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Published on: August 14, 2019
Prostatic cavitary lesions containing urine in dogs
J Bokemeyer1, C Peppler, C Thiel
1Department of Veterinary Clinical Science, Clinic for Small Animals, Justus-Liebig-University Giessen, Giessen, Germany.
Approximately 18.4% of canine prostatic cavitary lesions contain urine, often indicating a need for more aggressive surgical treatment beyond initial drainage. This finding aids in diagnosing intra-prostatic urethral fistulation.
Area of Science:
- Veterinary Medicine
- Canine Urology
- Surgical Pathology
Background:
- Prostatic cavitary lesions, including cysts and abscesses, are common in dogs.
- Identifying urine within these lesions is crucial for determining appropriate treatment.
- Percutaneous drainage is a common initial treatment, but its efficacy can vary.
Purpose of the Study:
- To determine the prevalence of urine-containing prostatic cavitary lesions in dogs.
- To describe the clinical management and outcomes for these lesions.
- To evaluate the utility of creatinine measurement in diagnosing urine contamination.
Main Methods:
- Retrospective study of 87 dogs with prostatic retention cysts/abscesses.
- Initial treatment involved percutaneous ultrasound-guided drainage.
- Dogs were categorized into two groups based on prostatic fluid:serum creatinine ratio to identify urine presence.
Main Results:
- Urine was present in 18.4% of prostatic cavitary lesions (16 out of 87 dogs).
- Dogs with urine in the lesion (Group 1) were more likely to require abdominal surgery (62.5%) compared to those without (15.5%).
- Creatinine measurement proved helpful in diagnosing intra-prostatic urethral fistulation.
Conclusions:
- A significant proportion of canine prostatic cavitary lesions contain urine.
- The presence of urine suggests a higher likelihood of intra-prostatic urethral fistulation.
- Dogs with urine-containing lesions often necessitate more aggressive surgical intervention than percutaneous drainage alone.
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