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Management of incontinence following pre‐pubic urethrostomy in a cat using an artificial urethral sphincter
Author(s) -
Eayrs M. K.,
Moores A. L.
Publication year - 2021
Publication title -
journal of small animal practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.7
H-Index - 67
eISSN - 1748-5827
pISSN - 0022-4510
DOI - 10.1111/jsap.13200
Subject(s) - medicine , urethrostomy , urinary incontinence , cystoscopy , urinalysis , urology , artificial urinary sphincter , urinary system , surgery , physical examination , sphincter , urethra
A 14‐year‐old male neutered domestic shorthair cat presented with a 4‐year history of urinary incontinence following prepubic urethrostomy. Physical examination confirmed peristomal dermatitis, urine scalding and constant urine leakage. Haematology, serum biochemistry and urinalysis were unremarkable. Ultrasonography revealed a non‐distended urinary bladder. An artificial urethral sphincter mechanism, with subsequent incremental inflation of the cuff 6 weeks later, resulted in complete resolution of clinical signs, return to normal urinary function and excellent quality of life. The cat was still continent at 5‐year follow‐up. Further studies including additional cases are required to highlight effectiveness and harms of the procedure.