Percutaneous Drainage in the Management of Urethral Blockages in Cats

  • David Haine University of Bristol, Senate House, Tyndall Avenue, Bristol, BS8 1TH, UK
  • Emma Place University of Bristol, Senate House, Tyndall Avenue, Bristol, BS8 1TH, UK

Published:

2018-11-20

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DOI

https://doi.org/10.18849/ve.v3i4.171

Abstract

PICO question

In adult male cats with a urethra blockage, is indwelling catheterisation more effective than percutaneous drainage in reducing the incidence of recurrence?

Clinical bottom line

Based on the available literature, it would appear that recurrence rates following percutaneous drainage are broadly similar to those managed with indwelling catheterisation. However, the level of evidence supporting the use of percutaneous drainage is very low and there are significant uncontrolled variables between all available studies, with the consequences that meaningful comparisons between recurrence rates are not possible. More studies are needed before routine use of percutaneous drainage as an alternative to indwelling catheterisation can be advocated.


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References

Cooper, E. S. et al., 2010. A protocol for managing urethral obstruction in male cats without urethral catheterization. Journal of the American Veterinary Medical Association, 1 December, 237(11), 1261-1266. http://dx.doi.org/10.2460/javma.237.11.1261

Eisenberg, B. W. et al., 2013. Evaluation of risk factors associated with recurrent obstruction in cats treated medically for urethral obstruction. Journal of the American Veterinary Medical Association, 15 October, 243(8), pp. 1140-1146. http://dx.doi.org/10.2460/javma.243.8.1140

Gerber, B., Eichenberger, S. & Reusch, C. E., 2008. Guarded long-term prognosis in male cats with urethral obstruction. Journal of Feline Medicine and Surgery, 1 February, 10(1), pp. 16-23. https://doi.org/10.1016/j.jfms.2007.06.007

Hetrick, P. F. & Davidow, E. B., 2013. Initial treatment factors associated with feline urethral obstruction recurrence rate: 192 cases (2004–2010). Journal of the American Veterinary Medical Association, 15 August, 243(4), pp. 512-519. https://doi.org/10.2460/javma.243.4.512

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Vol. 3 No. 4 (2018): The fourth issue of 2018

Section: Knowledge Summaries

Categories :  Small Animal  /  Dogs  /  Cats  /  Rabbits  /  Production Animal  /  Cattle  /  Sheep  /  Pig  /  Equine  / 

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