Ferlemis D. DVM, Freelancer, MoVet Animal Hospital, Athens
Bogogiannidou M. DVM, Trained at the Department of Ophthalmology, Surgery and Obstetrics Unit, Companion Animal Clinic, Department of Veterinary Medicine, Faculty of Health Sciences, A.U.Th., Freelancer, MoVet Animal Hospital, Athens
Pantelaki A.K. DVM, Freelancer, MoVet Animal Hospital, Athens
Karavanis E. DVM, PhD, Histopathologist, Freelancer, Thessaloniki
Introduction
This communication presents a case of profuse urinary bladder bleeding treated successfully using Holmium Laser in a dog.
Clinical case
A 10-year-old dog presented with haematuria. During cystoscopy, lesions projecting into the lumen of the proximal urethra, a rough texture in the urethral mucosa, and the appearance of a mild inflammation with petechiae in the urinary bladder were noticed. Biopsies were obtained and histopathologic examination showed hyperplastic lymphocytic cystitis. The dog received dietary supplementation for the urinary tract, and piroxicam, leading to resolution of clinical signs. After eight months, the dog readmitted with profuse haematuria and a significant drop in haematocrit. Adhesions in the urethra and a blood clot partly obstructing the urine outflow were noticed in the follow-up cystoscopy. Severe inflammation with ecchymoses, as well as a single lesion, around which the source of bleeding was traced, were noticed in the urinary bladder. Haemostasis with the use of Holmium Laser was performed. The clinical signs resolved immediately and the haematocrit in the follow-up examinations increased to normal ranges.
Results
The clinical signs resolved immediately and the haematocrit in the follow-up examinations increased to normal ranges.
Conclusion
A common sign of urinary tract disorders is haematuria, which may be life threatening and require immediate and effective treatment. Holmium Laser, as a modern surgicalinstrumentation is a useful option for the management of urinary bladder bleeding.
References
- Wollin T and Denstedt J (2009) The Holmium Laser in Urology. Journal of Clinical Laser Medicine and surgery. Vol 16, p 13-20.
