Case Summary: The management of urethral obstructions is well documented in male cats but is less established for females. These cases describe two female cats that presented with non-dissolvable urocystoliths. Urocystoliths were removed by laser lithotripsy and basket retrieval. Following urolith removal, urethral obstruction occurred in both cats. Both cats were successfully managed using temporary urethral stents in lieu of indwelling urethral catheters permitting outpatient, spontaneous recovery of the urethra.
Relevance And Novel Information: Use of temporary urethral stents has not been described in cats. These novel stents are constructed from materials available in most veterinary facilities, placed without advanced imaging and reside entirely within the urethra and vestibule. Temporary stents are used to bypass urethral disease, facilitating outpatient recovery, and are easily removed when no longer needed. For these reasons, temporary stents are a cost-efficient alternative to permanent stents or indwelling urinary catheters attached to closed urine-collection systems.
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http://dx.doi.org/10.1177/20551169221149677 | DOI Listing |
Cureus
November 2024
Medicine and Surgery, University Hospitals Coventry and Warwickshire, Coventry, GBR.
The Optilume drug-coated balloon (DCB) (North Plymouth, USA) is a novel treatment option for urethral stricture disease that combines mechanical dilation with localized delivery of paclitaxel, an antiproliferative drug aimed at reducing recurrence rates by inhibiting scar tissue formation. This systematic review and meta-analysis, conducted using studies published in the last 10 years up to November 2024, assessed the efficacy and safety of Optilume DCB across seven studies involving 457 patients. Key outcomes included significant reductions in symptom scores, as measured by the International Prostate Symptom Score (IPSS), and improvements in urinary flow rates (QMax).
View Article and Find Full Text PDFA 65-year-old male patient with a history of external beam radiation therapy for prostate cancer and multiple urological surgeries developed a rectourethral fistula after treatment for urethral diverticulum with stones. In managing this complex case, a Penrose drain was utilized as a spacer during artificial urinary sphincter cuff removal to preserve the urethral space for future sphincter re-implantation. This report highlights the novel application of a Penrose drain as a spacer in urological surgery and its benefits in minimizing tissue contraction and preserving urethral health.
View Article and Find Full Text PDFUrologiia
November 2024
Institute for Urology and Reproductive Health, Sechenov University, Moscow, Russia.
Introduction: The most reliable method for bladder catheterization when necessary is to put a urethral catheter under visual control. However, this requires endoscopic equipment and transportation of patient to a cystoscopy unit or operating room, which is not always possible. To solve these problems, we have developed the optical urethral catheter Visus MG.
View Article and Find Full Text PDFInt Urol Nephrol
November 2024
Pediatric Urology and Regenerative Medicine Research Center, Children's Medical Center, Gene, Cell, and Tissue Research Institute, Tehran University of Medical Sciences, Tehran, 1419733151, Iran.
Introduction: Posterior urethral valves (PUV) and ureterovesical junction obstruction (UVJO) are common etiologies of lower urinary tract obstruction. The primary objective of therapy is to alleviate the obstruction in the urinary system. Temporary urinary diversion may be necessary in certain situations, such as Urinary tract infection (UTI), sepsis, and unchanging hydronephrosis.
View Article and Find Full Text PDFJ Pediatr Urol
October 2024
Department of Paediatric Urology, West London Children's Hospital Alliance, Chelsea & Westminster Hospital Foundation Trust, 369 Fulham Road, London SW10 9NH, United Kingdom; Imperial College London, South Kensington Campus, London SW7 2AZ, United Kingdom. Electronic address:
Introduction: Vesicostomy button drainage is a recognised alternative to clean intermittent catheterization (CIC) in children with urethral obstruction, sensate urethra or neurological/behavioural issues.
Aim: To report the indications, complications and long-term bladder functional outcomes in a 15-year cohort of patients with button vesicostomy.
Materials And Methods: AMT Mini one gastrostomy button was inserted via a surgical vesicostomy, or percutaneously under cystoscopic guidance.
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