{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:54:47Z","timestamp":1787025287995,"version":"build-2736575974"},"reference-count":21,"publisher":"American Veterinary Medical Association (AVMA)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2020,7,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"s001\">\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To compare the durations of surgery and anesthesia and the likelihoods of short- and long-term postoperative complications between cats positioned in sternal recumbency versus dorsal recumbency for perineal urethrostomy (PU).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"s002\">\n                    <jats:title>ANIMALS<\/jats:title>\n                    <jats:p>247 client-owned cats that underwent PU between January 2004 and December 2015 at 6 veterinary teaching hospitals and 1 private veterinary referral hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"s003\">\n                    <jats:title>PROCEDURES<\/jats:title>\n                    <jats:p>Medical records were reviewed, and signalment, presenting complaints, previous history of urethral obstruction or PU, diet fed, medications administered, indication for PU, durations of surgery and anesthesia for PU, suture type and size, suture pattern for skin closure, and short- and long-term postoperative complications were recorded. Univariable and multivariable analyses were performed to identify differences in durations of surgery and anesthesia and the likelihoods of short- and long-term complications between cats positioned in sternal recumbency and those positioned in dorsal recumbency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"s004\">\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Patient position was not associated with durations of surgery and anesthesia for PU, even if a concurrent cystotomy was necessary or the patient required repositioning from sternal to dorsal recumbency. Likewise, patient position was not associated with the likelihood of short- and long-term complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"s005\">\n                    <jats:title>CONCLUSIONS AND CLINICAL RELEVANCE<\/jats:title>\n                    <jats:p>The observed lack of differences in outcomes between sternal and dorsal recumbency suggested that logistic considerations and personal preference can continue to guide veterinarians when positioning cats for PU.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2460\/javma.257.2.176","type":"journal-article","created":{"date-parts":[[2020,6,29]],"date-time":"2020-06-29T08:34:18Z","timestamp":1593419658000},"page":"176-182","source":"Crossref","is-referenced-by-count":8,"title":["Retrospective multicentric study comparing durations of surgery and anesthesia and likelihoods of short- and long-term complications between cats positioned in sternal or dorsal recumbency for perineal urethrostomy"],"prefix":"10.2460","volume":"257","author":[{"given":"Alicia K.","family":"Nye","sequence":"first","affiliation":[{"name":"1Department of Small Animal Medicine and Surgery and Veterinary Health Center, College of Veterinary Medicine, University of Missouri, Columbia, MO 65211."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill K.","family":"Luther","sequence":"additional","affiliation":[{"name":"1Department of Small Animal Medicine and Surgery and Veterinary Health Center, College of Veterinary Medicine, University of Missouri, Columbia, MO 65211."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. A.","family":"Mann","sequence":"additional","affiliation":[{"name":"1Department of Small Animal Medicine and Surgery and Veterinary Health Center, College of Veterinary Medicine, University of Missouri, Columbia, MO 65211."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelley","family":"Thieman Mankin","sequence":"additional","affiliation":[{"name":"2Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX 77843."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidi","family":"Phillips","sequence":"additional","affiliation":[{"name":"3Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana, IL 61821."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelsey J.","family":"Goode","sequence":"additional","affiliation":[{"name":"4Department of Surgery, The Animal Medical Center, New York, NY 10021."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Schwartz","sequence":"additional","affiliation":[{"name":"4Department of Surgery, The Animal Medical Center, New York, NY 10021."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan T.","family":"Squire","sequence":"additional","affiliation":[{"name":"5Matthew J. Ryan Veterinary Hospital, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey J.","family":"Runge","sequence":"additional","affiliation":[{"name":"5Matthew J. Ryan Veterinary Hospital, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth A.","family":"Swanson","sequence":"additional","affiliation":[{"name":"6Department of Clinical Sciences, College of Veterinary Medicine, Mississippi State University, Mississippi State, MS 39762."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle R.","family":"Dugat","sequence":"additional","affiliation":[{"name":"7Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Oklahoma State University, Stillwater, OK 74074."