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Previous issue date: 2006-01-17 / Perineal urethrostomy is a surgical procedure used in male cats to create a new opening
between the pelvic urethra and skin in the perineal region. Indications for it include
recorrent urethral obstruction and urethral obstruction that cannot be relieved by
catheterization and reverse flushing. Perineal urethrostomy, when indicated and propely
perfomed, is benefical to the patient and plagued with few complications. The purpose
of this study was perform clinical evaluation of seventeen cats submitted to the perineal
urethrostomy and evaluate the surgical complications in six months. This report
evaluated the cats in the first day and up to six months after the surgery which were
followed with biochemical, radiological analysis and urinalysis in this period, using
questionnaires for better organization of the data. Sixteen cats had penile urethral
trauma by catheterization and one cat had recurrent urethral obstruction. Complications
observed after this procedure included hemorrhage, wound dehiscence, heamaturia
or/and straining and urinary bacterial infection. None had urine burns or irritation or
was incontinent or died. The most serious complication, urethral stricture, didn`t occur.
The penile trauma was the major cause to indicate the urethrostomy. This study
concluded that perineal urethrostomy predispose the urinary tract to increased bacterial
contamination and subsequent infection. But many cats enjoy a long-term disease-free
outcome and the clients consider their cats to have a good quality of life following
surgery. / A uretrostomia perineal ? um procedimento cir?rgico realizado em gatos machos com o
intuito de criar um novo orif?cio entre a uretra p?lvica e a pele na regi?o perineal. As
indica??es dessa t?cnica incluem a obstru??o uretral recorrente e a obstru??o que n?o
pode ser aliviada por cateteriza??o e lavagem reversa. A uretrostomia perineal quando
indicada e realizada adequadamente, ? ben?fica para o paciente e gera poucas
complica??es. O objetivo desse trabalho foi avaliar clinicamente 17 gatos submetidos ?
uretrostomia perineal e as complica??es p?s-cir?rgicas no per?odo de seis meses. A
an?lise foi efetuada no primeiro dia de atendimento at? o sexto m?s p?s-cir?rgico e os
animais foram acompanhados com an?lises bioqu?micas, radiografias e com urin?lise,
usando question?rios para melhor organiza??o dos dados. Dezesseis gatos tinham
traumatismo na uretra peniana em conseq??ncia da cateteriza??o uretral e um gato
apresentou obstru??o uretral recorrente. As complica??es p?s-operat?rias observadas
foram hemorragia, deisc?ncia de sutura, hemat?ria/dis?ria e infec??o bacteriana
urin?ria. Nenhum paciente teve irrita??o da ferida, queimadura por urina, incontin?ncia
ou veio a ?bito. A complica??o mais s?ria, a estenose uretral, n?o aconteceu. A
iatrogenia foi a maior causa para a indica??o da uretrostomia perineal nesses animais.
Esse estudo indicou que a uretrostomia perineal predisp?e ao aumento da contamina??o
bacteriana e infec??o urin?ria. Por?m muitos gatos ficam longos per?odos sem
apresentar sinais cl?nicos de doen?a do trato urin?rio inferior e os propriet?rios
consideram que seus gatos t?m boa qualidade de vida ap?s a cirurgia.
| Identifer | oai:union.ndltd.org:IBICT/oai:localhost:tede/886 |
| Date | 17 January 2006 |
| Creators | Corgozinho, Katia Bar?o |
| Contributors | Souza, Heloisa Justen Moreira de |
| Publisher | Universidade Federal Rural do Rio de Janeiro, Curso de P?s-Gradua??o em Medicina Veterin?ria, UFRRJ, Brasil, Cl?nica e Cirurgia Veterin?ria |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da UFRRJ, instname:Universidade Federal Rural do Rio de Janeiro, instacron:UFRRJ |
| Rights | info:eu-repo/semantics/openAccess |
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