Scientific Journal

Scientific Journal of the Hellenic Companion Animal Veterinary Society (HCAVS)

 

Urethral disruption due to prostatic abscess in a dog diagnosed by contrast-enhanced voiding urosonography (CE-VUS)


Trikoupi G. DVM, MSc, PhD Student, Companion Animal Clinic, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Papadopoulou P. DVM, PhD, Assistant Professor, Companion Animal Clinic, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Adamama-Moraitou A. DVM, PhD, Professor, Companion Animal Clinic, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Patsikas M. DVM, DM, PhD, Professor, Companion Animal Clinic, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece

Introduction

The aim of this case report was to present the utility of CE-VUS as an alternative, easy-to-perform and radiation-free imaging technique in the diagnosis of urethral disruption due to prostatic abscess in a dog.

Clinical case

An 8-year-old, 30 kg, intact male, mixed breed dog was presented with a history of depression and urinary incontinence. The dog received antibiotic therapies with temporary improvement.

Results

On physical examination abdominal pain, enlarged prostatic gland, and elevated body temperature were revealed. Complete blood count and biochemical analysis, urinalysis, urine culture, plain radiographs, and ultrasonography were performed, and a prostatic abscess was suspected. A urethral catheter was placed in the proximal part of the urethra under aseptic conditions and a CE-VUS examination was performed. During the CE-VUS examination, a second-generation ultrasound contrast agent was used, consisting of echogenic microbubbles. The contrast agent was infused via the transurethral catheter into the proximal urethra. Leakage of the contrast agent into the prostatic abscess cavity was detected. These findings set the diagnosis of urethral disruption due to prostatic abscessation.

Conclusions

CE-VUS is a valuable technique to evaluate urethra integrity in dogs. Based on our review of the literature, there are no published reports about the use of this method in dogs.

References

  • Trikoupi G, Papadopoulou P, Papadopoulou F, Theodoridis A, Papazoglou L, Patsikas M (2020) Contrast-enhanced voiding urosonography: A new, radiation-free, alternative method for imaging of urinary bladder and urethra in healthy dogs. Vet Radiol Ultrasound, 1–8.
  • Bokemeyer J, Peppler C, Thiel C, Failing K, Kramer M, Gerwing M (2011) Prostatic cavitary lesions containing urine in dogs. JSAP 52, 132–138.
  • Christensen B (2018) Canine Prostate Disease. Vet Clin Small Anim. 48, 701–719.
  • Boland L, Hardie R, Gregory S, Lamb C (2003) Ultrasound-Guided Percutaneous Drainage as the Primary Treatment for Prostatic Abscesses and Cysts in Dogs. JAHA 39, 151–159.

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