Partial cystectomy for urinary bladder neoplasia: surgical technique and outcome in 11 dogs.
Partial cystectomy was performed in 11 dogs with bladder neoplasia (10 with transitional cell carcinoma and one with rhabdomyosarcoma). Between 40 and 70 per cent of the bladder was excised during the partial cystectomies. In eight dogs, all the grossly visible tumour was excised but on histopathological examination of the excised tissue, neoplastic tissue was found to extend to the surgical margins in four of these dogs. A ureteral stoma was excised with the tumour in four dogs necessitating ureteral reimplantation; one dog had both ureteral stomas excised and bilateral ureteral reimplantation. The bladder incision dehisced in two dogs, necessitating a second surgery. Six dogs were pollakiuric after surgery. Pollakiuria resolved within two months in four dogs and persisted in two dogs. None was incontinent. Local tumour recurrence was suspected in nine dogs based on imaging studies and confirmed in five dogs during post mortem examination. Five dogs were euthanased two to seven months after surgery. Six dogs survived at least one year, two of these dogs remain alive at 17 and 27 months after surgery. It is concluded that partial cystectomy may provide local control of bladder neoplasia.
Stone
E A
EA
Department of Companion Animal and Special Species Medicine, College of Veterinary Medicine, North Carolina State University, Raleigh 27606, USA.
George
T F
TF
Gilson
S D
SD
Page
R L
RL
D000818:Animals; D002295:Carcinoma, Transitional Cell / Q000503:physiopathology / Q000601:surgery / Q000662:veterinary*; D015653:Cystectomy / Q000379:methods / Q000662:veterinary*; D004283:Dog Diseases / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D004285:Dogs; D005260:Female; D008297:Male; D012208:Rhabdomyosarcoma / Q000503:physiopathology / Q000601:surgery / Q000662:veterinary*; D016896:Treatment Outcome; D001749:Urinary Bladder Neoplasms / Q000503:physiopathology / Q000601:surgery / Q000662:veterinary*