Inadvertent iatrogenic prostatectomy and urethrectomy in 2
                    dogs

Thomas C. Häußler; Cetina Thiel; Andreas Fischer; Martin Kramer

doi:10.1055/a-0948-7713

Tierärztliche Praxis Ausgabe K: Kleintiere / Heimtiere, Table of Contents

Tierarztl Prax Ausg K Kleintiere Heimtiere 2019; 47(04): 282-289
DOI: 10.1055/a-0948-7713

Case Report

Inadvertent iatrogenic prostatectomy and urethrectomy in 2 dogs

Unbeabsichtigte iatrogene Prostatektomie und Urethrektomie bei 2 Hunden

Authors

Thomas C. Häußler

¹Department of Veterinary Clinical Sciences, Clinic for Small Animals, Justus Liebig University, Giessen, Germany
Cetina Thiel

¹Department of Veterinary Clinical Sciences, Clinic for Small Animals, Justus Liebig University, Giessen, Germany
Andreas Fischer

¹Department of Veterinary Clinical Sciences, Clinic for Small Animals, Justus Liebig University, Giessen, Germany

²Tierklinik Kalbach, Clinic for Small Animals, Frankfurt, Germany
Martin Kramer

¹Department of Veterinary Clinical Sciences, Clinic for Small Animals, Justus Liebig University, Giessen, Germany

Abstract

Two dogs were referred because of dysuria following inadvertent iatrogenic total prostatectomy and urethrectomy. In both cases an existing perineal hernia was not recognized by the referring veterinarians and the caudally herniated prostate gland was diagnosed as a perianal neoplasia and subsequently removed. Both dogs were treated with isolation of the urinary bladder from the urethra and a permanent prepubic cystostomy tube.

Zusammenfassung

Zwei Hunde wurden nach unbeabsichtigter iatrogener Prostatektomie und Urethrektomie aufgrund Dysurie überwiesen. In beiden Fällen war eine Perinealhernie nicht erkannt und eine nach kaudal hernierte Prostata mobilis fälschlicherweise als perineale Neoplasie diagnostiziert und chirurgisch entfernt worden. Die Therapie erfolgte bei beiden Patienten durch vollständige Isolation der Harnblase und Versorgung mit einem permanenten präpubischen Katheter.

Key words

Prostatectomy - urethrectomy - prepubic catheter - iatrogenic - perineal neoplasia - dog

Schlüsselwörter

Prostatektomie - Urethrektomie - präpubischer Katheter - iatrogen - perineale Neoplasie - Hund