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1272","reference":[{"key":"ref1","series-title":"Vet Clin North Am Small Anim Pract","doi-asserted-by":"publisher","first-page":"917","DOI":"10.1016\/S0195-5616(02)00032-3","article-title":"Perineal urethrostomy","volume":"32","author":"Smith","year":"2002"},{"key":"ref2","series-title":"J Am Vet Med Assoc","first-page":"1789","article-title":"Perineal urethrostomy in cats","volume":"159","author":"Wilson","year":"1971"},{"key":"ref3","series-title":"Mod Vet Pract","first-page":"187","article-title":"Perineal urethrostomy in male cats","volume":"57","author":"Kagan","year":"1976"},{"issue":"4","key":"ref4","series-title":"Todays Vet Pract","first-page":"43","article-title":"Feline perineal urethrostomy ventral approach","volume":"4","author":"Goh","year":"2014"},{"key":"ref5","series-title":"Clin Brief","first-page":"19","article-title":"Perineal urethrostomy in the cat","volume":"5","author":"Tobias","year":"2007"},{"key":"ref6","series-title":"J Feline Med Surg","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1177\/1098612X17709645","article-title":"Effect of intraoperative positioning on the diameter of the vertebral canal in cats during perineal urethrostomy (cadaveric study)","volume":"20","author":"Slunsky","year":"2018"},{"key":"ref7","series-title":"J Feline Med Surg","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1177\/1098612X19838286","article-title":"Evaluation of postoperative complication rates in cats undergoing perineal urethrostomy performed in dorsal recumbency","volume":"22","author":"Watson","year":"2020"},{"key":"ref8","series-title":"J Small Anim Pract","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1111\/j.1748-5827.2005.tb00314.x","article-title":"Retrospective study of indications for and outcome of perineal urethrostomy in cats","volume":"46","author":"Bass","year":"2005"},{"key":"ref9","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1111\/j.1532-950X.1983.tb00746.x","article-title":"Long-term examination of cats with perineal urethrostomy","volume":"12","author":"Gregory","year":"1983"},{"key":"ref10","series-title":"J Am Vet Med Assoc","first-page":"681","article-title":"Prevalence of bacterial urinary tract infection after perineal urethrostomy in cats","volume":"200","author":"Griffin","year":"1992"},{"key":"ref11","series-title":"J Small Anim Pract","doi-asserted-by":"publisher","first-page":"693","DOI":"10.1111\/j.1748-5827.2012.01310.x","article-title":"Short- and long-term outcome after perineal urethrostomy in 86 cats with feline lower urinary tract disease","volume":"53","author":"Ruda","year":"2012"},{"key":"ref12","series-title":"J Feline Med Surg","doi-asserted-by":"publisher","first-page":"481","DOI":"10.1016\/j.jfms.2007.09.002","article-title":"Catheter-induced urethral trauma in cats with urethral obstruction","volume":"9","author":"Corgozinho","year":"2007"},{"key":"ref13","series-title":"J Am Anim Hosp Assoc","first-page":"225","article-title":"Perineal urethrostomy in the cat: a retrospective study of complications","volume":"14","author":"Smith","year":"1978"},{"key":"ref14","series-title":"Am J Vet Res","first-page":"1318","article-title":"Electromyographic and urethral pressure profilometry: long-term assessment of urethral function after perineal urethrostomy in cats","volume":"45","author":"Gregory","year":"1984"},{"key":"ref15","series-title":"J Small Anim Pract","doi-asserted-by":"publisher","first-page":"296","DOI":"10.1111\/j.1748-5827.1991.tb00935.x","article-title":"Perineal urethrostomy versus dietary management in prevention of recurrent lower urinary tract disease","volume":"32","author":"Osborne","year":"1991"},{"key":"ref16","series-title":"Vet Med Small Anim Clin","first-page":"241","article-title":"Perineal hernia in a cat: a possible complication of perineal urethrostomy","volume":"75","author":"Johnson","year":"1980"},{"key":"ref17","series-title":"Vet Clin North Am Small Anim Pract","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1016\/S0195-5616(84)50007-2","article-title":"Perineal urethrostomy: surgical technique and management of complications","volume":"14","author":"Hauptman","year":"1984"},{"key":"ref18","series-title":"Behav Processes","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1016\/j.beproc.2019.05.022","article-title":"Stable individual differences in vocalisation and motor activity during acute stress in the domestic cat","volume":"165","author":"Urrutia","year":"2019"},{"key":"ref19","series-title":"J Vet Sci","doi-asserted-by":"publisher","first-page":"e18","DOI":"10.4142\/jvs.2020.21.e18","article-title":"Feline vocal communication","volume":"21","author":"Tavernier","year":"2020"},{"key":"ref20","series-title":"Vet Clin North Am Small Anim Pract","doi-asserted-by":"publisher","first-page":"533","DOI":"10.1016\/j.cvsm.2007.01.009","article-title":"Evidence-based management of feline lower urinary tract disease","volume":"37","author":"Forrester","year":"2007"},{"key":"ref21","series-title":"J Am Anim Hosp Assoc","doi-asserted-by":"publisher","first-page":"479","DOI":"10.5326\/0400479","article-title":"A simple continuous pattern using absorbable suture for perineal urethrostomy in the cat: 18 cases (2000\u20132002)","volume":"40","author":"Agrodnia","year":"2004"}],"container-title":["Journal of the American Veterinary Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/257\/2\/javma.257.2.176.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/257\/2\/javma.257.2.176.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/257\/2\/javma.257.2.176.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T21:08:27Z","timestamp":1696540107000},"score":1,"resource":{"primary":{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/257\/2\/javma.257.2.176.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,15]]},"references-count":21,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.2460\/javma.257.2.176","relation":{},"ISSN":["0003-1488"],"issn-type":[{"value":"0003-1488","type":"print"}],"subject":[],"published":{"date-parts":[[2020,7,15]]}}}