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