Transobturator vaginal tape inside out for treatment of urethral sphincter mechanism incompetence in female dogs: cadaveric study and preliminary study in continent female dogs

Autor: Stéphanie, Claeys, Hélène, Ruel, Jean, de Leval, Marianne, Heimann, Annick, Hamaide
Rok vydání: 2010
Předmět:
Zdroj: Veterinary surgery : VS. 39(8)
ISSN: 1532-950X
Popis: (1) To describe a surgical technique adapted from the "transobturator vaginal tape inside-out" (TVT-O) used in women and to define the trajectory of the tape on canine cadavers, and (2) to determine the urodynamic and morphological effects of the TVT-O in continent bitches.Cadaveric and experimental in vivo study.Fresh female canine cadavers (n=12) and spayed female Beagle dogs (2).(1) TVT-O was inserted in 12 cadavers. Dissection was performed and distances between the tape and neighboring structures were recorded. (2) TVT-O was inserted in 2 continent female Beagle dogs. Urethral pressure profilometry and vaginourethrograms were performed preoperatively, immediately after surgery, and 2, 4, and 6 months postoperatively. Histopathology was performed 6 months after surgery.(1) TVT-O tape was consistently located in a perineal space before entering the obturator foramina and was located at a safe distance from major neurovascular structures including the femoral vessels and obturator nerve. (2) TVT-O was performed without any surgical or postoperative complications in 2 continent bitches. Histopathologic examination of the tissues surrounding the tape revealed a mild fibroblastic proliferation with a mild to minimal lymphoplasmacytic inflammatory infiltration.TVT-O is a feasible and accurate procedure that can be performed in continent bitches with a low risk of complications.
Databáze: OpenAIRE