07 - Urinary Incotinence Flashcards Preview

00-01-28: urinary dz > 07 - Urinary Incotinence > Flashcards

Flashcards in 07 - Urinary Incotinence Deck (6)
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1
Q

(urinary incontinence)

  1. more common in dogs or cats?
  2. causes = anatomic and functional defects of the bladder and urethra (bladder pressure greater than urethral pressure)
A
  1. dogs
2
Q

(Primary sphincter mechanism incompetence - PMSI)

  1. aka idiopathic/hormone responsive incotinence
  2. typically occurs in what?
  3. see decreases in what two things?
  4. dx?
  5. most common tx?
A
  1. spayed female dogs
  2. maximal urethral closure pressure and functional urethral length
  3. usually dx by exclusion
  4. phenylpropanolamine (^ urethral tone) best
3
Q

(ureteral ectopia)

  1. ectopic ureters much higher incidence in female or male dogs?
  2. Cx?
  3. dx?
  4. are ectopic ureters usually uni or bi?
A
  1. females
  2. variable incontinence, history of urinary incontinence to time of weaning, UTI
  3. intravenous pyelography, pos contrast vaginography, urethrocytoscopy
  4. bi (90%)
4
Q

(ureteral ectopia)

(tx)

  1. surgical correction is based on the location of the ectopic ureter and associated pathology
  2. can do ureteral reimplantation, remove bad kidney and ureter
A
5
Q

(detrussor-urethral dyssynergia)

  1. what is this?
  2. often idiopathic
  3. occurs in what kinds of dogs?
  4. tx?
A
  1. urethra fails to relax when the detrussor is contracting (excessive smooth musc or somatic tone)
  2. large male dogs
  3. phenoxybenzamine (a-adrenergic antagonist)
6
Q

(patent urachus)

  1. if urachus fails to close by birth, urine leaks from near the umbilicus
A