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Urachal Diverticulum 1007.e3

Nutrition/Diet PROGNOSIS & OUTCOME Client Education
Animals with UTI may develop struvite uro- • Surgical excision of congenital macroscopic • Recurrent UTI may be a sequela of uncor-
VetBooks.ir the urine may be used in conjunction with • Acquired macroscopic lesions that spon- • Recurrent or persistent UTI may lead to Diseases and Disorders
rected congenital macroscopic diverticula.
lithiasis. Diets low in ash designed to acidify
diverticula is curative.
struvite urolithiasis.
appropriate antimicrobial therapy to aid in
taneously resolve may recur with repeated
dissolution of struvite calculi (p. 1016).
episodes of lower urinary tract obstruction. SUGGESTED READING
Possible Complications Bartges JW, et al: Congenital diseases of the lower
• Obstruction of the urinary tract as a result of PEARLS & CONSIDERATIONS urinary tract. Vet Clin North Am Small Anim Pract
struvite urolithiasis is a possible complication 45:703-719, 2015.
of UTI associated with urachal diverticula. Comments
• Suture-line leakage with peritonitis is a pos- Patent urachus causes umbilical urine drib- ADDITIONAL SUGGESTED
sible complication after surgical excision of bling in neonates and should be corrected READINGS
diverticula. surgically. Groesslinger K, et al: Prevalence and radiologic and
histologic appearance of vesicourachal diverticula in
Recommended Monitoring Prevention dogs without clinical signs of urinary tract disease.
• Monitor cats with acquired macroscopic Prevention of lower urinary tract obstruction J Am Vet Med Assoc 226:383-386, 2005.
diverticula for regression of diverticulum prevents acquired diverticula formation. Davidson AP, et al: Diagnosis and management of
by contrast cystography 2-3 weeks after urinary ectopia. Vet Clin North Am Small Anim
treatment of obstruction and resolution of Technician Tips Pract, 44:343-353, 2014.
clinical signs. Unless there are contraindications such as Waldron DR: Urinary bladder. In Slatter D, editor:
• Monitor for recurrence of signs of FLUTS/D. coagulopathy or suspicion of bladder cancer, Textbook of small animal surgery, Philadelphia,
2003, Saunders, pp 1629-1637.
samples for urine culture should be obtained
by cystocentesis. AUTHOR & EDITOR: Leah A. Cohn, DVM, PhD, DACVIM

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