{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T05:54:38Z","timestamp":1790834078222,"version":"4.1.0"},"reference-count":21,"publisher":"American Veterinary Medical Association (AVMA)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2019,4,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec id=\"s001\">\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>To describe postobstructive diuresis (POD) in cats undergoing surgical placement of ureteral stents or subcutaneous ureteral bypass systems for treatment of ureteral obstruction in cats and to identify factors associated with duration and maximum severity of POD.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s002\">\n<jats:title>DESIGN<\/jats:title>\n<jats:p>Retrospective case series.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s003\">\n<jats:title>ANIMALS<\/jats:title>\n<jats:p>37 client-owned cats with ureteral obstruction treated between August 2010 and December 2014.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s004\">\n<jats:title>PROCEDURES<\/jats:title>\n<jats:p>Medical records were reviewed, and data extracted included signalment, history, results from physical examinations and clinical laboratory analyses, treatment, urine output, and outcome. Data were evaluated to identify factors associated with POD duration and maximum severity, alone or in combination.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s005\">\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Serum concentrations of creatinine, potassium, phosphorus, and BUN before surgery positively correlated with duration and maximum severity of POD. Absolute changes in serum concentrations of creatinine, potassium, and BUN from before surgery to after surgery positively correlated with POD duration. Cats with anuria before surgery had longer POD than did other cats; however, there was no difference in POD duration or maximum severity with unilateral versus bilateral ureteral obstruction. Thirty-four of 37 (92%) cats survived to hospital discharge, which was not associated with whether ureteral obstruction was unilateral or bilateral. Azotemia resolved in 17 of the 34 (50%) cats that survived to hospital discharge.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s006\">\n<jats:title>CONCLUSIONS AND CLINICAL RELEVANCE<\/jats:title>\n<jats:p>Results of the present study indicated that several factors were associated with POD duration and maximum severity, alone or in combination, and that with intensive management of fluid and electrolyte derangements, regardless of the extent of the original azotemia, a high percentage of cats survived to hospital discharge.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/javma.254.8.944","type":"journal-article","created":{"date-parts":[[2019,4,2]],"date-time":"2019-04-02T14:55:29Z","timestamp":1554216929000},"page":"944-952","source":"Crossref","is-referenced-by-count":7,"title":["Factors associated with postobstructive diuresis following decompressive surgery with placement of ureteral stents or subcutaneous ureteral bypass systems for treatment of ureteral obstruction in cats: 37 cases (2010\u20132014)"],"prefix":"10.2460","volume":"254","author":[{"given":"Ingrid M.","family":"Balsa","sequence":"first","affiliation":[{"name":"1Department of Surgical and Radiological Sciences, University of California-Davis, Davis, CA 95616."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William T. N.","family":"Culp","sequence":"additional","affiliation":[{"name":"1Department of Surgical and Radiological Sciences, University of California-Davis, Davis, CA 95616."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie A.","family":"Palm","sequence":"additional","affiliation":[{"name":"2Department of Medicine and Epidemiology, University of California-Davis, Davis, CA 95616."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Hopper","sequence":"additional","affiliation":[{"name":"1Department of Surgical and Radiological Sciences, University of California-Davis, Davis, CA 95616."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian T.","family":"Hardy","sequence":"additional","affiliation":[{"name":"2Department of Medicine and Epidemiology, University of California-Davis, Davis, CA 95616."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel G.","family":"Ben-Aderet","sequence":"additional","affiliation":[{"name":"3School of Veterinary Medicine, University of California-Davis, Davis, CA 95616."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp D.","family":"Mayhew","sequence":"additional","affiliation":[{"name":"1Department of Surgical and Radiological Sciences, University of California-Davis, Davis, CA 95616."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth J.","family":"Drobatz","sequence":"additional","affiliation":[{"name":"4Department of Clinical Studies\u2013Philadelphia, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1272","reference":[{"key":"ref1","series-title":"Kidney Int","doi-asserted-by":"publisher","first-page":"414","DOI":"10.1038\/ki.1983.36","article-title":"Pathophysiology of obstructive nephropathy","volume":"23","author":"Klahr","year":"1983"},{"key":"ref2","series-title":"J Am Geriatr Soc","doi-asserted-by":"publisher","first-page":"925","DOI":"10.1111\/j.1532-5415.1970.tb02570.x","article-title":"Post-obstructive diuresis: a review","volume":"18","author":"Narins","year":"1970"},{"key":"ref3","series-title":"Nephrol Dial Transplant","doi-asserted-by":"publisher","first-page":"1991","DOI":"10.1093\/ndt\/gfh953","article-title":"Massive