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OJVRTM
Online Journal of Veterinary Research©
Volume 19(8):
554-553, 2015.
Case management of bladder exstrophy in a male Pitbull dog.
Paulo NM1 DMV, PhD, Borges NC1, Oliveira PN2,
Helou JB2, Santin API1, Ávila Filho SH2,
Rodrigues DF DMV, PhD 3
1,2School of Veterinary and Animal
Science, Universidade Federal de Goiás
(UFG), Goiania, Goiás, 3Instituto
Unificado de Ensino Superior Objetivo-IUESO. Goiânia, Goiás, Brazil.
ABSTRACT
Paulo
NM, Borges NC, Oliveira PN, Helou JB, Santin API, Ávila Filho SH, Rodrigues DF.,
Case management of bladder exstrophy in a male Pitbull dog, Onl J Vet Res, 19(8): 554-, 2015. Bladder exstrophy (BE)
is a congenital, complex, rare disease affecting the musculoskeletal and
urinary system, particularly in males.
Reconstruction of the structures
involved in this disease has
been directed to improving the quality of life of patients through creation of favorable
conditions for lower urinary
tract function. A 4 month old, 7 Kg monorchid
Pitbull presented a non-ulcerated, shiny surface swollen
mass in the perineum, ventral to the anus, with urine draining through 2
perforations. Iodinated contrast technique showed no
contrast material after 4 hours in
either kidney, and neither urinary bladder or ureters could be visualized. However, the pelvis and diverticula
appeared dilated by the contrast
material. In contrast, excretory urography revealed
both renal structures but not the
ureters. Using caudal pelvic
insertion, retrograde cysto-urethrography revealed both ureters. Bladder reconstruction was not
possible and thus bladder amputation and perineal percutaneous ureterostomy were done. Postoperatively,
there were no complications and the dog was able to void urine though the
stomata without aid of a urinary catheter. After 20 days, the patient appeared
normal without signs of urinary obstruction.
Keywords: urinary bladder, cystectomy, bladder exstrophy, ureterostomy.