Medical management of urinary incontinence and other micturition disordersHamaide, Annick ![]() in Twedt, David; Bonagura, John (Eds.) Current Veterinary Therapy; Small Animal Practice, XV (in press) Detailed reference viewed: 30 (10 ULg) Urodynamic and morphometric characteristics of the lower urogenital tracts of female Beagle littermates during the sexually immature period and first and second estrous cyclesNoël, Stéphanie ; Farnir, Frédéric ; Hamaide, Annick ![]() in American Journal of Veterinary Research (2012), 73(10), 1657-1664 Detailed reference viewed: 8 (2 ULg) Management of vaginal stenosis by balloning dilation after vaginourethrography in a dogNoël, Stéphanie ; Billen, Frédéric ; Hamaide, Annick ![]() Poster (2012) Detailed reference viewed: 11 (0 ULg) Urinary diversion techniques in dogs and catsHamaide, Annick ![]() in Proceedings of the 6th Leipziger Tierarztekongress (2012) Detailed reference viewed: 8 (0 ULg) Surgical treatment of urinary incontinence in the bitchHamaide, Annick ![]() in Proceedings of the 6th Leipziger Tierarztekongress (2012) Detailed reference viewed: 8 (0 ULg) Ectopic ureters: role of urodynamic investigationHamaide, Annick ![]() in Proceedings of the 21th ECVS Annual Scientific Meeting (2012) Detailed reference viewed: 3 (0 ULg) Ectopic ureters: conventional surgeryHamaide, Annick ![]() in Proceedings of the 21th ECVS Annual Scientific Meeting (2012) Detailed reference viewed: 3 (0 ULg) Nouveau traitement chirurgical de l'incontinence urinaire due à l'incompétence du sphincter urétral chez le chienne: le soutènement urétral prothétique trans-obturateur (TVT-O); Hamaide, Annick ![]() in Monde Vétérinaire (Le) : European Veterinary Magazine (2012), 121 Detailed reference viewed: 22 (1 ULg) Urodynamic and haemodynamic effects of a single oral administration of ephedrine and phenylpropanolamine in continent female dogsNoël, Stéphanie ; ; Hamaide, Annick ![]() in Veterinary Journal (2012), 192 Detailed reference viewed: 8 (2 ULg) Open surgical correction combined with an external splint for correction of a non compliant pectus excavatum in a cat; ; et al in Journal of Feline Medicine and Surgery (2012), 14(2), 151-154 Detailed reference viewed: 22 (3 ULg)![]() La hernie périnéale chez le chienFabres, Virginie ; Hamaide, Annick ![]() in EMC-Vétérinaire (2012) Detailed reference viewed: 62 (15 ULg) Clinical evaluation of a single daily dose of phenylpropanolamine in the treatment of urethral sphincter mechanism incompetence in the bitchClaeys, Stéphanie ; ; Noël, Stéphanie et alin Canadian Veterinary Journal = Revue Vétérinaire Canadienne (2011), 52 Abstract The objective of this retrospective study was to report the efficacy of a single daily oral dose of phenylpropanolamine (PPA) in the treatment of urethral sphincter mechanism incompetence (USMI ... [more ▼] Abstract The objective of this retrospective study was to report the efficacy of a single daily oral dose of phenylpropanolamine (PPA) in the treatment of urethral sphincter mechanism incompetence (USMI) in bitches. Nine bitches diagnosed with USMI were treated with a single daily dose (1.5 mg/kg) of PPA for at least 1 month. Urethral pressure profiles (UPP) were performed in 7 dogs before treatment and repeated in 4 of them after treatment. Treatment with PPA resulted in long-term continence in 8/9 bitches. One dog did not respond to PPA and was treated surgically later. Recheck UPPs showed a significant increase in maximal urethral closure pressure in the 4 bitches after treatment with PPA compared to before treatment. In conclusion, long-term continence can be achieved in bitches affected with USMI after administration of a single daily dose of PPA (1.5 mg/kg). [less ▲] Detailed reference viewed: 83 (37 ULg) Clinical situation in surgery: 2 cases of urinary incontinence in female dogsHamaide, Annick ![]() in Consulta (2011) Detailed reference viewed: 3 (0 ULg) Surgical hand antisepsis in veterinary practice: evaluation of soap scrubs and alcohol based rub techniquesVerwilghen, Denis ; Mainil, Jacques ; et alin Veterinary Journal (2011), 190(3), 372-377 Recent evidence shows hydro-alcoholic solutions are more efficient than traditional medicinated soaps in the presurgical hand antisepsis of human surgeons. However, little veterinary literature is ... [more ▼] Recent evidence shows hydro-alcoholic solutions are more efficient than traditional medicinated soaps in the presurgical hand antisepsis of human surgeons. However, little veterinary literature is available on the subject. The aims of this study were to compare the efficiency of medicinated soaps and a hydro-alcoholic solution prior to surgery using an in use testing method in a veterinary setting. A preliminary trial was performed that compared the mean Log10 number of bacterial colony forming units (CFU) and the reduction factors (RF) between 2 five-minute hand-scrubbing sessions using different soaps (povidone iodine (PVP) and chlorhexidine gluconate (CHX)) and the 1.5-min application of a hydro-alcoholic rub (Sterillium). A clinical in use trial comparing mean log10 number of bacterial CFU’s and RF for Sterillium and CHX soap was performed in a surgical set-up. Sampling was performed using finger printing on agar plates. Sterillium and CHX had a similar immediate effect, although the sustained effect was significantly better for Sterillium. PVP showed a significantly lower immediate and sustained effect. Sterillium showed good efficiency in the clinical trial. This study shows that, as previously reported for human medicine, Sterillium can safely be considered as an attractive alternative method for surgical hand antisepsis in a veterinary surgical setting. [less ▲] Detailed reference viewed: 103 (16 ULg) Transobturator Vaginal Tape Inside Out for Treatment of Urethral Sphincter Mechanism Incompetence: Preliminary Results in 7 Female DogsClaeys, Stéphanie ; de Leval, Jean ; Hamaide, Annick ![]() in Veterinary Surgery : The Official Journal of the American College of Veterinary Surgeons (2010), 39(8), 969-979 Objectives: To evaluate the clinical efficacy of the transobturator vaginal tape inside-out (TVT-O) in incontinent female dogs affected with urethral sphincter mechanism incompetence (USMI) and to ... [more ▼] Objectives: To evaluate the clinical efficacy of the transobturator vaginal tape inside-out (TVT-O) in incontinent female dogs affected with urethral sphincter mechanism incompetence (USMI) and to determine its urodynamic and morphologic effects. Study Design: Case series. Animals: Incontinent spayed female dogs (n=7). Methods: TVT-O tape was inserted in 7 incontinent female dogs diagnosed with USMI. Urethral pressure profilometry (UPP) and vaginourethrograms were performed preoperatively, and 1 and 3 months postoperatively. Clinical efficacy of the technique was evaluated and complications reported. Follow-up information was evaluated by a telephone questionnaire. Results: All dogs were continent immediately after the procedure. Incontinence recurred 2 months after surgery in 1 dog and was treated by phenylpropanolamine administration. At mean follow-up time of 11.3 months, 6 of 7 dogs were continent. An iatrogenic urethral tear occurred intraoperatively in 1 dog. No postoperative complications were encountered. The postoperative UPPs showed significantly increased maximal urethral closure pressure and integrated pressure. Postoperative vaginourethrograms were unremarkable. The surgical procedure did not modify the location of the urinary bladder neck in dogs with a ‘‘pelvic urinary bladder’’ preoperatively. Conclusions: TVT-O was efficient in maintaining short term continence in 6 of 7 dogs affected with USMI. Urethral sphincter mechanism incompetence (USMI) is the most common cause of acquired urinary incontinence in female dogs.1 It mainly affects mostly middle-aged, large breed, spayed female dogs.2,3 Clinical signs such as urine leakage during sleep or periods of excitement may develop a few weeks to several years after spaying, most commonly after 2–3 years.2,4,5 The cause is multifactorial with numerous