Long-term outcome of the transobturator vaginal tape inside out for the treatment of urethral sphincter mechanism incompetence in female dogs.
Vet Surg
; 48(1): 29-34, 2019 Jan.
Article
en En
| MEDLINE
| ID: mdl-30376185
ABSTRACT
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). STUDYDESIGN:
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. CLINICALSIGNIFICANCE:
TVT-O provides an alternative treatment of USMI in female dogs that is safe and less invasive than standard surgical techniques.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Procedimientos Quirúrgicos Urológicos
/
Enfermedades Uretrales
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Incontinencia Urinaria
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Enfermedades de los Perros
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Cabestrillo Suburetral
Tipo de estudio:
Observational_studies
Límite:
Animals
Idioma:
En
Revista:
Vet Surg
Año:
2019
Tipo del documento:
Article
País de afiliación:
Bélgica