Acquired urinary incontinence in the bitch Update and perspectives from human medicine Part 3 The urethral component and surgical treatment

作者：Claeys Stephanie; Noel Stephanie; Hamaide Annick^*

来源：Veterinary Journal, 2010, 186(1): 25-31.

DOI：10.1016/j.tvjl.2009.10.002

• Urethral sphincter mechanism
• Incompetence
• Colposuspension
• Sub urethral sling
• Dog
• Urinary incontinence

Urethral sphincter mechanism incompetence (USMI) is the most common cause of urinary incontinence in dogs Surgery may be recommended if the animal does not respond to medical treatment or becomes refractory In this third part of a three-part review surgical options for the treatment of USMI are described Colposuspension is the most frequently described procedure and offers a fair prognosis with about 50% of the dogs being continent after surgery and most of the reminder being improved or more responsive to medical treatment Urethropexy offers a similar success rate but with a higher rate of complications Endoscopic injection of collagen is an attractive technique due to its minimally invasive nature and low risk of adverse effects Initial results may however deteriorate with time Other procedures have been reported but Involve a low number of cases and have resulted in vari

• 出版日期2010-10