factors identified or suspected to contribute to incontinence, including urethral tone and length, position of the urinary bladder neck, breed, size, neutering, obesity, age, and tail docking.2,3,6–16 The initial treatment of USMI is usually medical. Alpha-adrenergic drugs (eg, phenylpropanolamine [PPA]) are commonly used17–19 and the reported success rate ranges from 85–97% continence.19–22 Short-acting estrogens (estriol) [less ▲] Detailed reference viewed: 33 (9 ULg) Transobturator Vaginal Tape Inside Out for Treatment of Urethral Sphincter Mechanism Incompetence in Female Dogs: Cadaveric Study and Preliminary Study in Continent Female DogsClaeys, Stéphanie ; ; De Leval, Jean et alin Veterinary Surgery : The Official Journal of the American College of Veterinary Surgeons (2010), 39(8), 957-968 ABSTRACT Objectives – 1) To describe a surgical technique adapted from the “transobturator vaginal tape inside-out” (TVT-O) used in women and to define the trajectory of the tape on cadavers, and 2) To ... [more ▼] ABSTRACT Objectives – 1) To describe a surgical technique adapted from the “transobturator vaginal tape inside-out” (TVT-O) used in women and to define the trajectory of the tape on cadavers, and 2) To determine the urodynamic and morphological effects of the TVT-O in continent bitches. Study Design – Cadaveric and experimental in vivo study. Animals – Fresh female canine cadavers (n = 12) and spayed female Beagle dogs (n = 2). Methods – 1) TVT-O was inserted in 12 cadavers. Dissection was performed and distances between the tape and neighboring structures were recorded. 2) TVT-O was inserted in 2 continent female Beagle dogs. Urethral pressure profilometry (UPP) and vaginourethrograms were performed preoperatively, immediately after surgery and 2, 4, and 6 months postoperatively. Histopathology was performed 6 months after surgery. Results – 1) TVT-O tape was consistently located in a perineal space before entering the obturator foramina and was located at a safe distance from major neurovascular structures including the femoral vessels and the obturator nerve. 2) UPP showed an increased integrated pressure postoperatively up to 4 postoperative months. Vaginourethrograms performed postoperatively showed a ventral displacement and narrowing of the distal urethra. Histopathological examination of the tissues surrounding the tape revealed a mild fibroblastic proliferation with a mild to minimal lympho-plasmocytic inflammatory infiltration. Conclusions - TVT-O is a feasible and accurate procedure which can be performed in continent bitches with a low risk of complications. [less ▲] Detailed reference viewed: 66 (10 ULg) Acquired urinary incontinence in the bitch: update and perpspectives from the human medicine. Part 2: the urethral component, pathophysiology and medical treatmentNoël, Stéphanie ; Claeys, Stéphanie ; Hamaide, Annick ![]() in Veterinary Journal (2010), 186(1), 18-24 Various pathologies can affect the bladder and/or urethral contractility causing signs of urinary incontinence. In this second part of a three-part review, the pathophysiology of impaired urethral ... [more ▼] Various pathologies can affect the bladder and/or urethral contractility causing signs of urinary incontinence. In this second part of a three-part review, the pathophysiology of impaired urethral contractility (including urethral hyper- and hypotonicity) in the bitch and in women is discussed. Urethral sphincter mechanism incompetence (USMI) is the most common form of acquired urinary incontinence in bitches and is characterized by a decreased urethral tone. The pathophysiology and current recommended medical treatment options for USMI and cases of modified urethral tonicity due to a neurological disorder or functional outlet obstruction are discussed. Treatment options in human medicine in cases of impaired urethral contractility are described. [less ▲] Detailed reference viewed: 22 (8 ULg)![]() Urodynamic findings secondary to compressive spinal cord lesions and surgical decompression in dogsBrunel, Laurencie ; Noël, Stéphanie ; Peeters, Dominique et alin Proceedings of the 19th Annual Scientific Meeting of the ECVS (2010, July) Detailed reference viewed: 49 (7 ULg) Outcome from status epilepticus after portosystemic shunt attenuation in 3 dogs treated with propofol and phenobarbitalGommeren, Kris ; Claeys, Stéphanie ; et alin Journal of Veterinary Emergency and Critical Care (2010), 20(3), 346-351 OBJECTIVE: To describe outcome of treatment with propofol and phenobarbital for status epilepticus (SE) after portosystemic shunt (PSS) attenuation. CASE OR SERIES SUMMARY: Three dogs without preceding ... [more ▼] OBJECTIVE: To describe outcome of treatment with propofol and phenobarbital for status epilepticus (SE) after portosystemic shunt (PSS) attenuation. CASE OR SERIES SUMMARY: Three dogs without preceding seizure activity, were diagnosed with a single extrahepatic PSS. Following standard preoperative medical therapy, an ameroid constrictor was placed surgically. Recovery was uneventful until spontaneous SE developed 46-96 hours after surgery. After unsuccessful seizure control with benzodiazepines, dogs were treated with a bolus of propofol followed by a propofol constant rate infusion. Phenobarbital was concurrently administered and supportive care was optimized. All dogs recovered uneventfully over the next 7-9 days. Over the following months phenobarbital was slowly tapered. All dogs have been free from antiepileptic drugs for several months, without recurrence of neurologic signs. NEW OR UNIQUE INFORMATION PROVIDED: In this case series, we describe the treatment of 3 dogs with propofol and phenobarbital for refractory SE following attenuation of a single congenital PSS. After weaning of the propofol constant rate infusion, and tapering and discontinuation of phenobarbital over the following months, all dogs experienced a complete recovery. This study provides evidence that use of propofol in combination with phenobarbital may be efficacious for management of SE in dogs after PSS surgery. [less ▲] Detailed reference viewed: 35 (11 ULg) Description of original endoscopic findings and respiratory functional assessment using barometric whole-body plethysmography in dogs suffering from brachycephalic airway obstruction syndrome.Bernaerts, Frederique ; ; Leemans, Jérôme et alin Veterinary Journal (2010), 183(1), 95-102 The clinical features of brachycephalic airway obstructive disease in 11 brachycephalic dogs are described in this study. The respiratory strategy was assessed before (n=11) and after (n=6) surgery using ... [more ▼] The clinical features of brachycephalic airway obstructive disease in 11 brachycephalic dogs are described in this study. The respiratory strategy was assessed before (n=11) and after (n=6) surgery using barometric whole-body plethysmography (BWBP), with the relationship between BWBP variables and the severity of the clinical signs assessed by the use of a respiratory score based on clinical, radiographic and endoscopic findings. Partial collapse of the left main bronchus was a common finding not previously described as part of the brachycephalic airway obstructive disease syndrome. Epiglottic cysts, laryngeal granulomas and nasopharyngeal turbinates in English Bulldogs were other previously unreported findings. No significant correlation between the respiratory score and any of the BWBP variables was detected. Compared to healthy dogs, brachycephalic dogs had a significantly lower Te/Ti ratio (expiratory time over inspiratory time), peak inspiratory flow (PIF) per kg bodyweight (BW), significantly higher peak expiratory flow (PEF) per kgBW, PEF/PIF, and enhanced pause. These variations are compatible with upper airway obstructions primarily in the extrathoracic airways. Following surgery, a significant decrease in PEF/PIF was detected. The study showed that BWBP could be used to characterise the respiratory strategy in brachycephalic dogs before and after surgery. [less ▲] Detailed reference viewed: 56 (19 ULg) |
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