Primary surgical repair of prostatic urethral rupture following multiple pelvic fracture in a dog

  • Vinicius Gonzalez Peres Albernaz Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus de Botucatu
  • Juliany Gomes Quitzan Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus Botucatu
  • Renato Tavares Conceição Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus Botucatu
  • Bruna Ribeiro Paiva Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus Botucatu
  • Isabella de Almeida Fabris Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus Botucatu
  • Paula Barreto da Rocha Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus Botucatu

Resumo

Abdominal urethral rupture commonly occurs in male dogs after traumatic pelvic fractures and can lead to uroperitoneum, causing peritonitis and azotemia. The primary complications of urethral damage include strictures, incontinence and innervation injury. Here, we describe a case report of prostatic urethral rupture, treated by primary suture repair, that yielded early healing and recovery in a ten-year-old, male, mixed-breed dog who visited our facility within 24 hours of being struck by a car. Positive contrast urethrocystography resulted in leakage of the contrast medium into the abdominal cavity in a point caudal to the urinary bladder. Additional radiography revealed multiple pelvic fractures. During surgery, we found a laceration of the right prostatic lobe causing urethral rupture. We performed a full thickness simple continue suture with 7-0 polyglactin 910 to reestablish urethral continuity. The prostate capsule was also sutured in a simple continue pattern. A previously placed indwelling urinary catheter was kept inside to divert urine flow. On the third postoperative day, the animal withdrew the urinary catheter and started to urinate by himself. The conservative treatment of pelvic fractures enabled complete return to function on the 55th day. One hundred and fifty days after the trauma, no evidence of urinary stricture or another clinical sign was observed. Urethral wounds can be treated surgically by primary suturing and urinary diversion. A short healing time was experienced, and the indwelling urinary catheter was removed three days after surgery since there was no more urine leakage and the animal began voiding normally.

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Biografia do Autor

Vinicius Gonzalez Peres Albernaz, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus de Botucatu
Departamento de Cirurgia e Anestesiologia Veterinária
Juliany Gomes Quitzan, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus Botucatu
Departamento de Cirurgia e Anestesiologia Veterinária
Renato Tavares Conceição, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus Botucatu
Departamento de Cirurgia e Anestesiologia Veterinária
Bruna Ribeiro Paiva, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus Botucatu
Departamento de Cirurgia e Anestesiologia Veterinária
Isabella de Almeida Fabris, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus Botucatu
Graduação em Medicina Veterinária
Paula Barreto da Rocha, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Campus Botucatu
Departamento de Cirurgia e Anestesiologia Veterinária
Publicado
2017-04-18
Seção
Clinical Reports / Casos Clínicos