post-obstructive diuresis in a patient with Burkitt's lymphoma","volume":"20","author":"Atamer","year":"2005"},{"key":"ref4","series-title":"J Am Vet Med Assoc","doi-asserted-by":"publisher","first-page":"937","DOI":"10.2460\/javma.2005.226.937","article-title":"Management and outcome of cats with ureteral calculi: 153 cases (1984\u20132002)","volume":"226","author":"Kyles","year":"2005"},{"key":"ref5","series-title":"J Vet Intern Med","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1111\/j.1939-1676.2011.0679.x","article-title":"Feline ureteral strictures: 10 cases (2007\u20132009)","volume":"25","author":"Zaid","year":"2011"},{"key":"ref6","series-title":"J Am Vet Med Assoc","doi-asserted-by":"publisher","first-page":"932","DOI":"10.2460\/javma.2005.226.932","article-title":"Clinical, clinicopathologic, radiographic, and ultrasonographic abnormalities in cats with ureteral calculi: 163 cases (1984\u20132002)","volume":"226","author":"Kyles","year":"2005"},{"key":"ref7","series-title":"J Vet Intern Med","doi-asserted-by":"publisher","first-page":"828","DOI":"10.1111\/j.1939-1676.2006.tb01793.x","article-title":"Dried solidified blood calculi in the urinary tract of cats","volume":"20","author":"Westropp","year":"2006"},{"key":"ref8","series-title":"J Urol","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1016\/S0022-5347(17)66942-8","article-title":"Post-obstructive diuresis","volume":"114","author":"Baum","year":"1975"},{"key":"ref9","series-title":"J Feline Med Surg","doi-asserted-by":"publisher","first-page":"606","DOI":"10.1016\/j.jfms.2010.03.004","article-title":"Retrospective study to characterize post-obstructive diuresis in cats with urethral obstruction","volume":"12","author":"Francis","year":"2010"},{"key":"ref10","series-title":"J Feline Med Surg","doi-asserted-by":"publisher","first-page":"809","DOI":"10.1177\/1098612X15594842","article-title":"Postobstructive diuresis in cats with naturally occurring lower urinary tract obstruction: incidence, severity and association with laboratory parameters on admission","volume":"18","author":"Fr\u00f6hlich","year":"2016"},{"key":"ref11","series-title":"J Vet Emerg Crit Care (San Antonio)","doi-asserted-by":"publisher","first-page":"275","DOI":"10.1111\/j.1476-4431.2001.tb00066.x","article-title":"Evaluation of abdominal fluid: peripheral blood creatinine and potassium ratios for diagnosis of uroperitoneum in dogs","volume":"11","author":"Schmiedt","year":"2001"},{"key":"ref12","series-title":"BJU Int","doi-asserted-by":"publisher","first-page":"E1027","DOI":"10.1111\/j.1464-410X.2012.11193.x","article-title":"Severe post-renal acute kidney injury, post-obstructive diuresis and renal recovery","volume":"110","author":"Hamdi","year":"2012"},{"key":"ref13","series-title":"Clin J Am Soc Nephrol","doi-asserted-by":"publisher","first-page":"135","DOI":"10.2215\/CJN.05760513","article-title":"Collecting duct principal cell transport processes and their regulation","volume":"10","author":"Pearce","year":"2015"},{"key":"ref14","series-title":"Textbook of veterinary internal medicine","first-page":"156","article-title":"Polyuria and polydipsia","author":"Feldman","year":"2010"},{"key":"ref15","series-title":"J Am Anim Hosp Assoc","doi-asserted-by":"publisher","first-page":"149","DOI":"10.5326\/JAAHA-MS-5868","article-title":"2013 AAHA\/AAFP fluid therapy guidelines for dogs and cats","volume":"49","author":"Davis","year":"2013"},{"key":"ref16","series-title":"Vet Anaesth Analg","doi-asserted-by":"publisher","first-page":"570","DOI":"10.1111\/vaa.12250","article-title":"Retrospective study of the perioperative management and complications of ureteral obstruction in 37 cats","volume":"42","author":"Garcia de Carellan Mateo","year":"2015"},{"key":"ref17","series-title":"J Feline Med Surg","doi-asserted-by":"publisher","first-page":"985","DOI":"10.1177\/1098612X14531763","article-title":"Feline double pigtail ureteric stents for management of ureteric obstruction: short- and long-term follow-up of 26 cats","volume":"16","author":"Kulendra","year":"2014"},{"key":"ref18","series-title":"J Am Vet Med Assoc","doi-asserted-by":"publisher","first-page":"559","DOI":"10.2460\/javma.244.5.559","article-title":"Technical and clinical outcomes of ureteral stenting in cats with benign ureteral obstruction: 69 cases 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The role of circulating natriuretic and diuretic factors, including urea","volume":"56","author":"Harris","year":"1975"},{"key":"ref21","series-title":"Nephron","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1159\/000183293","article-title":"Factors inducing post-obstructive diuresis in rats","volume":"38","author":"Sophasan","year":"1984"}],"container-title":["Journal of the American Veterinary Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/254\/8\/javma.254.8.944.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/254\/8\/javma.254.8.944.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/254\/8\/javma.254.8.944.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T00:34:33Z","timestamp":1696552473000},"score":1,"resource":{"primary":{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/254\/8\/javma.254.8.944.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,15]]},"references-count":21,"journal-issue":{"issue":"8"},"URL":"https:\/\/doi.org\/10.2460\/javma.254.8.944","relation":{},"ISSN":["0003-1488"],"issn-type":[{"value":"0003-1488","type":"print"}],"subject":[],"published":{"date-parts":[[2019,4,15]]}}}