Page 2026 - Cote clinical veterinary advisor dogs and cats 4th

Urinary Bladder and Urethral Rupture 1012.e3

Small bladder perforations (e.g., from
■ • Guarded to good with complete urethral ADDITIONAL SUGGESTED
catheter trauma) transection, especially if complicated by READINGS
VetBooks.ir ■ Bladder rupture: urethral catheter ± PEARLS & CONSIDERATIONS Berent AC: Interventional urology: endourology in Diseases and Disorders
Incomplete urethral lacerations
urethrocutaneous fistula formation
■
small animal veterinary medicine. Vet Clin North
peritoneal lavage catheter
Am Small Anim Pract 45:825-855. 2015.
Urethral rupture: urethral catheter or
■
cystostomy tube Comments Berent AC: New techniques on the horizon: inter-
ventional radiology and interventional endoscopy
• Emergency surgery to repair bladder or of the urinary tract (‘endourology’). J Feline Med
Chronic Treatment urethral rupture is rarely necessary if urinary Surg 16:51-65, 2014.
• Antimicrobial therapy for bacterial cystitis diversion can be established. Meige F, et al: Management of traumatic urethral
may be necessary after urinary diver- • Address life-threatening shock and metabolic rupture in 11 cats using primary alignment with
sion catheter is removed. Drug choice disorders before surgery. a urethral catheter. Vet Comp Orthop Traumatol
21:76-84, 2008.
is based on culture and susceptibility Schmiedt C, et al: Evaluation of abdominal fluid:
testing. Prevention peripheral blood creatinine and potassium ratios for
• Stricture formation or urethral dehiscence diagnosis of uroperitoneum in dogs. J Vet Emerg
postoperatively may necessitate antepubic Avoid excessive force during bladder expression Crit Care 11:275-280, 2001.
urethrostomy or stent placement. or catheterization. Thieman-Mankin KM, et al: Comparison of short-
term complication rates between dogs and cats
Possible Complications Technician Tips undergoing appositional single-layer or inverting
• Bradyarrhythmia due to hyperkalemia Urinary bladder rupture is possible with aggres- double-layer cystotomy closure: 144 cases (1993-
• Urinary tract infection as a result of urinary sive manipulation, especially when urinary 2010). J Am Vet Med Assoc 240:65-68, 2012.
catheterization obstruction is present. Do not attempt manual Waldron DR: Urinary bladder. In Slatter D, editor:
• Continued leakage after surgical correction bladder expression against firm resistance. Textbook of small animal surgery. Philadelphia,
2003, Saunders, pp 1629-1637.
Recommended Monitoring Client Education
• Positive-contrast urethrocystography after • Do not allow pets to roam. RELATED CLIENT EDUCATION
conservative management to assess adequacy • Dysuria/stranguria can indicate a life- SHEETS
of healing and identify formation of any threatening problem and warrant rapid
strictures veterinary evaluation. Consent to Perform Abdominal Ultrasound
• Observation of animal for dysuria or • Dysuria and/or stranguria after treatment of Consent to Perform Abdominocentesis
stranguria urinary tract rupture may indicate stricture Consent to Perform Cystotomy
• Urinalysis and/or urine culture after removing formation. Consent to Perform Exploratory Laparotomy
urinary diversion catheter How to Provide General Postoperative Care
SUGGESTED READING at Home, Especially Lifting or Picking Up
a Pet, and Pain Control
PROGNOSIS & OUTCOME Anderson RB, et al: Prognostic factors for successful
outcome following urethral rupture in dogs and AUTHOR & EDITOR: Leah A. Cohn, DVM, PhD, DACVIM
• Good to excellent for bladder rupture and cats. J Am Anim Hosp Assoc 42:136-146, 2006.
incomplete urethral transection

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