Utilizing the Ellik bladder evacuator during cystoscopic retrieval of urocystoliths in 12 dogs

Abstract Background Urocystolithiasis is a common problem in dogs; many canine uroliths are resistant to medical dissolution. Novel management options would expand, and in some cases improve, current urolith retrieval strategies. Hypothesis/Objectives To describe a previously unreported technique by...

Full description

Saved in:
Bibliographic Details
Main Authors: John Shamoun, Shelly L. Vaden, Allison R. Kendall, Patricia L. Secoura
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Journal of Veterinary Internal Medicine
Subjects:
Online Access:https://doi.org/10.1111/jvim.17280
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832584145303240704
author John Shamoun
Shelly L. Vaden
Allison R. Kendall
Patricia L. Secoura
author_facet John Shamoun
Shelly L. Vaden
Allison R. Kendall
Patricia L. Secoura
author_sort John Shamoun
collection DOAJ
description Abstract Background Urocystolithiasis is a common problem in dogs; many canine uroliths are resistant to medical dissolution. Novel management options would expand, and in some cases improve, current urolith retrieval strategies. Hypothesis/Objectives To describe a previously unreported technique by the Ellik bladder evacuator (EE) to assist in minimally invasive, cystoscopic retrieval of canine cystoliths. Animals Twelve client‐owned dogs presented with urocystolithiasis. Methods In this retrospective study, dog demographics, procedure type and duration, and clinical outcomes of dogs undergoing cystoscopic cystolith retrieval utilizing the EE are described. Results Twelve dogs underwent 13 cystoscopic procedures utilizing EE for cystolith retrieval. The EE was used in accordance with previously described techniques via a custom‐made adaptor. Ten dogs were spayed females; 8 different breeds were represented. In 8 of 13 procedures, transurethral cystoscopy alone by EE with or without wire basket or grasping forceps was performed with a median procedure duration of 36 minutes (range, 16‐52). In the other 5 procedures, additional interventions (ie, laser lithotripsy, percutaneous perineal approach, urethral stricture ballooning, ethanol parathyroid ablation) were performed as indicated with a median procedure duration 110 minutes (range, 42‐144). No complications were noted in association with the use of the EE; retrieval of cystoliths was complete in 12 of 13 procedures. Conclusions and Clinical Importance Use of the EE during cystoscopy might aid in minimally‐invasive retrieval of cystoliths. This work provides a starting point for additional discussion regarding its benefit relative to current interventions.
format Article
id doaj-art-cac930213d3348c2b05e2a68d9bf603d
institution Kabale University
issn 0891-6640
1939-1676
language English
publishDate 2025-01-01
publisher Wiley
record_format Article
series Journal of Veterinary Internal Medicine
spelling doaj-art-cac930213d3348c2b05e2a68d9bf603d2025-01-27T15:22:41ZengWileyJournal of Veterinary Internal Medicine0891-66401939-16762025-01-01391n/an/a10.1111/jvim.17280Utilizing the Ellik bladder evacuator during cystoscopic retrieval of urocystoliths in 12 dogsJohn Shamoun0Shelly L. Vaden1Allison R. Kendall2Patricia L. Secoura3Department of Clinical Sciences, College of Veterinary Medicine North Carolina State University at Raleigh Raleigh North Carolina USADepartment of Clinical Sciences, College of Veterinary Medicine North Carolina State University at Raleigh Raleigh North Carolina USADepartment of Clinical Sciences, College of Veterinary Medicine North Carolina State University at Raleigh Raleigh North Carolina USANorth Carolina Veterinary Hospital, College of Veterinary Medicine North Carolina State University Raleigh North Carolina USAAbstract Background Urocystolithiasis is a common problem in dogs; many canine uroliths are resistant to medical dissolution. Novel management options would expand, and in some cases improve, current urolith retrieval strategies. Hypothesis/Objectives To describe a previously unreported technique by the Ellik bladder evacuator (EE) to assist in minimally invasive, cystoscopic retrieval of canine cystoliths. Animals Twelve client‐owned dogs presented with urocystolithiasis. Methods In this retrospective study, dog demographics, procedure type and duration, and clinical outcomes of dogs undergoing cystoscopic cystolith retrieval utilizing the EE are described. Results Twelve dogs underwent 13 cystoscopic procedures utilizing EE for cystolith retrieval. The EE was used in accordance with previously described techniques via a custom‐made adaptor. Ten dogs were spayed females; 8 different breeds were represented. In 8 of 13 procedures, transurethral cystoscopy alone by EE with or without wire basket or grasping forceps was performed with a median procedure duration of 36 minutes (range, 16‐52). In the other 5 procedures, additional interventions (ie, laser lithotripsy, percutaneous perineal approach, urethral stricture ballooning, ethanol parathyroid ablation) were performed as indicated with a median procedure duration 110 minutes (range, 42‐144). No complications were noted in association with the use of the EE; retrieval of cystoliths was complete in 12 of 13 procedures. Conclusions and Clinical Importance Use of the EE during cystoscopy might aid in minimally‐invasive retrieval of cystoliths. This work provides a starting point for additional discussion regarding its benefit relative to current interventions.https://doi.org/10.1111/jvim.17280cystoscopyminimally invasive procedureresectoscopeurolithiasis
spellingShingle John Shamoun
Shelly L. Vaden
Allison R. Kendall
Patricia L. Secoura
Utilizing the Ellik bladder evacuator during cystoscopic retrieval of urocystoliths in 12 dogs
Journal of Veterinary Internal Medicine
cystoscopy
minimally invasive procedure
resectoscope
urolithiasis
title Utilizing the Ellik bladder evacuator during cystoscopic retrieval of urocystoliths in 12 dogs
title_full Utilizing the Ellik bladder evacuator during cystoscopic retrieval of urocystoliths in 12 dogs
title_fullStr Utilizing the Ellik bladder evacuator during cystoscopic retrieval of urocystoliths in 12 dogs
title_full_unstemmed Utilizing the Ellik bladder evacuator during cystoscopic retrieval of urocystoliths in 12 dogs
title_short Utilizing the Ellik bladder evacuator during cystoscopic retrieval of urocystoliths in 12 dogs
title_sort utilizing the ellik bladder evacuator during cystoscopic retrieval of urocystoliths in 12 dogs
topic cystoscopy
minimally invasive procedure
resectoscope
urolithiasis
url https://doi.org/10.1111/jvim.17280
work_keys_str_mv AT johnshamoun utilizingtheellikbladderevacuatorduringcystoscopicretrievalofurocystolithsin12dogs
AT shellylvaden utilizingtheellikbladderevacuatorduringcystoscopicretrievalofurocystolithsin12dogs
AT allisonrkendall utilizingtheellikbladderevacuatorduringcystoscopicretrievalofurocystolithsin12dogs
AT patricialsecoura utilizingtheellikbladderevacuatorduringcystoscopicretrievalofurocystolithsin12dogs