Evidence map›Paper›PMID 38750407›Full record

ArticleJournal of veterinary internal medicine

Placement of an artificial urethral sphincter in 8 male dogs with urethral diverticulum.

Geoffrey Neumann, Catherine Vachon, William T N Culp, Carrie Palm, Julie K Byron, Joanna Pogue, Marilyn Dunn

Abstract readMulticenter Study
In one paragraph

Article in Journal of veterinary internal medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Geoffrey NeumannDepartment of Clinical Sciences, School of Veterinary Medicine, University of Montreal, Saint-Hyacinthe, Quebec, Canada.ORCID https://orcid.org/0000-0001-9155-0910
Catherine VachonDepartment of Clinical Sciences, School of Veterinary Medicine, University of Montreal, Saint-Hyacinthe, Quebec, Canada.
William T N CulpDepartment of Veterinary Surgical and Radiological Sciences, UC Davis Veterinary Medicine, Davis, California, USA.ORCID https://orcid.org/0000-0001-6132-156X
Carrie PalmDepartment of Veterinary Surgical and Radiological Sciences, UC Davis Veterinary Medicine, Davis, California, USA.ORCID https://orcid.org/0000-0003-1445-5113
Julie K ByronDepartment of Veterinary Clinical Sciences, Ohio State University, Columbus, Ohio, USA.
Joanna PogueDepartment of Veterinary Clinical Sciences, Ohio State University, Columbus, Ohio, USA.
Marilyn DunnDepartment of Clinical Sciences, School of Veterinary Medicine, University of Montreal, Saint-Hyacinthe, Quebec, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrethral diverticulum (UD) is a poorly defined anomaly consisting of an outpouching of the urethra. Management without surgical resection is not previously reported in dogs. HYPOTHESIS/

objectivesReport the outcome of male dogs presented for urinary incontinence with UD treated with an artificial urethral sphincter (AUS). ANIMALS: Eight client-owned dogs with UD treated with an AUS.

methodsMulticenter retrospective study. Medical records from male dogs with urinary incontinence were reviewed. INCLUSION CRITERIA: diagnosis of a UD by retrograde cystourethrography, cystoscopy, abdominal ultrasonography or contrast computed tomodensitometry (CT) or a combination of these modalities, AUS placement, and at least 1 follow-up. Urinary continence score (UCS) was attributed retrospectively.

resultsMedian UCS at presentation was 1/5. A contrast cystourethrogram was diagnostic in 8/8 dogs. All diverticula were saccular, and 7/8 were within the prostatic urethra and 1/8 extended up to the membranous urethra. A congenital origin was suspected in 7 dogs and acquired in 1. Concurrent anomalies included renal dysplasia or chronic pyelonephritis (n = 4), bilateral cryptorchidism (n = 3), and pelvic urinary bladder (n = 3). All dogs were poorly/moderately responsive to phenylpropanolamine. Artificial urethral sphincter placement resulted in improvement in continence in all dogs with a median UCS of 4/5 (5/5 in 2/8 dogs, 4/5 in 5/8 dogs, 3/5 in 1/8 dogs).

conclusionUrethral diverticulum should be considered in male dogs with persistent urinary incontinence not responding to medical management. Artificial urethral sphincter placement is an effective therapeutic option that improved continence scores in all dogs.

Indexed as

DiverticulumDog DiseasesUrethral DiseasesUrinary Sphincter, ArtificialAnimalsDogsMaleRetrospective StudiesUrinary Incontinencecanineincontinenceoccluderurinary tract

Identifiers

PMID38750407
PMCPMC11256159

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.