Urological disorders of the dog and cat: investigation, by Peter E Holt

By Peter E Holt

This booklet offers veterinary practitioners and trainees with a concise, systematic consultant to urological problems affecting canine and cats. the writer focuses first on review of the sufferer and the most investigative concepts to arrive a analysis. He then bargains with the differential prognosis, explanations and remedy of stipulations starting from prostate issues and trauma to all kinds of urinary incontinence, together with urethral sphincter mechanism incompetence. The ebook is totally referenced and illustrated all through through colour pictures, imaging, and diagrams of the top quality.

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Example text

If a catheter cannot be passed easily, attempts to pass it should be abandoned and the reason for the apparent urethral obstruction ascertained. A tortuous groove of the os penis may prevent passage of a urinary catheter and feel like an obstruction due to a urethral calculus. In fact, it is of no clinical significance, but this underlines the inadvisability of using a urinary catheter to detect urethral obstruction. If in doubt, urethrography should be performed. 108 If the catheter is introduced too far, it may follow the contour of the bladder wall and begin to exit into the proximal urethra alongside itself.

The skin over the kidney (see 87–88) is prepared for aseptic surgery and sterile ultrasound gel applied. In this illustration, surgical drapes have been omitted to facilitate orientation. The biopsy needle is inserted through a stab incision in the skin into the renal cortex under ultrasonic guidance and the biopsy taken, in this case using an 18Fr Biopty-cut needle and automatic biopsy ‘gun’. If such facilities are not available and a manual Tru-cut needle has to be used, it is important to be familiar with the functioning of the biopsy needle before inserting it.

Drainage of fluids from the abdomen or urinary tract organs (112). 111 Centesis can be used to obtain samples for laboratory examinations. In this example, urine is being obtained from a sick, aged cat for bacteriology. This avoids the need for sedation or anaesthesia for catheterization and, in the view of many veterinary urologists, is the preferred method of obtaining urine samples for bacteriological examinations. 112 In this dysuric dog, cystocentesis is being used as an emergency procedure to drain the urinary bladder (see also 211–213).

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