Full Text

References

References
1 Allen SW, Crowell WA. Ventral approach to the pelvic canal in the female dog. Vet Surg 199 20 (02) 118-121
2 Barsanti JA, Blue J, Edmunds J. Urinary tract infection due to indwelling bladder catheters in dogs and cats. J Am Vet Med Assoc 1985; 187: 384-388
3 Basinger RR, Rawlings CA, Barsanti JA. et al. Urodynamic alterations after prostatectomy in dogs without clinical prostatic disease. Vet Surg 1987; 16 (06) 405-410
4 Beck AL, Grierson JM, Ogden DM. et al. Outcome of and complications associated with tube cystostomy in dogs and cats: 76 cases (1995–2006). J Am Vet Med Assoc 2007; 230 (08) 1184-1189
5 Bojrab MJ, Toomey A. Perineal herniorrhaphy. Comp Contin Educ Pract Vet 1981; 8 (09) 8-15
6 Brissot HN, Dupré GP, Bouvy BM. Use of laparotomy in a staged approach for resolution of bilateral or complicated perineal hernia in 41 dogs. Vet Surg 2004; 33 (04) 412-421
7 Burrows CF, Harvey CE. Perineal hernia in the dog. J Small Anim Pract 1973; 14 (06) 315-332
8 Dupre GP, Prat N, Bouvy B. The nature and treatment of perineal hernia-related lesions: a retrospective study of 60 cases and the definition of the protocol for treatment. Pract Med Chir Anim Comp 1993; 28: 333-344
9 DupuyDauby L, Dupre GP. Surgical treatment of 48 cases of prostatic diseases in dogs: retrospective study. Pract Med Chir Anim Comp 1996; 31 (06) 515-524
10 Flesher K, Weisse C, Berent A. et al. Urinary bladder retroversion and neourethrocystostomy for treatment of inadvertent prostatectomy and urethrectomy in a dog. J Am Vet Med Assoc 2016; 248 (05) 538-543
11 Freitag T, Jerram RM, Walker AM. et al. Surgical management of common canine prostatic conditions. Compend Contin Educ Vet 2007; 29 (11) 656-658
12 Gerwing M. Spezieller Teil – Prostata. In: Sonographie bei Hund und Katze. Fritsch R, Gerwing M. ed. Stuttgart: Enke; 1993: 50-51
13 Goldsmid SE, Bellenger CR. Urinary incontinence after prostatectomy in dogs. Vet Surg 1991; 20 (04) 253-256
14 Grand J-G, Bureau S, Monnet E. Effects of urinary bladder retroflexion and surgical technique on postoperative complication rates and long-term outcome in dogs with perineal hernia: 41 cases (2002–2009). J Am Vet Med Assoc 2013; 243 (10) 1442-1447
15 Gregory CR, Lirtzman RA, Kochin EJ. et al. A mucosal apposition technique for ureteroneocystostomy after renal transplantation in cats. Vet Surg 1996; 25 (01) 13-17
16 Harvey CE. Treatment of perineal hernia in the dog – a reassessment. J Small Anim Pract 1977; 18 (08) 505-511
17 Hayashi K, Hardie RJ. Use of cystostomy tubes in small animals. Comp Cont Educ Pract Vet 2003; 25 (12) 928-935
18 Hayes MH. The epidemiologic features of perineal hernia in 771 dogs. J Am Anim Hosp Assoc 1978; 14: 703-707
19 Head KW, Else RW. Neoplasia and allied conditions of the canine and feline intestine. Vet Ann 1981; 21: 190-208
20 Head LL, Francis DA. Mineralized paraprostatic cyst as a potential contributing factor in the development of perineal hernias in a dog. J Am Vet Med Assoc 2002; 221 (04) 533-535
21 Hecht S. Diagnostic imaging of lower urinary tract disease. Vet Clin North Am Small Anim Pract 2015; 45 (04) 639-663
22 Hosgood G, Hedlund CS, Pechman RD. et al. Perineal herniorrhaphy: perioperative data from 100 dogs. J Am Anim Hosp Assoc 1995; 31 (04) 331-342
23 Liptak JM. Total prostatectomy. 19th Annual Conference, European College of Veterinary Surgeons, Helsinki; Finnland: 2010
24 Mann FA, Nonneman DJ, Pope ER. et al. Androgen receptors in the pelvic diaphragm muscles of dogs with and without perineal hernia. Am J Vet Res 1995; 56 (01) 134-139
25 Mann FA, Boothe HW, Amoss MS. et al. Serum testosterone and estradiol 17-beta concentrations in 15 dogs with perineal hernia. J Am Vet Med Assoc 1989; 194 (11) 1578-1580
26 Matthiesen DT. Diagnosis and management of complications occurring after perineal herniorrhaphy in dogs. Compend Contin Educ Pract Vet 1989; 11: 797-822
27 Maute AM, Koch DA, Montavon PM. Perineal hernia in dogs – colopexy, vasopexy, cystopexy and castration as elective therapies in 32 dogs. Schweiz Arch Tierheilk 2001; 143 (07) 360-367
28 McLoughlin MA. Complications of lower urinary tract surgery in small animals. Vet Clin North Am Small Anim Pract 2011; 41 (05) 889-913
29 Nassar NT. Management of urinary tract infections. J Med Liban 2000; 48 (04) 278-282
30 Niebauer GW, Shibly S, Seltenhammer M. et al. Relaxin of prostatic origin might be linked to perineal hernia formation in dogs. Ann N Y Acad Sci 2005; 1041 (01) 415-422
31 Nicolle LE. The chronic indwelling catheter and urinary infection in long-term care facility residents. Infect Control Hosp Epidemiol 2001; 22: 316-321
32 Saint S, Lipsky BA. Preventing catheter-related bacteriuria. Should we? Could we? How?. Arch Intern Med 1999; 159: 800-808
33 Schulz KS, Waldron DR, Smith MM. et al. Inadvertent prostatectomy as a complication of cryptorchidectomy in four dogs. J Am Anim Hosp Assoc 1996; 32 (03) 211-214
34 Sereda C, Fowler D, Shmon C. Iatrogenic proximal urethral obstruction after inadvertent prostatectomy during bilateral perineal herniorrhaphy in a dog. Can Vet J 2002; 43 (04) 288-290
35 Smith JD, Stone EA, Gilson SD. Placement of a permanent cystostomy catheter to relieve urine outflow obstruction in dogs with transitional cell carcinoma. J Am Vet Med Assoc 1995; 206 (04) 496-499
36 Sontas BH, Apaydin SÖ, Toydemir TSF. et al. Perineal hernia because of retroflexion of the urinary bladder in a rottweiler bitch during pregnancy. J Small Anim Pract 2008; 49 (08) 421-425
37 Thiel C, Fischer A, Kramer M. et al. [Surgical therapy of perineal hernia in dogs by the use of Small Intestinal Submucosa (SIS™): a retrospective study]. Tierarztl Prax Ausg K Kleintiere Heimtiere 2010; 38 (02) 71-78
38 Ticer JW, Spencer CP, Ackerman N. Positive contrast retrograde urethrography: A useful procedure for evaluating urethral disorders in the dog. Vet Radiol Ultrasound 2005; 21 (01) 2-11
39 Vlasin M, Rauser P, Fichtel T. et al. Subtotal intracapsular prostatectomy as a useful treatment for advanced-stage prostatic malignancies. J Small Anim Pract 2006; 47 (09) 512-516
40 Weaver AD, Omamegbe JO. Surgical treatment of perineal hernia in the dog. J Small Anim Pract 1981; 22 (12) 749-758
41 White RAS. Prostatic surgery in the dog. Clin Tech Small Anim Pract 2000; 15 (01) 46-51
42 White RAS, Herrtage ME. Bladder retroflexion in the dog. J Small Anim Pract 1986; 27 (11) 735-746