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Ectopic ureter surgery and its problems.

D R Waldron¹

¹Department of Small Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Blacksburg 24060.

Problems in Veterinary Medicine

|January 1, 1989

Summary

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Ectopic ureters in pets are rare but cause urinary incontinence. Diagnosis involves imaging, and surgery aims to preserve the ureter and kidney, with medical therapy managing post-operative incontinence.

Area of Science:

Veterinary Medicine
Urology
Companion Animal Health

Background:

Ectopic ureters are uncommon congenital anomalies in companion animals.
Urinary incontinence is the primary clinical sign, often exacerbated by concurrent urinary tract abnormalities.

Purpose of the Study:

To review the diagnosis and management of ectopic ureters in companion animals.
To highlight diagnostic imaging techniques and surgical considerations.

Main Methods:

Review of clinical signs, diagnostic methods, and treatment outcomes for ectopic ureters.
Emphasis on excretory urography and pneumocystography for diagnosis.
Discussion of surgical techniques and potential complications.

Main Results:

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Excretory urography with pneumocystography is effective for diagnosing ectopic ureters and assessing ureteral morphology.
Surgical interventions focus on ureter and kidney preservation.
Common surgical complications include hydroureter and hydronephrosis, manageable with proper technique.

Conclusions:

Accurate diagnosis of ectopic ureters is crucial for effective management.
Surgical success depends on preserving renal and ureteral structures.
Post-operative medical therapy can successfully manage persistent urinary incontinence.