Assessment of Combined Resection-Anastomosis and Urethropexy in Dogs with Urethral Prolapse.

The literature regarding surgical repair of urethral prolapse in dogs is limited and associated with a high recurrence rate. We hypothesized that combined resection and anastomosis (R&A) with urethropexy would be associated with less recurrence of urethral prolapse compared with R&A alone. Medical records of dogs managed surgically for urethral prolapse were reviewed (2013-2023) from three tertiary care hospitals. Inclusion criteria included complete medical records, including surgery reports, short-term postoperative complications, and longer-term follow-up. Forty-six male dogs successfully met the inclusion criteria (16 castrated; 30 intact). Brachycephalic breeds were overrepresented (37/46, 80%). Surgical repair by R&A alone (n = 27), urethropexy alone (n = 6), or a combined R&A and urethropexy (n = 13) was performed. Recurrence rates for these techniques were 13/27 (48%), 2/6 (33%), and 1/13 (8%), respectively. The recurrence rate of urethral prolapse treated by a combined R&A and urethropexy was significantly lower (P < .05) than R&A alone, despite more dogs being overweight and less surgeon experience (each P < .05). Interestingly, dogs neutered before initial diagnosis may be more likely to have postoperative recurrence. Considering general anesthesia risks, an initial combination procedure for urethral prolapse may help prevent recurrence.

Evaluation of viscoelastic coagulation monitoring parameters and fibrinogen concentrations in healthy dogs undergoing stifle arthroscopy and tibial plateau leveling osteotomy.

OBJECTIVE: Evaluation of viscoelastic parameters along with Hct percentages, platelet numbers, and fibrinogen concentrations in healthy dogs undergoing elective stifle arthroscopy and tibial plateau leveling osteotomy (TPLO). These results determine if dogs are in a normal, hypocoagulable, or hypercoagulable state at 4 different time points. ANIMALS: Prospective study of 37 client-owned dogs enrolled between February 2, 2022, and November 10, 2022. METHODS: All dogs received a standardized anesthetic protocol. Patients enrolled in the study underwent stifle arthroscopy using a 3-portal technique with a TPLO performed by board-certified surgeons. Viscoelastic testing, Hct percentage, fibrinogen concentration, and platelet numbers were measured preoperatively, immediately postoperatively, 24 hours postoperatively, and 14 days postoperatively. RESULTS: Stifle arthroscopy and TPLO surgery was not associated with significant effects on viscoelastic coagulation monitoring and fibrinogen concentrations in healthy dogs when comparing the time points. CLINICAL RELEVANCE: Humans have a high risk of thrombotic events when undergoing elective orthopedic surgery and are often placed on prophylactic antithrombotic medication prior to surgery. Viscoelastic coagulation monitoring in dogs undergoing similar orthopedic procedures has been evaluated in veterinary medicine, but the effects on platelets and fibrinogen concentrations from similar orthopedic procedures and uniform anesthesia protocols have not been documented. Cranial cruciate ligament insufficiency is the most common orthopedic injury in dogs. Treatment requires elective surgical correction for the best results and improved long-term prognosis. The findings of this study suggest that similar preoperative prophylactic antithrombotic intervention is not needed for canine patients.

Gender, Relationship Concerns, and Intimate Partner Violence in Young Adulthood.

Purpose: Few studies have examined gender-specific concerns within intimate relationships that may be associated with conflict escalation and intimate partner violence (IPV). While prior theorizing has emphasized issues such as men's feelings of jealousy, the role of concerns and conflict related to men's actions has not been as thoroughly investigated. We draw on the life course perspective as background for assessing conflict areas related to men's and women's actions during the young adult period, and subsequently the association between such concerns and the odds of reporting IPV in a current/most recent relationship. Method: Building on a longitudinal data set focused on a large, diverse sample (Toledo Adolescent Relationships Study, n = 904), we administered surveys that assessed whether disagreements about potential conflict areas-including but not limited to infidelity-related to male or female partner's actions. Results: Concerns about women's and men's actions were both related to the odds of reporting IPV experience, but disagreements about male partners' actions during young adulthood were actually more common, and relative to concerns about women's actions, more strongly associated with IPV. Conclusions: Research and programmatic efforts should give additional attention to specific areas around which couples' disagreements develop and conflicts sometimes escalate. A dyadic approach adds to the frequent emphasis on emotion management and control that center primarily on one partner's problematic relationship style-thus addressing the 'form' but not the 'content' of intimate partner conflicts. This approach would highlight a broader range of relationship dynamics than are currently included in theorizing and applied efforts.

"Micro-cultures" of conflict: Couple-level perspectives on reasons for and causes of intimate partner violence in young adulthood.

Objective: To highlight the development of young adult couples' shared understandings about reasons for conflict in their relationships, views about why some disagreements included the use of aggression ("causes"), and gendered perspectives on these relationship dynamics. Background: Feminist theories have centered on relationship dynamics associated with intimate partner violence (IPV), but have focused primarily on men's concerns (e.g., jealousy) and use of violence as a means of control over female partners. The current analysis drew on symbolic interaction theory as a framework for exploring couple-level concerns, and ways in which dyadic communication contributes to these understandings, or what can be considered "micro-cultures" of conflict. Method: The study relied on in-depth interviews with a heterogeneous sample of IPV-experienced young adults who had participated in a larger longitudinal study (Toledo Adolescent Relationships Study [TARS]) and separate interviews with their partners (n = 90). Results: Analyses revealed that women's concerns about men's actions (e.g., infidelity) were frequently cited as reasons for serious conflicts, and showed significant concordance in partners' reports. Shared understandings sometimes extended to views on the role of more distal causes (e.g., family background) and the meaning(s) of each partner's use of aggression. Gendered dynamics included men's tendency to minimize women's concerns, and both partners' more open discussions of women's perpetration. Conclusions: Theories of IPV and associated programmatic efforts should include attention to the social construction of these "micro-cultures," as these shared meanings affect behavior, are potentially malleable, and add to the more intuitive focus on one-sided forces of control and constraint.