Reference : Acquired urinary incontinence in the bitch: Update and perspectives from human medicine....

	Document type :	Scientific journals : Article
	Discipline(s) :	Life sciences : Veterinary medicine & animal health
	To cite this reference:	http://hdl.handle.net/2268/28474

Title :	Acquired urinary incontinence in the bitch: Update and perspectives from human medicine. Part 3: The urethral component and surgical treatment.
Language :	English
Author, co-author :	Claeys, Stéphanie [Université de Liège - ULg > Département clinique des animaux de compagnie et des équidés > Chirurgie des animaux de compagnie > >]
	Noël, Stéphanie [Université de Liège - ULg > Département clinique des animaux de compagnie et des équidés > Chirurgie et clinique chirurgicale des petits animaux > >]
	Hamaide, Annick [Université de Liège - ULg > Département clinique des animaux de compagnie et des équidés > Chirurgie des animaux de compagnie > >]
Publication date :	2010
Journal title :	Veterinary Journal
Publisher :	Elsevier
Volume :	186
Pages :	25-31
Audience :	International
ISSN :	1090-0233
Keywords :	[en] Urethral sphincter mechanism incompetence ; Colposuspension ; Sub-urethral sling ; Dog ; Urinary incontinence
Abstract :	[en] Urethral sphincter mechanism incompetence (USMI) is the most common cause of urinary inence in dogs. Surgery may be recommended if the animal does not respond to medical treatment or becomes refractory. In this third part of a three-part review, surgical options for the treatment of USMI are described. Colposuspension is the most frequently described procedure and offers a fair prognosis, with about 50% of the dogs being continent after surgery and most of the reminder being improved or more responsive to medical treatment. Urethropexy offers a similar success rate, but with a higher rate of complications. Endoscopic injection of collagen is an attractive technique due to its minimally invasive nature and low risk of adverse effects. Initial results may however deteriorate with time. Other procedures have been reported, but involve a low number of cases and have resulted in variable success rates. In women, stress urinary incontinence is mainly treated by minimally invasive procedures involving vaginal placement of sub-urethral slings.
Target :	Professionals ; Students
Permalink :	http://hdl.handle.net/2268/28474
DOI :	10.1016/j.tvjl.2009.10.002

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