Case report: Utility, complications, and short-term outcomes in three dogs managed with percutaneous pigtail cystostomy catheters for urethral obstruction

Abstract

Objective: This study aimed to describe the utility, complications, and short-term outcomes of three dogs managed with percutaneous pigtail cystostomy catheters placed in the emergency room (ER). Case summary: Three dogs were presented separately to the ER for unalleviated mechanical urethral obstruction secondary to urolithiasis and urethral neoplasia. Retrograde urinary catheterization and urohydropulsion were not successful after multiple attempts. Percutaneous pigtail cystostomy catheters were placed under sedation to achieve temporary urinary diversion, and were successful in two of the three dogs. Complications encountered include mild abdominal effusion, unsuccessful placement resulting in hemorrhagic abdominal effusion, steatitis, abdominal pain, and kinking of the catheter. The two dogs diagnosed with urolithiasis were discharged from the hospital, and the dog diagnosed with urethral neoplasia was humanely euthanized due to poor prognosis. New or unique information provided: When successful, the placement of pigtail cystostomy catheters allowed for temporary urinary diversion until definitive treatment could be performed and were well tolerated. Short-term outcomes were good. Complications arising from this procedure were common and increased morbidity. The risk of unsuccessful catheter placement may be increased when the procedure is performed in an over conditioned patient or by an inexperienced operator. Careful case selection and risk–benefit analysis should be considered before attempting this procedure. Further studies are necessary to evaluate the ideal technique, incidence of complications, and outcomes of this procedure.