Single stage BMG urethroplasty and perineal urethrostomy
showed a lower fistula rate at 0.0%, and 0.0%, respectively (p=0.002).
A perineal urethrostomy
in the scrotal area of male dogs may be done if there is serious damage to the penile area and the penile urethra.
Depending on where the rupture occurred, a perineal urethrostomy
, with removal of the distal urethra and the penis, may be required.
Time to achieve each intraoperative step were recorded as follows: T1--from skin incision until manipulation of the abdominal urethra; T2--dissection of urethra until exposure; T3--exposure of the abdominal urethra until fixation of the urethra to the abdominal wall; T4--From transection of the urethra to urethra/ skin suture; T5--time of pneumoperitoneum, which represents the time used for exposure of the urethra and inspection of the urethrostomy
at the end of the procedure.
is performed to allow for bladder emptying.
The surgical techniques used include penile transaction with urethral fistulation (Hussain and Moulvi, 1986), pelvic urethrostomy
(Ravi Kumar and Shridhar, 2003), percutaneous tube cystotomy (Streeter et al., 2002) and bladder marsupialization (May et al., 1998).
After wound closure and perineal urethrostomy
, patient was sent to medical floor where he was found putting his finger in the stoma resulting in wound infection for which intravenous and topical antibiotics were started.
Cystogram was done to assess the possibility of perineal urethrostomy
to place the urinary diversion after resection (Figure 3).
Emadi, "Permanent urethrostomy
for treatment of caprine hypospadias," American Journal of Animal and Veterinary Sciences, vol.
Some authors recommend no therapy for asymptomatic cases.11 However incontinence obstructive symptoms double micturation recurrent infection and cosmetic concerns are among indications for surgery.12 Treatment options for UD include follow-up without a specific therapy urethral dilatation perineal urethrostomy
urethrourethrostomy and surgical operations such as urethroplasty surgery using buccal mucosal or tubularized grafts.13 In cases where reconstructive surgery is planned a cystoscopy should definitely be performed to assess functional urethra and sphincteric mechanism.
Clinical examination and CT of the abdomen up to 3 years postoperatively showed no local recurrence or distant metastases and a functional perineal urethrostomy
In both cases, permanent penile urethrostomy
and diverticulectomy was performed in the region of the defect.