Idiopathic functional urinary outflow tract obstruction in dogs, a retrospective case series (2010-2021): 31 cases.
J Vet Intern Med
; 37(6): 2211-2218, 2023.
Article
de En
| MEDLINE
| ID: mdl-37775972
ABSTRACT
BACKGROUND:
Idiopathic functional urinary outflow tract obstruction (iFUOTO) is an uncommon but life-limiting disease whose etiology and clinical course of disease remain poorly understood.OBJECTIVE:
Characterize signalment, clinical signs, clinicopathologic findings, treatments, and propose a standardized response score for dogs with iFUOTO. ANIMALS Thirty-one client-owned dogs diagnosed with iFUOTO.METHODS:
Retrospective case series. Medical records from 2010 to 2021 were reviewed and findings recorded. Dogs were categorized based on the presence or absence of overt signs of neurological disease. Response to treatment was scored.RESULTS:
Thirty-one dogs were included. All dogs had stranguria and 14 (45%) had overflow urinary incontinence. Mean age of onset for signs was 6.9 years±8 months. Twenty-four dogs (77%) were castrated males, 5 (16%) intact males, and 2 (6%) spayed females. Eight (26%) of dogs had overt neurological deficits. Follow-up data were available for 29 dogs (median 38 days, range 2-1277). Final outcome scores were not significantly different among dogs with overt signs of neurological disease (median score 2.5; range 0-3) and those without (median score 1; range; 0-3; P = .35). Treatments included alpha antagonists, skeletal muscle relaxants, parasympathomimetics, anti-inflammatories, castration, temporary placement of a urethral catheter, or a combination of these. CONCLUSIONS AND CLINICAL RELEVANCE Multimodal treatment was frequently prescribed, but a standard outcome score is needed to evaluate the effectiveness of these therapies. Serial neurological examinations and monitoring of the dogs' dysuria are warranted.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Maladies des chiens
/
Dysurie
Limites:
Animals
/
Female
/
Humans
/
Male
Langue:
En
Journal:
J Vet Intern Med
Sujet du journal:
MEDICINA INTERNA
/
MEDICINA VETERINARIA
Année:
2023
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique