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Partial Resection and Omentalization: A New Technique for Management of Prostatic Retention Cysts in Dogs
Authors:JONATHAN P. BRAY MVSC  MACVSC  CenSAS  MRCVS    RICHARD A.S. WHITE BVetMed  PhD  DSAS  DVR  FRCVS  Diplomate ACVS  Diplomate ECVS   JOHN M. WILLIAMS MA  VetMB  FRCVS
Affiliation:Department of Clinical Veterinary Medicine, University of Cambridge, Cambridge;and the Small Animal Hospital, University of Liverpool, Liverpool, England.
Abstract:Objective- The purpose of this study was to determine the results of a new technique for management of prostatic retention cysts in dogs.
Study Design- A retrospective clinical study.
Animals- Eighteen client-owned dogs.
Methods- Dogs with prostatic retention cysts were treated by celiotomy and drainage of the cysts. The majority of the cyst wall was resected and residual cyst cavities were packed with omentum. All dogs were castrated.
Results- Long-term resolution of clinical signs was achieved in all dogs, with follow-up periods ranging from 6 to 42 months. Five dogs developed urinary incontinence postoperatively. This persisted in two dogs, but was well controlled with phenylpropanolamine. In the remaining dogs, the incontinence was transient and resolved within 2 months of surgery.
Conclusions- Partial cyst resection combined with omentalization and castration was a simple and effective means of managing prostatic retention cysts. The incidence of serious complications, including postoperative urinary incontinence, was low.
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