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Approccio clinico alle patologie prostatiche nel cane: Quali sono e come fare diagnosi (Clinical approach for prostatic disease in the dog: Which are and how to do diagnosis)
No full textNella pratica ambulatoriale le patologie prostatiche si osservano frequentemente,
soprattutto in cani anziani. Tra tutte le patologie prostatiche la più
frequente è rappresentata dall’iperplasia prostatica benigna, seguita dalle
prostatiti, dai tumori prostatici e dalla metaplasia squamosa. Tali patologie
non presentano una sintomatologia patognomonica rendendo pertanto difficile
ottenere una diagnosi specifica. È quindi importante effettuare una visita
clinica accurata, non solo al fine di stabilire il miglior protocollo diagnostico
con lo scopo di impostare la terapia più idonea, ma anche per eseguire una
buona prevenzione dove possibile. Lo scopo di questo lavoro è quello di
descrivere l’eziopatogenesi delle patologie prostatiche, i vari sintomi correlati
e le tecniche diagnostiche più appropriate al fine impostare il processo
diagnostico più adeguato al caso.In small animal practice, prostatic diseases are encountered frequently, especially in old dogs. The most common prostatic disease is the benign prostatic hyperplasia followed by prostatitis, prostatic neoplasia and prostate squamous metaplasia. These diseases do not have pathognomonic symptoms, and that makes difficult to do an exact diagnosis. It is therefore important to perform an accurate clinical examination, not just for the purpose of establish the best diagnostic protocol, in order to begin the most appropriate treatment, but also for doing a good prophylaxis where it is possible. The aim of these paper is to lay down the most appropriate diagnostic process describing the aetiologies of prostatic disease, their symptom and the right investigative tools
Total Perineal Prostatectomy: A Retrospective Study in Six Dogs
Get PDFPerineal hernia refers to the herniation of pelvic and abdominal viscera into the subcu-taneous perineal region through a pelvic diaphragm weakness: a concomitant prostatic disease is observed in 25–59% of cases. Prostatectomy involves the removal of the prostate, either partially (partial prostatectomy) or completely (total prostatectomy). In case of complicated perineal hernia, staged procedures are recommended: celiotomy in order to perform colopexy, vasopexy, cystopexy, and/or to treat the prostatic disease, and perineal access in order to repair the perineal hernia. Very few reports relate prostatectomy using a perineal approach and, to the extent of the author’s knowl-edge, this technique has not been thoroughly investigated in the literature. The aim of this article is to retrospectively describe the total perineal prostatectomy in dogs presenting perineal hernia with concomitant prostatic diseases which required the removal of the gland. The experience in six dogs (three dogs with the prostate within hernial contents and three dogs with intrapelvic prostate) is reported as well as advantages, disadvantages, and limitations of the surgical procedure. In the authors’ clinical practice, total perineal prostatectomy has been a useful surgical approach to canine prostatic diseases, proven to be safe, well tolerated, and effective
Effect of medetomidine and dexmedetomidine administration at different dosages on cat semen quality using Urethral Catheterization after Pharmacological Induction (Ur.Ca.PI)
No full textPartial Vaginectomy, Complete Vaginectomy, Partial Vestibule-Vaginectomy, Vulvo-Vestibule-Vaginectomy and Vulvo-Vestibulectomy: Different Surgical Procedure in Order to Better Approach Vaginal Diseases
Get PDFTotal or partial vulvo-vaginectomy or vaginectomy are not routinely performed due to the complexity of the techniques and because they are considered radical treatments. Little information can be found in the literature, as the same technique is often named in a different way by different authors, confusing the reader. Therefore, the aim of this essay is to describe five different surgical techniques: partial vaginectomy, complete vaginectomy, partial vestibule-vaginectomy, vulvo-vestibule-vaginectomy and vulvo-vestibulectomy. All techniques are described on the basis of the correct identification of the anatomical nomenclature related to structures involved in surgery, in order to give a more precise and unambiguous description and execution of surgical techniques. Moreover, possible intraoperative and perioperative complications and the authors’ clinical experience in 33 dogs are described. All techniques are well tolerated and could be curative in case of benign or malignant tumours that have not yet metastasized and palliative in other cases. Moreover, they are also useful for therapeutic purposes for chronic vaginitis, severe vaginal cysts or congenital abnormalities. It is our opinion that having five different available techniques to approach vaginal disease is useful to perform the best surgery according to the clinical findings, patient’s characteristics, technique invasiveness and whether it is palliative or not
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