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Cystotomy, partial cystectomy, and tube cystostomy
1Department of Small Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens 30677, USA. kcornell@calc.vet.uga.edu
Clinical Techniques in Small Animal Practice
|July 27, 2000
Summary
Understanding urinary bladder anatomy and healing is key for successful surgical treatment of bladder disorders. Surgical techniques like cystotomy and cystectomy are detailed, with emphasis on preserving function and minimizing patient morbidity.
Area of Science:
- Veterinary Surgery
- Urology
Background:
- Knowledge of urinary bladder anatomy and healing is essential for surgical success.
- Surgical interventions address common bladder disorders.
Purpose of the Study:
- To review surgical approaches to the urinary bladder.
- To discuss indications and techniques for cystotomy, partial cystectomy, and tube cystostomy.
Main Methods:
- Surgical approaches involve ventral midline incisions.
- Cystotomy is performed on the ventral surface and closed with absorbable sutures.
- Partial cystectomy requires preservation of the trigone region.
Main Results:
- Urinary calculi removal is the most common indication for cystotomy.
- Partial cystectomy allows for significant bladder wall excision with functional recovery.
- Complete cystectomy is not recommended due to morbidity and dissatisfaction.
Conclusions:
- Successful surgical management of bladder disorders relies on understanding regional anatomy and healing.
- Specific techniques for cystotomy, partial cystectomy, and tube cystostomy are outlined.
- Preservation of the trigone is critical for functional outcomes after partial cystectomy.