ABSTRACT
A ectopia ureteral é uma enfermidade congênita que se caracteriza quando um ou ambos os ureteres apresentam-se inseridos fora do seu local anatômico, com a inserção ocorrendo no útero, no colo da bexiga, na uretra ou na vagina, devido a uma diferenciação anormal dos ductos mesonéfricos e metanéfricos. Nos machos, a inserção pode ocorrer também nos ductos deferentes e na próstata. A incontinência urinária é o sinal clínico mais comumente associado ao ureter ectópico. O presente relato descreve um caso de ureter ectópico extramural unilateral, em um cão da raça Labrador Retriever de sete anos de idade, corrigido cirurgicamente, e mostra a importância dos exames radiográfico contrastado e ultrassonografia.(AU)
Ureteral ectopia is a congenital disease that is characterized when one or both ureters are shown inserted outside their anatomic site, with the possible insertion in the uterus, bladder neck, the urethra or vagina due to abnormal differentiation of ducts mesonephrics and metanephrics. In males the insertion can also occur in the vas deferens and prostate. Urinary incontinence is the most common clinical sign associated with ectopic ureter. This report describes a case of unilateral extramural ectopic ureter in a dog of the Labrador Retriever breed at seven years old surgically corrected, and shows the importance of contrast radiographic examination and ultrasound.(AU)
Subject(s)
Animals , Dogs , Choristoma/veterinary , Ureter/diagnostic imaging , Urinary Incontinence/veterinaryABSTRACT
A ectopia ureteral é uma enfermidade congênita que se caracteriza quando um ou ambos os ureteres apresentam-se inseridos fora do seu local anatômico, com a inserção ocorrendo no útero, no colo da bexiga, na uretra ou na vagina, devido a uma diferenciação anormal dos ductos mesonéfricos e metanéfricos. Nos machos, a inserção pode ocorrer também nos ductos deferentes e na próstata. A incontinência urinária é o sinal clínico mais comumente associado ao ureter ectópico. O presente relato descreve um caso de ureter ectópico extramural unilateral, em um cão da raça Labrador Retriever de sete anos de idade, corrigido cirurgicamente, e mostra a importância dos exames radiográfico contrastado e ultrassonografia.(AU)
Ureteral ectopia is a congenital disease that is characterized when one or both ureters are shown inserted outside their anatomic site, with the possible insertion in the uterus, bladder neck, the urethra or vagina due to abnormal differentiation of ducts mesonephrics and metanephrics. In males the insertion can also occur in the vas deferens and prostate. Urinary incontinence is the most common clinical sign associated with ectopic ureter. This report describes a case of unilateral extramural ectopic ureter in a dog of the Labrador Retriever breed at seven years old surgically corrected, and shows the importance of contrast radiographic examination and ultrasound.(AU)
Subject(s)
Animals , Dogs , Choristoma/veterinary , Ureter/abnormalities , Urinary Incontinence/veterinaryABSTRACT
Background: Ectopic ureter is the most common cause of congenital urinary incontinence in dogs. Intramural ectopic ureter occurs when the ureter runs within the urinary bladder wall, while extramural ectopic ureter occurs when the distal ureter is not associated with the bladder wall. Ectopic ureters are diagnosed using different techniques and/or combinations of various imaging studies. Surgical correction is the standard treatment for dogs with an ectopic ureter, and these surgical techniques include neoureterostomy, ureteroneocystostomy, and nephroureterectomy. The aim of this report is to describe two cases of ectopic ureter successfully treated with surgery. Cases: In case 1, a 2-month-old female poodle, weighing 1.3 kg, with urinary incontinence since birth was presented to our veterinary service. Excretory urography revealed an ectopic ureter, and ureteroneocystostomy was performed. Abdominal ultrasonography performed 30 days after surgery revealed left renal pyelectasis and ureteral dilatation. Based on these fi ndings, nephrectomy was performed. In case 2, a 3-month-old Golden Retriever, weighing 13.5 kg, with urinary incontinence since birth was brought to our veterinary service. Abdominal ultrasonography revealed a small left kidney and left ureteral dilation. Laparotomy was performed and revealed bilateral intramural ectopic ureters. Based on these findings, bilater
Background: Ectopic ureter is the most common cause of congenital urinary incontinence in dogs. Intramural ectopic ureter occurs when the ureter runs within the urinary bladder wall, while extramural ectopic ureter occurs when the distal ureter is not associated with the bladder wall. Ectopic ureters are diagnosed using different techniques and/or combinations of various imaging studies. Surgical correction is the standard treatment for dogs with an ectopic ureter, and these surgical techniques include neoureterostomy, ureteroneocystostomy, and nephroureterectomy. The aim of this report is to describe two cases of ectopic ureter successfully treated with surgery. Cases: In case 1, a 2-month-old female poodle, weighing 1.3 kg, with urinary incontinence since birth was presented to our veterinary service. Excretory urography revealed an ectopic ureter, and ureteroneocystostomy was performed. Abdominal ultrasonography performed 30 days after surgery revealed left renal pyelectasis and ureteral dilatation. Based on these fi ndings, nephrectomy was performed. In case 2, a 3-month-old Golden Retriever, weighing 13.5 kg, with urinary incontinence since birth was brought to our veterinary service. Abdominal ultrasonography revealed a small left kidney and left ureteral dilation. Laparotomy was performed and revealed bilateral intramural ectopic ureters. Based on these findings, bilater
ABSTRACT
Background: Ectopic ureter is the most common cause of congenital urinary incontinence in dogs. Intramural ectopic ureter occurs when the ureter runs within the urinary bladder wall, while extramural ectopic ureter occurs when the distal ureter is not associated with the bladder wall. Ectopic ureters are diagnosed using different techniques and/or combinations of various imaging studies. Surgical correction is the standard treatment for dogs with an ectopic ureter, and these surgical techniques include neoureterostomy, ureteroneocystostomy, and nephroureterectomy. The aim of this report is to describe two cases of ectopic ureter successfully treated with surgery. Cases: In case 1, a 2-month-old female poodle, weighing 1.3 kg, with urinary incontinence since birth was presented to our veterinary service. Excretory urography revealed an ectopic ureter, and ureteroneocystostomy was performed. Abdominal ultrasonography performed 30 days after surgery revealed left renal pyelectasis and ureteral dilatation. Based on these findings, nephrectomy was performed. In case 2, a 3-month-old Golden Retriever, weighing 13.5 kg, with urinary incontinence since birth was brought to our veterinary service. Abdominal ultrasonography revealed a small left kidney and left ureteral dilation. Laparotomy was performed and revealed bilateral intramural ectopic ureters. Based on these findings, bilateral neoureterostomy was performed. Thirty days after surgery, patient presented with urinary infection that was controlled with antibiotics. Both dogs were continent one year after treatment. Discussion: Imaging results of the urinary tract can be useful in diagnosing ectopic ureter. Image modalities used for detecting ectopic ureter include excretory urography, pneumocystography, vaginography, retrograde urethrography, ultrasonography, computed tomography, and magnetic resonance imaging. The difference between extra and intramural ureteral ectopia, in some cases, can only be determined during exploratory laparotomy. Surgical complications vary due to several factors, such as whether the ureteral ectopia is uni- or bilateral, intra or extramural, and also the surgical treatment used. Ureteroneocystostomy complications include hydroureter, hydronephrosis, cystitis, transient stenosis, anastomotic dehiscence, persistent dysuria, and loss of normal ureteric peristalsis. Complications of neoureterostomy include persistent dysuria, cystitis, and reflex dyssynergia. Recanalization is a possible cause of postoperative incontinence if the distal ureter is not completely resected. Unilateral hydronephrosis was observed in the first reported case, and nephroureterectomy was performed. A nephroureterectomy is indicated when severe pathologic findings are present, such as severe hydronephrosis, hydroureter, or renal dysplasia and when the contralateral kidney and ureter are functioning normally. In the second case, bacterial cystitis was diagnosed during the post-operative period and was controlled with antibiotic therapy. After surgery, 4467% of dogs had persistent urinary incontinence. Although residual incontinence can occur after incomplete intramural ureteral remnant or ureteral trough resection, incontinence has also been reported after ureteral reimplantation and nephroureterectomy. Bilateral disease and concurrent urogenital abnormalities often contribute to treatment failure. Therapeutic success was reported in both cases without signs of urinary incontinence one year after surgery.
