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Media type:
E-Article
Title:
Surgical treatment and outcome of sterile prostatic cysts in dogs
Contributor:
Del Magno, Sara;
Pisani, Guido;
Dondi, Francesco;
Cinti, Filippo;
Morello, Emanuela;
Martano, Marina;
Foglia, Armando;
Giacobino, Davide;
Buracco, Paolo
imprint:
Wiley, 2021
Published in:Veterinary Surgery
Language:
English
DOI:
10.1111/vsu.13642
ISSN:
0161-3499;
1532-950X
Origination:
Footnote:
Description:
<jats:title>Abstract</jats:title><jats:sec><jats:title>Objective</jats:title><jats:p>To describe the surgical treatment and outcome of a large cohort of dogs with sterile prostatic cysts (PCs).</jats:p></jats:sec><jats:sec><jats:title>Study Design</jats:title><jats:p>Retrospective study.</jats:p></jats:sec><jats:sec><jats:title>Animals</jats:title><jats:p>Forty‐four client‐owned dogs.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Dogs with sterile PCs with at least 6 months of follow‐up were included. Clinical variables, type of surgery, complications, recurrences, and outcomes (telephonic interviews or rechecks) were recorded.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Extra‐ and intraparenchymal cysts were diagnosed in 29 and 11 dogs, respectively. Four dogs had both types. Extraparenchymal cysts were treated by partial resection and omentalization (<jats:italic>n</jats:italic> = 22) and complete resection (<jats:italic>n</jats:italic> = 7). Drainage and intracapsular omentalization were performed in all dogs with intraparenchymal cysts. The four dogs with both types of cyst were treated by omentalization. Resolution was documented in 39/44 dogs (88.6%). Intraoperative complications occurred in one dog (urethral tear). Major complications resulting in death occurred in three dogs (oliguric kidney injury, cardiac arrhythmia, and persisting urinary tract obstruction). Minor complications (<jats:italic>n</jats:italic> = 10) consisted of temporary urinary incontinence (<jats:italic>n</jats:italic> = 2), permanent urinary incontinence (<jats:italic>n</jats:italic> = 5), urinary retention (<jats:italic>n</jats:italic> = 2), and dysuria (<jats:italic>n</jats:italic> = 1). Recurrence occurred in two dogs with extraparenchymal cysts. Median long‐term follow‐up was 528 days (range, 250–730 days). Thirty‐nine dogs had no signs associated with prostatic disease at long‐term follow‐up.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Partial or complete resection and/or omentalization of sterile PCs led to resolution of clinical signs in most dogs, although postoperative urinary incontinence was frequent.</jats:p></jats:sec><jats:sec><jats:title>Impact</jats:title><jats:p>This study is the largest case series relative to canine sterile PCs treated surgically and provides evidence on the prognosis and rate of complications.</jats:p></jats:sec>