
Procedure
This minimally invasive procedure is performed under anesthesia. Using a cystoscope, a laser fiber is used to open up the membrane separating the ectopic ureter(s) from the urethra, so both ureters then open in the bladder.
Indications
Intramural (tunneling) ectopic ureters in dogs. It can be difficult to determine without cystoscopy if the ureter(s) are tunneling and therefore suitable for laser ablation, or if surgical correction is required.
Patient eligibility (species, size, gender)
Female dogs >5 kg/11 lbs. Male dogs >8 kg / 18 lbs; access to the ureter may require an additional procedure.
Cost
$2000-2500 in females; $2000-4000 in males. Pre-operative evaluation may be necessary (labwork, urine culture, etc.) and will incur additional costs.
Length of stay
24 hours post-procedure to monitor urination.
Complications
The biggest complication is bladder perforation (uncommon, and manageable).
Anticipated outcome
Although most dogs are significantly improved after correction of the ectopic ureter(s), medical therapy or additional interventions (such as urethral bulking injections) may be needed to achieve continence.
Contact
If you have any question please contact the Texas A&M Interventional Radiology & Endoscopy Service via email at guidewire@cvm.tamu.edu or by phone at 979-845-2351