Subject(s)
Animals , Female , Dogs , Ureteral Diseases/surgery , Ureteral Diseases/veterinary , Urinary Incontinence/veterinary , Dog Diseases/diagnosis , Dogs/abnormalities , DogsABSTRACT
Background: Ectopic ureter is the most common cause of congenital urinary incontinence in dogs. Intramural ectopic ureter occurs when the ureter runs within the urinary bladder wall, while extramural ectopic ureter occurs when the distal ureter is not associated with the bladder wall. Ectopic ureters are diagnosed using different techniques and/or combinations of various imaging studies. Surgical correction is the standard treatment for dogs with an ectopic ureter, and these surgical techniques include neoureterostomy, ureteroneocystostomy, and nephroureterectomy. The aim of this report is to describe two cases of ectopic ureter successfully treated with surgery. Cases: In case 1, a 2-month-old female poodle, weighing 1.3 kg, with urinary incontinence since birth was presented to our veterinary service. Excretory urography revealed an ectopic ureter, and ureteroneocystostomy was performed. Abdominal ultrasonography performed 30 days after surgery revealed left renal pyelectasis and ureteral dilatation. Based on these fi ndings, nephrectomy was performed. In case 2, a 3-month-old Golden Retriever, weighing 13.5 kg, with urinary incontinence since birth was brought to our veterinary service. Abdominal ultrasonography revealed a small left kidney and left ureteral dilation. Laparotomy was performed and revealed bilateral intramural ectopic ureters. Based on these findings, bilater
Background: Ectopic ureter is the most common cause of congenital urinary incontinence in dogs. Intramural ectopic ureter occurs when the ureter runs within the urinary bladder wall, while extramural ectopic ureter occurs when the distal ureter is not associated with the bladder wall. Ectopic ureters are diagnosed using different techniques and/or combinations of various imaging studies. Surgical correction is the standard treatment for dogs with an ectopic ureter, and these surgical techniques include neoureterostomy, ureteroneocystostomy, and nephroureterectomy. The aim of this report is to describe two cases of ectopic ureter successfully treated with surgery. Cases: In case 1, a 2-month-old female poodle, weighing 1.3 kg, with urinary incontinence since birth was presented to our veterinary service. Excretory urography revealed an ectopic ureter, and ureteroneocystostomy was performed. Abdominal ultrasonography performed 30 days after surgery revealed left renal pyelectasis and ureteral dilatation. Based on these fi ndings, nephrectomy was performed. In case 2, a 3-month-old Golden Retriever, weighing 13.5 kg, with urinary incontinence since birth was brought to our veterinary service. Abdominal ultrasonography revealed a small left kidney and left ureteral dilation. Laparotomy was performed and revealed bilateral intramural ectopic ureters. Based on these findings, bilater
ABSTRACT
O presente relato apresenta a primeira descrição de ectopia ureteral congênita na raça Teckel Dachshund, diagnosticada em uma cadela com pelagem arlequim. O animal, aos dois meses de idade, apresentava sinais de incontinência urinária e cistite bacteriana, sendo submetido a um plano diagnóstico para confirmação de ureter ectópico. A urografia excretora revelou hidroureter direito com desembocadura caudal ao trígono da bexiga. O exame físico do animal evidenciou ainda hérnia inguinal bilateral, o que reforçou a caracterização da origem congênita das alterações. Aspectos de bem-estar animal são também discutidos.
The present work reports the first description of congenital ureteral ectopy in the canine breed Teckel Dachshund, diagnosed in a female dog with merle colour pattern. The two month old animal, presented with continuous dribbling of urine and bacterial cystitis, was subjected to a diagnostic plan for ectopic ureter. The excretory urography showed a right hidroureter, which had an orifice located caudally to the trigone of the bladder. The animal also presented a bilateral inguinal hernia, which confirmed the case description as a multiple congenital anomaly condition. Animal welfare aspects are also discussed.
Subject(s)
Animals , Dogs , Ureter/abnormalities , Ureteroscopy/veterinary , Congenital Abnormalities/veterinary , Pulmonary Atelectasis/surgery , Pulmonary Atelectasis/veterinary , Urinary Incontinence/complications , Urinary Incontinence/veterinary , Urinary Tract Infections/complications , Urinary Tract Infections/veterinary , Ureteroscopy/adverse effects , UreteroscopyABSTRACT
O presente relato apresenta a primeira descrição de ectopia ureteral congênita na raça Teckel Dachshund, diagnosticada em uma cadela com pelagem arlequim. O animal, aos dois meses de idade, apresentava sinais de incontinência urinária e cistite bacteriana, sendo submetido a um plano diagnóstico para confirmação de ureter ectópico. A urografia excretora revelou hidroureter direito com desembocadura caudal ao trígono da bexiga. O exame físico do animal evidenciou ainda hérnia inguinal bilateral, o que reforçou a caracterização da origem congênita das alterações. Aspectos de bem-estar animal são também discutidos.(AU)
The present work reports the first description of congenital ureteral ectopy in the canine breed Teckel Dachshund, diagnosed in a female dog with merle colour pattern. The two month old animal, presented with continuous dribbling of urine and bacterial cystitis, was subjected to a diagnostic plan for ectopic ureter. The excretory urography showed a right hidroureter, which had an orifice located caudally to the trigone of the bladder. The animal also presented a bilateral inguinal hernia, which confirmed the case description as a multiple congenital anomaly condition. Animal welfare aspects are also discussed.(AU)