Cat with rectal-ectopic ureter???

RE: Cat with rectal-ectopic ureter???

TasosX — Sat, 09 Jun 2018 16:30:12 GMT

Coolest surgery ever - Makes u envy human surgeons, feel really bad for the patients with bladder cancer though - prob is they have to catheterize themselves daily as there are no nerves to actually stimulate contraction, can somewhat manage a bit with abdominal muscles. https://www.uclh.nhs.uk/PandV/PIL/Patient%20information%20leaflets/Neobladder.pdf

RE: Cat with rectal-ectopic ureter???

Anthony Todd — Fri, 08 Jun 2018 15:15:44 GMT

[quote user="Martin Atkinson"]a rectal ureter[/quote]

or urethra?

Isn't something like this a salvage procedure for a person with bladder cancer, so able to be coped with?

RE: Cat with rectal-ectopic ureter???

Martin Atkinson — Fri, 08 Jun 2018 14:15:39 GMT

[quote user="Will McMullan"]

Wouldn't a rectal ureter lead to constant ascending infection?

[/quote]That is a concern I have raised with the owner in discussions on further investigation, but so far that has not been an issue.

RE: Cat with rectal-ectopic ureter???

Will McMullan — Fri, 08 Jun 2018 13:31:10 GMT

Wouldn't a rectal ureter lead to constant ascending infection?

RE: Cat with rectal-ectopic ureter???

Martin Atkinson — Thu, 07 Jun 2018 09:05:22 GMT

[quote user="Jill Butterworth"]If you express the bladder, where does the urine stream appear to come from...?[/quote]The penis, there is no apparent leakage from the rectum which should rule out a urethral fistula.

[quote user="Emily Rainbow"]do you have any IV contrast? Might be worth a go![/quote]Yes and that is a plan also may try retrograde urethrogram.

[quote user="David Mills"]I'll wager this cat is normal. [/quote]Probably and it was just a bit on 'bum juice' but it was very odd.

[quote user="Andrew Kent"]What I would say is that these can be challenging to manage so if discovered incidentally in an otherwise normal animal we may be able to just monitor in the first instance.[/quote]That is the current plan, I need to stabilise the asthma first.

They've only had the cat 5 months and its already had Chlamydial conjunctivitis, cat fight wounds, chronic diarrhoea, suspected poisoning for which it was seen at VetsNow, asthma and now this.

RE: Cat with rectal-ectopic ureter???

Andrew Kent — Wed, 06 Jun 2018 21:05:20 GMT

Hi Martin,

We see occasional fistula cases often as part of investigations into recurrent urinary tract infection. These tend to be rectourethral or rectovaginal fistulas more often than ureteral. A decent contrast study should show you.

What I would say is that these can be challenging to manage so if discovered incidentally in an otherwise normal animal we may be able to just monitor in the first instance.

Andy

RE: Cat with rectal-ectopic ureter???

David Mills — Wed, 06 Jun 2018 19:40:36 GMT

I'll wager this cat is normal.

RE: Cat with rectal-ectopic ureter???

Emily Rainbow — Wed, 06 Jun 2018 19:32:52 GMT

do you have any IV contrast? Might be worth a go!

RE: Cat with rectal-ectopic ureter???

Jill Butterworth — Wed, 06 Jun 2018 18:51:11 GMT

If you express the bladder, where does the urine stream appear to come from...?

RE: Cat with rectal-ectopic ureter???

Martin Atkinson — Wed, 06 Jun 2018 18:12:29 GMT

That was the plan. But it has had chronic diarrhoea which hasn't responded to routine treatment and -ve faecal samples so it then made me wonder if there is a substantial amount of urine in the rectum it could be diluting the faeces. Owner has been sent off with an Aerokat and inhalers and instructions to look more carefully at what comes out the back end!

RE: Cat with rectal-ectopic ureter???

Anthony Todd — Wed, 06 Jun 2018 17:59:17 GMT

[quote user="Martin Atkinson"]Any thoughts before contrast studies?[/quote]

Wasn't causing a problem, I assume, so why not fix just the asthma and sort the ectopic, or whatever, if it is, and you have to?