{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,26]],"date-time":"2024-09-26T04:20:49Z","timestamp":1727324449496},"reference-count":5,"publisher":"American Veterinary Medical Association (AVMA)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2024,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>Describe the management of incontinence with several therapies, culminating with the apparently successful treatment utilizing artificial sphincter placement following an inadvertent prostatectomy.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>ANIMAL<\/jats:title>\n<jats:p>5-month-old 7.5-kg male neutered Miniature Schnauzer.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CLINICAL PRESENTATION, PROGRESSION, AND PROCEDURES<\/jats:title>\n<jats:p>The patient was referred for dysuria and persistent stranguria following an iatrogenic total prostatectomy and urethrectomy. An extra pelvic urethral anastomosis was performed, followed by hospitalization for 2 weeks with a urinary catheter. The patient was further investigated for persistent stranguria, and a contrast urethrogram revealed a urethral stricture at the anastomosis site, which was treated with fluoroscopic balloon dilation. The stranguria resolved, but an acute nocturnal grade 3 passive urinary incontinence occurred, which was nonresponsive to medical management of phenylpropanolamine hydrochloride and estriol. An artificial urethral sphincter was placed, leading to continence after 5 top-ups to a total volume of 0.9 mL. The patient remained continent for 5.5 weeks before abrupt incontinence recurred, which was resolved by another 0.1-mL top-up. No further signs of incontinence occurred in the 11 months following.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>TREATMENT AND OUTCOME<\/jats:title>\n<jats:p>The placement of an artificial urethral sphincter successfully managed urinary incontinence in this patient. Continence was achieved with no significant complications other than a transient loss of continence. Long-term follow-up 14 months after sphincter placement revealed that the patient had remained continent since the final sphincter top-up. The owner reported a significant improvement in the patient\u2019s quality of life following successful incontinence management.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CLINICAL RELEVANCE<\/jats:title>\n<jats:p>This case highlighted the benefits of placing an artificial urethral sphincter in managing urinary incontinence after select cases of prostatectomy in dogs that are unresponsive to medical management.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/javma.23.11.0634","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T14:39:33Z","timestamp":1706711973000},"page":"1-5","source":"Crossref","is-referenced-by-count":0,"title":["Placement of an artificial urethral sphincter for treatment of passive urinary incontinence after inadvertent prostatectomy and balloon dilation treatment for stricture formation in a 5-month-old dog"],"prefix":"10.2460","volume":"262","author":[{"given":"Nancy","family":"Qin","sequence":"first","affiliation":[{"name":"Department of Surgery, Animal Referral Centre, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica F.","family":"Romine","sequence":"additional","affiliation":[{"name":"Department of Medicine, Animal Referral Centre, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith","family":"Visser","sequence":"additional","affiliation":[{"name":"Department of Surgery, Animal Referral Centre, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"issue":"1","key":"ref1","series-title":"Acta Vet Scand","first-page":"29","article-title":"Prognostic factors for continence after surgical correction of ectopic ureters of 51 dogs with long-term follow-up","volume":"64","author":"Visser J","year":"2022","unstructured":"Visser J, Fieten H, van Velzen HW, Zaal MD, Kummeling A. Prognostic factors for continence after surgical correction of ectopic ureters of 51 dogs with long-term follow-up. Acta Vet Scand. 2022;64(1):29. doi:10.1186\/s13028-022-00648-9"},{"issue":"5","key":"ref2","series-title":"J Small Anim Pract","first-page":"397","article-title":"Artificial urethral sphincter in male dogs with urethral sphincter mechanism incompetence: 19 cases (2010-2017)","volume":"63","author":"Bohlen M","year":"2022","unstructured":"Bohlen M, Nickel R. Artificial urethral sphincter in male dogs with urethral sphincter mechanism incompetence: 19 cases (2010-2017). J Small Anim Pract. 2022;63(5):397-402. doi:10.1111\/jsap.13473"},{"issue":"11","key":"ref3","series-title":"Compend Contin Educ Vet","first-page":"656","article-title":"Surgical management of common canine prostatic conditions","volume":"29","author":"Freitag T","year":"2007","unstructured":"Freitag T, Jerram RM, Walker AM, Warman CG. Surgical management of common canine prostatic conditions. Compend Contin Educ Vet. 2007;29(11):656-658."},{"issue":"04","key":"ref4","series-title":"Tierarztl Prax Ausg K Kleintiere Heimtiere","first-page":"282","article-title":"Inadvertent iatrogenic prostatectomy and urethrectomy in 2 dogs. Unbeabsichtigte iatrogene Prostatektomie und Urethrektomie bei 2 Hunden","volume":"47","author":"H\u00e4u\u00dfler TC","year":"2019","unstructured":"H\u00e4u\u00dfler TC, Thiel C, Fischer A, Kramer M. Inadvertent iatrogenic prostatectomy and urethrectomy in 2 dogs. Unbeabsichtigte iatrogene Prostatektomie und Urethrektomie bei 2 Hunden. Tierarztl Prax Ausg K Kleintiere Heimtiere. 2019;47(04):282-289. doi:10.1055\/a-0948-7713"},{"issue":"1","key":"ref5","series-title":"J Am Anim Hosp Assoc","first-page":"23","article-title":"Outcomes following balloon dilation of benign urethral strictures in dogs: eight cases (2005-2018)","volume":"56","author":"Gin TE","year":"2020","unstructured":"Gin TE, Secoura P, Harris T, Vaden S. Outcomes following balloon dilation of benign urethral strictures in dogs: eight cases (2005-2018). J Am Anim Hosp Assoc. 2020;56(1):23-29. doi:10.5326\/JAAHA-MS-6935"}],"container-title":["Journal of the American Veterinary Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/262\/4\/javma.23.11.0634.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/262\/4\/javma.23.11.0634.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/262\/4\/javma.23.11.0634.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,25]],"date-time":"2024-09-25T15:26:00Z","timestamp":1727277960000},"score":1,"resource":{"primary":{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/262\/4\/javma.23.11.0634.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,1]]},"references-count":5,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.2460\/javma.23.11.0634","relation":{},"ISSN":["0003-1488"],"issn-type":[{"type":"print","value":"0003-1488"}],"subject":[],"published":{"date-parts":[[2024,4,1]]}}}