare outcomes in cats following ureteral surgery or ureteral stent placement. DESIGN Retrospective case series. ANIMALS 117 cats. PROCEDURES Data regarding signalment, history, concurrent disease, clinical signs, clinicopathologic tests, surgical procedures, and perioperative complications (including death) were recorded. Follow-up data, including presence of signs of chronic lower urinary tract disease, chronic urinary tract infection, reobstruction, and death, if applicable, were obtained by records review or telephone contact with owners. Variables of interest were compared statistically between cats treated with and without stent placement. Kaplan-Meier analysis and Cox regression were performed to assess differences in survival time between cats with and without ureteral stents. RESULTS Perioperative complications referable to the urinary tract were identified in 6 of 43 (14%) cats that had ≥ 1 ureteral stent placed and 2 of 74 (3%) cats that underwent ureteral surgery without stenting. Perioperative mortality rates were similar between cats with (4/43 [9%]) and without (6/74 [8%]) stents. After surgery, signs of chronic lower urinary tract disease and chronic urinary tract infection were significantly more common among cats with than cats without stents. Nineteen of 87 (22%) cats with follow-up information available had recurrent obstruction; incidence of reobstruction did not differ between cats with and without stents. Median survival time did not differ between the 2 groups. CONCLUSIONS AND CLINICAL RELEVANCE The potential for signs of chronic lower urinary tract disease and chronic infection, particularly among cats that receive ureteral stents, warrants appropriate client counseling. Judicious long-term follow-up for detection of reobstruction is recommended. |
| Databáze: | OpenAIRE |
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