Medical management of urinary incontinence and retention disorders

in Bonagura, John; Scansen, Brian (Eds.) Kirk and Bonagura's Current Veterinary Therapy XVI (in press)

Uretères ectopiques chez le chien: évolution clinique après traitement chirurgical et facteurs pronostiques de continence à long-terme

in Monde vétérinaire (2020), 195

Long-term outcome of the transobturator vaginal tape inside out for the treatment of urethral sphincter mechanism incompetence in female dogs.

in Veterinary Surgery (2019), 48(1), 29-34

OBJECTIVE: To evaluate the long-term efficacy of the transobturator vaginal tape inside out (TVT-O) in female dogs with urethral sphincter mechanism incompetence (USMI). STUDY DESIGN: Retrospective study ... [more ▼]

OBJECTIVE: To evaluate the long-term efficacy of the transobturator vaginal tape inside out (TVT-O) in female dogs with urethral sphincter mechanism incompetence (USMI). STUDY DESIGN: Retrospective study. ANIMALS: Incontinent spayed female dogs (n = 12). METHODS: TVT-O tape was inserted in 12 incontinent bitches diagnosed with USMI. Follow-up information was evaluated by a telephone questionnaire, and a continence score was attributed. RESULTS: One year after surgery, 7 of 12 (58%) dogs were completely continent. Two dogs were removed from the long-term analysis (1 dead and 1 lost). At a median follow-up time of 85 months (range, 28-95), 4 of 10 dogs were completely continent without medical treatment. Incontinence recurred in 6 dogs at a median time of 2 months after surgery (range 1-20). Among these 6 dogs, 4 regained continence, and 2 had sporadic episodes of incontinence with additional medical treatment. No postoperative complications were encountered. CONCLUSION: TVT-O alone was successful in maintaining long-term continence in 40% of the dogs. Additional postoperative medical treatment was effective in restoring continence in another 40% of the dogs. CLINICAL SIGNIFICANCE: TVT-O provides an alternative treatment of USMI in female dogs that is safe and less invasive than standard surgical techniques. [less ▲]

Long-term outcome of the transobturator vaginal tape inside out (TVT-O) for the treatment of urethral sphincter mechanism incompetence in female dogs

Poster (2018, October 26)

Urethral sphincter mechanism incompetence (USMI) is the most common cause of acquired urinary incontinence in female dogs. Surgery is recommended if the animal does not respond to medical treatment or ... [more ▼]

Urethral sphincter mechanism incompetence (USMI) is the most common cause of acquired urinary incontinence in female dogs. Surgery is recommended if the animal does not respond to medical treatment or becomes refractory, if side effects develop or if owners are reluctant to administer long-term medication. Stress urinary incontinence in women is mainly treated surgically by vaginal placement of suburethral slings, including the transobturator vaginal tape inside out. This technique was reported in female dogs in 2010 and short-term results were promising. The objective of the present study was to evaluate the long-term outcome of the TVT-O in female dogs. TVT-O tape was inserted in 12 incontinent bitches diagnosed with USMI. Follow-up information was evaluated by a telephone questionnaire and a continence score was attributed. One year after surgery, 7 of 12 dogs were completely continent (58%). Two dogs were removed from the long-term analysis (1 dead and 1 lost). At a median follow-up time of 85 months (range 28 to 95 months), 4 /10 dogs were completely continent without medical treatment. Incontinence recurred in 6 dogs at a median time of 2 months after surgery (range 1 to 20 months). Among those, 4/6 regained continence and 2/6 had sporadic episodes of incontinence, with additional medical treatment. No postoperative complications were encountered. TVT-O alone was successful in maintaining long term continence in 40% of the dogs. Additional postoperative medical treatment was effective in restoring continence in another 40 % of dogs. TVT-O provides an alternative treatment of USMI in female dogs, that is safe and less invasive than standard surgical techniques. [less ▲]

Chirurgie des tumeurs du pancréas et des surrénales

in Point Vétérinaire: Expert Canin (2018), 49

Les techniques de chirurgie d’exérèse des tumeurs du pancréas et des surrénales reposent sur les principes généraux d’oncologie chirurgicale. Le stade clinique doit être connu avant l’intervention, grâce ... [more ▼]

Les techniques de chirurgie d’exérèse des tumeurs du pancréas et des surrénales reposent sur les principes généraux d’oncologie chirurgicale. Le stade clinique doit être connu avant l’intervention, grâce au bilan d’extension. Les complications métaboliques liées à la manipulation de la glande ou à son exérèse doivent être anticipées, et un traitement médical pré-, péri et/ou postopératoire est parfois nécessaire. Pendant l’intervention chirurgicale, les difficultés rencontrées sont liées à la localisation de la glande, à sa vascularisation ou à l’envahissement local de la tumeur. Lorsque ces difficultés sont anticipées, le pronostic chirurgical est bon et la durée de survie est principalement liée à la nature de la tumeur elle-même. [less ▲]

Urethral intussusception following traumatic catheterization in a male cat

in Canadian Veterinary Journal (2018)

Immunohistochemical characterization of a malignant peripheral nerve sheath tumor in a dog.

Poster (2018)

Malignant peripheral nerve sheath tumors (MPNSTs) are spindle cell sarcomas with poorly understood histopathologic features and clinical behavior in veterinary medicine. This report describes the ... [more ▼]

Malignant peripheral nerve sheath tumors (MPNSTs) are spindle cell sarcomas with poorly understood histopathologic features and clinical behavior in veterinary medicine. This report describes the aggressive and unusual biological behavior of an intermediate grade MPNST in a dog. [less ▲]

Effects of manipulations to detect sliding hiatal hernia in dogs with brachycephalic airway obstructive syndrome

in Veterinary Surgery (2018), 47

Long-term outcome of the transobturator vaginal tape inside out (TVT-O) for the treatment of USMI in female dogs

Conference (2017, April 05)

Urethral sphincter mechanism incompetence: update on the disease and the treatment

in Proceedings of the ECVS 26th Annual Scientific Meeting (2017)