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Ultrasound‐guided placement of pigtail cystostomy tubes in dogs with urethral obstruction
Author(s) -
Culler Christine A.,
Fick Meghan,
Vigani Alessio
Publication year - 2019
Publication title -
journal of veterinary emergency and critical care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.886
H-Index - 47
eISSN - 1476-4431
pISSN - 1479-3261
DOI - 10.1111/vec.12832
Subject(s) - medicine , cystostomy , pigtail , surgery , urethrostomy , urinary diversion , suprapubic cystostomy , ultrasound , urinary system , urethra , radiology , cystectomy , cancer , optical fiber , optics , physics , bladder cancer
Background Circumstances such as the inability to pass a retrograde urinary catheter or a lack of surgeon availability may prevent immediate relief of urethral obstruction in dogs. In such situations, a cystostomy tube may be placed with ultrasound guidance to allow urinary diversion until further treatment is possible. Key Findings A case of a 5‐year‐old male neutered Swiss Mountain dog with an obstructive urolith at the level of the os penis is used to describe the technique. Multiple attempts to pass a urinary catheter under sedation were unsuccessful. A pigtail cystostomy tube was placed with ultrasound guidance to allow urinary diversion. The dog was discharged from the hospital within 2 days after scrotal urethrostomy and the dog made a full recovery. Ultrasound‐guided placement of a pigtail cystostomy tube was straightforward and without complications. Significance Ultrasound‐guided placement of a pigtail cystostomy tube may be beneficial as it is not technically challenging, can be performed rapidly, and may avoid the need for general anesthesia. Additionally, ultrasound is readily available and an inexperienced ultrasonographer can easily locate the urinary bladder. This report serves to provide a detailed technique of ultrasound‐guided placement of a pigtail cystostomy tube in dogs for emergency urinary diversion.