Cystotomy in 5 Years Old Cat - Urolithiasis

Bladder stones, or uroliths, are a common cause of urinary tract disease in both dogs and cats. These mineralized formations can irritate the bladder wall, obstruct urine flow, and can lead to potentially life-threatening complications

Bladder stones form from the crystallization of minerals in the urine

Several types exist, with struvite and calcium oxalate being the most common in small animals

Struvite stones are often associated with urinary tract infections in dog

Calcium oxalate stones tend to form in sterile urine and are more likely to recur


History

Diagnostics

Treatment

A 5 years old cat presented for recurrent hematuria - vocalization - frequent visits to the litter - dysuria - straining to urinate recurrent cystitis previous medical treatment attempts failed

Abdominal Radiographs: Single large radiopaque urolith visible in the bladder

Ultrasound: Confirmed bladder stone, no evidence of renal involvement or ureteral obstruction

Cystotomy is the surgical option for treatment and indicated when :

Stones are too large or numerous to pass

Medical dissolution fails or is not appropriate (e.g., with calcium oxalate stones)

There is a urethral obstruction

Recurring infections are associated with stones

Immediate relief of obstruction or discomfort is necessary

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Ultrasound of UB Stone measuring approximately 1 cm

صورة المعرض

surgical incision : ventral midline from the umbilicus to the pelvis

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Trimming excess fat for better visualization

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Linea alba angled stapp incision with ventral attraction avoiding any injury

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Expanding the incision to the needed length

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Surgical field is ready for exploration and exteriorizing the UB

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UB exteriorized and isolated to prevent any unwanted contamination

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UB Stapp incision at the opposite side of the ventral abdominal floor

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Stone removal

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lavage is made to remove any residual then primary suture layer

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the second layer with buried suturing technique

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stone extracted measuring 1 cm

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RECENT SURGICAL PROCEDURES

.

Soft Tissue Sarcoma

.

Chronic Rhinosinusitis

.

C5–C6 Ventral Slot Surgery

.

Mandibular Sialedectomy

.

Cutaneous Histiocytoma

.

Cystotomy - Urolithiasis

.

Adenocarcinoma

.

Massive inguinal hernia

.

Gastrotomy - Foreign Body

Explore Our New uploads

RECENT SURGICAL PROCEDURES

.

Soft Tissue Sarcoma

.

Chronic Rhinosinusitis

.

C5–C6 Ventral Slot Surgery

.

Mandibular Sialedectomy

.

Cutaneous Histiocytoma

.

Cystotomy - Urolithiasis

.

Adenocarcinoma

.

Massive inguinal hernia

.

Gastrotomy - Foreign Body