Percutanous urinary catheters?

Re: Percutanous urinary catheters?

Nick Shackleton — Mon, 09 May 2011 12:12:04 GMT

here is the info i have got:

the retriever had bladder dysynergia following uterine neoplasia removal and this was a cystostomy tube placed surgically. We used a foley catheter, taken through the abdominal wall and then a purse string placed in bladder and foley inflated in bladder. Bladder is then pexied to abdo wall and abdomen closed – whether midline or flank approach. You can purchase low profile cytsostomy tubes for longterm use , but we did not get this far. Most cystostomy tubes are placed for temporary use for urinary diversion, although permanent ones can be used and changed periodically for terminal bladder / urethral neoplasia or dysynergia conditions.

Sounds like the cat needs a urinary diversion in the form of a temporary cystostomy tube if the urethra cannot be catheterised? You would need a small foley catheter – ideally 6-8fr with a 3-5ml bulb inflated with saline.

Re: Percutanous urinary catheters?

Gillian Mostyn — Thu, 05 May 2011 22:29:45 GMT

There is an article in this week's vet times about tail pull injuries in cats that discusses use and placement of these....

Re: Percutanous urinary catheters?

Hannah25uk — Thu, 05 May 2011 22:14:13 GMT

Thanks for your replies if anyone knows where we can get hold of one, that would be great.

Re: Percutanous urinary catheters?

sisterscope1 — Thu, 05 May 2011 20:43:33 GMT

Have seen a few of these in my time, usually initially managed with a silicone foley until the stoma forms and then replaced for a low profile cystostomy tubes. Paediatric suprapubic drainage systems should be ok for your patient.

Re: Percutanous urinary catheters?

Nick Shackleton — Thu, 05 May 2011 19:40:00 GMT

done a bit of google and from what a can see you need to try and get hold of a suprapubic catheter. this is what they use in the human field. will keep you posted.

Re: Percutanous urinary catheters?

Nick Shackleton — Thu, 05 May 2011 19:15:38 GMT

Email sent!

Re: Percutanous urinary catheters?

Hannah25uk — Thu, 05 May 2011 19:13:28 GMT

Thanks muchly that would be great

Re: Percutanous urinary catheters?

Nick Shackleton — Thu, 05 May 2011 19:09:55 GMT

Yeah at my old place we had a retriever in that had a urethral tumour so we placed one will email my old soft tissue surgeon and see what she comes back with